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Clinical Rehabilitation
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Functional assessment in spinal cord injury: a comparison of the Modified Barthel Index and the 'adapted' Functional Independence Measure

Elliot Roth

Department of Rehabilitation Medicine, Northwestern University Medical School, Rehabilitation Institute of Chicago

Gary Davidoff

Department of Physical Medicine and Rehabilitation, University of Michigan Medical Centre, Ann Arbor, Michigan

John Haughton

Department of Physical Medicine and Rehabilitation, University of Michigan Medical Centre, Ann Arbor, Michigan

Mary Ardner

Department of Physical Medicine and Rehabilitation, University of Michigan Medical Centre, Ann Arbor, Michigan

The Modified Barthel Index (MBI) and the Functional Independence Measure (FIM) have been used to provide objective measures of functional status and change of spinal cord injured (SCI) patients. To compare rating scores on the MBI and FIM, the functional abilities of 41 SCI patients were rated by one trained nurse-clinician using both scales at admission to initial rehabilitation (ADM), discharge from rehabilitation (DC) and at follow-up (FU) 12 months after rehabilitation. An 'adapted' FIM score was used, and total MBI and FIM scores were divided into self-care and mobility subscores. Comparisons were made between each MBI score and each FIM score at each point in time (ADM, DC, FU) using simple linear regression, which was also used to compare changes in the MBI and FIM scores from ADM to DC and from DC to FU. Excellent correlations ( p<0.0005) were found between MBI and FIM scores at all points in time and between changes in MBI scores and changes in FIM scores over each time interval.

Clinical Rehabilitation, Vol. 4, No. 4, 277-285 (1990)
DOI: 10.1177/026921559000400405
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