Functional Independence Measure (FIM)

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

Intended Population
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In any motor impairment associated with any condition

Method of Use[edit | edit source]

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 list includes 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 (Intra class co relation coefficients ranging from 0.86 to 0.88)

Validity[edit | edit source]

The concurrent validity with Barthel Index (ICC > 0.83)



Recent Related Research (from Pubmed)[edit | edit source]

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References[edit | edit source]

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