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Instrumento de evaluación funcional de la discapacidad en rehabilitación: estudio de confiabilidad y experiencia clínica con el uso del Functional Independence Measure / Clinical use and inter rater agreement in the application of the Functional Independence Measure
Paolinelli Grunert, Carlo; González H., Pilar; Doniez S., María Eugenia; Donoso Díaz, Tatiana; Salinas R., Viviana.
  • Paolinelli Grunert, Carlo; Universidad de Chile. Hospital Clínico. Servicio de Medicina Física y Rehabilitación.
  • González H., Pilar; Universidad de Chile. Hospital Clínico. Servicio de Medicina Física y Rehabilitación.
  • Doniez S., María Eugenia; Universidad de Chile. Hospital Clínico. Servicio de Medicina Física y Rehabilitación.
  • Donoso Díaz, Tatiana; Universidad de Chile. Hospital Clínico. Servicio de Medicina Física y Rehabilitación.
  • Salinas R., Viviana; Universidad de Chile. Hospital Clínico. Servicio de Medicina Física y Rehabilitación.
Rev. méd. Chile ; 129(1): 23-31, ene. 2001. tab, graf
Artigo em Espanhol | LILACS | ID: lil-282112
ABSTRACT

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
Assuntos
Texto completo: DisponíveL Índice: LILACS (Américas) Assunto principal: Pessoas com Deficiência / Avaliação da Deficiência Limite: Feminino / Humanos / Masculino Idioma: Espanhol Revista: Rev. méd. Chile Assunto da revista: Medicina Ano de publicação: 2001 Tipo de documento: Artigo / Documento de projeto

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Texto completo: DisponíveL Índice: LILACS (Américas) Assunto principal: Pessoas com Deficiência / Avaliação da Deficiência Limite: Feminino / Humanos / Masculino Idioma: Espanhol Revista: Rev. méd. Chile Assunto da revista: Medicina Ano de publicação: 2001 Tipo de documento: Artigo / Documento de projeto