Instrumento de evaluación funcional de la discapacidad en rehabilitación.: Estudio de confiabilidad y experiencia clínic a con el uso del Functional Independence Measure

Background: The Functional Independence Measure (FIM) is an instrument widely used to assess the results and progress of a medical rehabilitation program. Aim: To assess the inter rater agreement in the application of FIM and show the clinical experience with its use in disabled patients enrolled in...

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Autores principales:	Paolinelli G,Carlo, González H,Pilar, Doniez S,María Eugenia, Donoso D,Tatiana, Salinas R,Viviana
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2001
Materias:	Disability evaluation Physical medicine Rehabilitation
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872001000100004
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spelling	oai:scielo:S0034-988720010001000042005-11-23Instrumento de evaluación funcional de la discapacidad en rehabilitación.: Estudio de confiabilidad y experiencia clínic a con el uso del Functional Independence MeasurePaolinelli G,CarloGonzález H,PilarDoniez S,María EugeniaDonoso D,TatianaSalinas R,Viviana Disability evaluation Physical medicine Rehabilitation Background: The Functional Independence Measure (FIM) is an instrument widely used to assess the results and progress of a medical rehabilitation program. Aim: To assess the inter rater agreement in the application of FIM and show the clinical experience with its use in disabled patients enrolled in a rehabilitation program. Patients and methods: FIM was applied in 40 patients and the inter rater agreement was assessed, comparing raters with and without training in its use. Agreement was evaluated using Kappa test. Afterwards, the FIM was used to assess changes in 100 patients hospitalized and being rehabilitated at the Rehabilitation ward of a general hospital. Results: Inter rater agreement is high in physical areas of the FIM and low in cognitive areas. Training significantly improves agreement in communication and cognitive areas. During a mean period of hospitalization of 38 days, FIM score changed from a mean of 47.2 to 92 points, with an improvement of 1.18 points per hospitalization day. The higher improvement was achieved in the physical area of the instrument. Conclusions: Training is required for a proper application of FIM. When used adequately, this instrument allows an assessment of the degree of disability and the changes obtained with rehabilitation programs (Rev Méd Chile 2001; 129: 23-31).info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.129 n.1 20012001-01-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872001000100004es10.4067/S0034-98872001000100004
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Disability evaluation Physical medicine Rehabilitation
spellingShingle	Disability evaluation Physical medicine Rehabilitation Paolinelli G,Carlo González H,Pilar Doniez S,María Eugenia Donoso D,Tatiana Salinas R,Viviana Instrumento de evaluación funcional de la discapacidad en rehabilitación.: Estudio de confiabilidad y experiencia clínic a con el uso del Functional Independence Measure
description	Background: The Functional Independence Measure (FIM) is an instrument widely used to assess the results and progress of a medical rehabilitation program. Aim: To assess the inter rater agreement in the application of FIM and show the clinical experience with its use in disabled patients enrolled in a rehabilitation program. Patients and methods: FIM was applied in 40 patients and the inter rater agreement was assessed, comparing raters with and without training in its use. Agreement was evaluated using Kappa test. Afterwards, the FIM was used to assess changes in 100 patients hospitalized and being rehabilitated at the Rehabilitation ward of a general hospital. Results: Inter rater agreement is high in physical areas of the FIM and low in cognitive areas. Training significantly improves agreement in communication and cognitive areas. During a mean period of hospitalization of 38 days, FIM score changed from a mean of 47.2 to 92 points, with an improvement of 1.18 points per hospitalization day. The higher improvement was achieved in the physical area of the instrument. Conclusions: Training is required for a proper application of FIM. When used adequately, this instrument allows an assessment of the degree of disability and the changes obtained with rehabilitation programs (Rev Méd Chile 2001; 129: 23-31).
author	Paolinelli G,Carlo González H,Pilar Doniez S,María Eugenia Donoso D,Tatiana Salinas R,Viviana
author_facet	Paolinelli G,Carlo González H,Pilar Doniez S,María Eugenia Donoso D,Tatiana Salinas R,Viviana
author_sort	Paolinelli G,Carlo
title	Instrumento de evaluación funcional de la discapacidad en rehabilitación.: Estudio de confiabilidad y experiencia clínic a con el uso del Functional Independence Measure
title_short	Instrumento de evaluación funcional de la discapacidad en rehabilitación.: Estudio de confiabilidad y experiencia clínic a con el uso del Functional Independence Measure
title_full	Instrumento de evaluación funcional de la discapacidad en rehabilitación.: Estudio de confiabilidad y experiencia clínic a con el uso del Functional Independence Measure
title_fullStr	Instrumento de evaluación funcional de la discapacidad en rehabilitación.: Estudio de confiabilidad y experiencia clínic a con el uso del Functional Independence Measure
title_full_unstemmed	Instrumento de evaluación funcional de la discapacidad en rehabilitación.: Estudio de confiabilidad y experiencia clínic a con el uso del Functional Independence Measure
title_sort	instrumento de evaluación funcional de la discapacidad en rehabilitación.: estudio de confiabilidad y experiencia clínic a con el uso del functional independence measure
publisher	Sociedad Médica de Santiago
publishDate	2001
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872001000100004
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Instrumento de evaluación funcional de la discapacidad en rehabilitación.: Estudio de confiabilidad y experiencia clínic a con el uso del Functional Independence Measure

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