title: Self-scoring templates for motor and cognitive subscales of the FIM instrument for persons with spinal cord injury.
abstract: OBJECTIVE
  To provide self-scoring templates for the FIM instrument's motor and cognitive scales that enable clinicians to monitor progress during rehabilitation using equal-interval Rasch-calibrated measures instead of ordinal raw scores.
  
  
  METHODS
  Secondary analysis of a prospective, observational cohort study.
  
  
  METHODS
  Six geographically dispersed hospital-based rehabilitation centers in the United States.
  
  
  METHODS
  Subset of consecutively enrolled individuals with new traumatic spinal cord injuries discharged from participating rehabilitation centers (N=1146).
  
  
  METHODS
  Not applicable.
  
  
  METHODS
  Subscores of the FIM instrument, including a 13-item motor scale, a 5-item cognitive scale, an 11-item (without sphincter control items) motor scale, a 3-item transfer scale, a 6-item self-care scale, a 3-item self-care upper extremity scale, and a 3-item self-care lower extremity scale.
  
  
  RESULTS
  KeyForms for the FIM instrument scales allow clinicians and investigators to estimate patients' functional status and monitor progress. In cases with no missing data, the look-up tables provide more accurate estimates of patients' functional status.
  
  
  CONCLUSIONS
  Clinicians can use KeyForms and look-up tables for FIM instrument subscales to monitor patients' progress and communicate improvement in equal-interval units.
authors.affiliation: Psychometric consultant, Elmwood Park, IL.
authors.forename: Rita K
authors.initials: RK
authors.lastname: Bode
authors.affiliation: Center for Rehabilitation Outcomes Research, Rehabilitation Institute of Chicago, Chicago, IL; Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago, IL. Electronic address: a-heinemann@northwestern.edu.
authors.forename: Allen W
authors.initials: AW
authors.lastname: Heinemann
authors.affiliation: Icahn School of Medicine at Mount Sinai, New York, NY.
authors.forename: Allan J
authors.initials: AJ
authors.lastname: Kozlowski
authors.affiliation: Traumatic Brain Injury Model Systems, National Data and Statistical Center, Craig Hospital, Englewood, CO.
authors.forename: Christopher R
authors.initials: CR
authors.lastname: Pretz
mesh_terms: D000203:Activities of Daily Living; D003071:Cognition / Q000502:physiology*; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D008297:Male; D011446:Prospective Studies; D057566:Self Report; D013119:Spinal Cord Injuries / Q000503:physiopathology* / Q000534:rehabilitation
keywords: Activities of daily living; Rehabilitation; Spinal cord injuries