Functional Independence Measure + Functional Assessment Measure (FIM+ FAM) measures were taken for 38 clients on admission to and at discharge from an inpatient rehabilitatio n unit for people with cognitive and behavioural problems following acquired, single incident, brain injury. Over the course of the admission there was a significant improvement in FAM scores and cognitive and social items of the FIM+FAM. These improvements were not related to the amount of time elapsed between injury and admission to the rehabilitatio n unit. There was no significant change in FIM scores and neurophysical items of the FIM+FAM. Ceiling effects appear to have limited the scope for some of the FIM scales to detect change.
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