Kidd D, Stewart G, Baldry J, Johnson J, Rossiter D, Petruckevitch A, Thompson A J
Neurorehabilitation Unit, Institute of Neurology, National Hospital, London, UK.
Disabil Rehabil. 1995 Jan;17(1):10-4. doi: 10.3109/09638289509166622.
The majority of measurement scales used to evaluate outcome in rehabilitation are ordinal in nature and consequently statistically valid assessments of change are difficult to make. The Functional Independence Measure (FIM) can be weighted to possess interval properties, potentially allowing more accurate analysis of change. In this study the FIM was compared to the Barthel Index (BI) to determine its validity, reliability and ease of use in two groups of 25 patients undergoing neurorehabilitation. The FIM was considered to be more valid than the BI, and equally reliable in the assessment of disability. When the two disability scores were compared using subjective and objective assessment the agreement between them was comparable, although neither was high.
大多数用于评估康复效果的测量量表本质上是有序的，因此很难对变化进行具有统计学效度的评估。功能独立性测量（FIM）可以进行加权以具备等距特性，这有可能对变化进行更准确的分析。在本研究中，将FIM与巴氏指数（BI）进行比较，以确定其在两组各25例接受神经康复治疗的患者中的效度、信度和易用性。FIM被认为比BI更有效，并且在评估残疾方面同样可靠。当使用主观和客观评估对两个残疾评分进行比较时，它们之间的一致性相当，尽管两者都不高。
