Functional Independence Measure (FIM): Difference between revisions

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== Objective  ==
== Objective  ==


The Functional Independence Measure (FIM ) is an 18- Item of physical, psychological and social function.  
The Functional Independence Measure (FIM ) is an 18-item of physical, psychological and social function.  


== Intended Population  ==
== Intended Population  ==
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== Method of Use  ==
== Method of Use  ==


The FIM uses the level of assistance an individual needs to grade the functional status of a person. Grading is given as total independence to total assistance. Irrespective of the use of any assistive device, the person is considered complete independence.  
The FIM is used by health care practitioners to assess and grade the functional status of a person based on the level of assistance he or she requires. Grading categories range from total independence to total assistance. Irrespective of the use of any assistive device, the person is considered complete independence.  


The list includes six self care activities:  
The list is comprised of six self-care activities:  
*Feeding
*Feeding
*Grooming
*Grooming
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*Toileting <br>
*Toileting <br>


The FIM Measures what an individual can perform and not what that person could do under certain circumstances. <br>  
The FIM measures what an individual can perform and not what that person could do under certain circumstances. <br>  


[[Image:Functional Independence Measure.jpg|left]]  
[[Image:Functional Independence Measure.jpg|left]]  

Revision as of 05:29, 23 November 2017

Objective[edit | edit source]

The Functional Independence Measure (FIM ) is an 18-item of physical, psychological and social function.

Intended Population[edit | edit source]

In any motor impairment associated with any condition

Method of Use[edit | edit source]

The FIM is used by health care practitioners to assess and grade the functional status of a person based on the level of assistance he or she requires. Grading categories range from total independence to total assistance. Irrespective of the use of any assistive device, the person is considered complete independence.

The list is comprised of six self-care activities:

  • Feeding
  • Grooming
  • Bathing
  • Upper Body Dressing
  • Lower Body Dressing
  • Toileting

The FIM measures what an individual can perform and not what that person could do under certain circumstances.

Functional Independence Measure.jpg

FIM Levels


No Helper

7. Complete Independence 

(Timely, Safety)

6. Modified Independence

(Device)

Helper - Modified Dependence

5. Supervision 

(Subject = 100%)

4. Minimal Assistance

(Subject = 75% or more)

3. Moderate Assistance

(Subject = 50% or more)

Helper - Complete Dependence 2. Maximal Assistance

(Subject = 25% or more)

1. Total Assistance or not Testable

(Subject less than 25%)


  • Leave no blanks. Enter 1 if not testable due to risk.



Reliability[edit | edit source]

Inter-Rater Reliability (Intraclass co-relation coefficients ranging from 0.86 to 0.88)

Validity[edit | edit source]

The concurrent validity with Barthel Index (ICC > 0.83)


References[edit | edit source]