Quantification of Disability after Stroke

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Abstract
Data are presented on the Functional Independence Measure (FIM), an 18-item scale designed to assess 7 levels of disability. It is divided into 14 physical and 5 social and cognitive items. The FIM has been evaluated in several populations in different countries. It may be used to assess changes in functional independence of stroke patients undergoing programmes of rehabilitation in hospital. Although it is subject to considerable individual variation, in statistical terms the FIM is valuable in predicting the probability of discharge into the community and the length of hospital stay. The FIM represents a significant advance over the Barthel Index, from which it is derived, having a higher sensitivity and better scalability.

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