Tarvonen-Schröder Sinikka, Laimi Katri, Kauko Tommi, Saltychev Mikhail
Department of Rehabilitation and Brain Trauma, Turku University Hospital, PO Box 52, FI-20521 Turku, Finland. E-mail:
J Rehabil Med. 2015 Aug 18;47(7):662-4. doi: 10.2340/16501977-1974.
To investigate the use of concepts of capacity and performance when assessing functioning of stroke survivors, measured with the Functional Independence Measure (FIM) and the International Classification of Functioning, Disability and Health (ICF).
During an inpatient interdisciplinary rehabilitation programme for 62 subacute stroke survivors, limitations in speaking, walking, toileting and eating were assessed at admission and discharge with both the FIM and a scale based on the ICF Brief Core Set for stroke. Correlation between the results obtained with these 2 scales was assessed using Spearman's correlation coefficient.
The level of restriction of functioning, defined as capacity or performance in terms of the ICF, correlated well with the results obtained with the FIM (0.47-0.87) . The only statistically significant difference was found in assessing limitations in eating, where assessment with the FIM had a higher correlation with the concept of capacity than performance (0.75 vs 0.55). The observed correlations were not associated with stroke severity.
Even though the FIM and an ICF-based scale may describe limitation of functioning of stroke survivors similarly, ICF is probably more comprehensive in describing both capacity and performance.
探讨在使用功能独立性测量量表（FIM）和国际功能、残疾与健康分类（ICF）评估中风幸存者的功能时，能力和表现概念的应用情况。
在一项针对62名亚急性中风幸存者的住院跨学科康复计划中，在入院和出院时使用FIM以及基于ICF中风简要核心集的量表对言语、行走、如厕和进食方面的限制进行评估。使用Spearman相关系数评估这两种量表所得结果之间的相关性。
根据ICF定义为能力或表现的功能受限水平与FIM所得结果具有良好的相关性（0.47 - 0.87）。在评估进食方面的限制时发现了唯一具有统计学意义的差异，即使用FIM评估时与能力概念的相关性高于与表现概念的相关性（0.75对0.55）。观察到的相关性与中风严重程度无关。
尽管FIM和基于ICF的量表可能以相似的方式描述中风幸存者的功能受限情况，但ICF在描述能力和表现方面可能更全面。
