The Relationship between the Functional Independence Measure and the International Classification of Functioning, Disability, and Health Core Set for stroke

Abstract

The Functional Independence Measure (FIM) is one of many instruments available for assessing the functionality of stroke patients. However, with the approval of the International Classification of Functioning, Disability, and Health (ICF), the Core Set that was developed for stroke patients, a new tool for understanding functionality and disability of these patients is available. Objective: To establish a relationship between the FIM and the ICF Core Set for stroke. Four researchers of different healthcare backgrounds, all working in the field of rehabilitation, considered the descriptions of the activities of the FIM and the definitions of the ICF categories. Method: They selected the categories of the ICF Core Set for stroke, which could be related to the tasks assessed by the FIM. Once the relationship was established, the researchers came to a consensus for the inclusion or exclusion of those categories. Results: From the 130 second-level categories used in the Core Set, 27 (20.8%) were related to the activities of FIM, eight (29.6%) regarded the bodily functions component (b), 17 (63%) concerned activity and participation (d), and two (7.4%) considered environmental factors (e). As for the 10 categories that are part of the Brief Core Set for stroke, only five were related to the activities of FIM. Conclusion: The FIM is focused on the individual, while the ICF is concerned not only with the dysfunctions and disabilities of the patient, but also considers these factors within social activities, as well as environmental influences, either as a facilitator or a barrier to functional independence.

International Classification of Functioning in professional rehabilitation: instruments for assessing work disability

“…Other authors also verified this lower representativeness of items related to the categories of environmental factors of ICF in correlations with other instruments 17,19,[24][25][26] . As such, this fact disfavors the approach given to functioning, since it ignores an important influencing component in the functioning of individuals, highly considered by the biopsychosocial model that supported ICF 23,27 .…”

Impacto sobre a capacidade funcional e cognitiva em idosos após um ano de institucionalização

“…A capacidade funcional dos idosos foi avaliada pela Medida de Independência Funcional (MIF). Tal instrumento é usado para medir o grau de cuidado que a indivíduo requer para executar atividades motoras e cognitivas [11]. A MIF classifica o paciente em sua habilidade para executar uma atividade e a sua necessidade por assistência de outra pessoa ou recurso de adaptação.…”

Avaliação da funcionalidade de idosos institucionalizados: relação entre a MIF e a ICF

“…O que é visto no estudo de Fréz et al, 7 onde relacionaram a MIF com a ICF e demonstraram uma forte concordância entre elas. Além disso, no estudo citado anteriormente, também ocorreu a frequência maior no componente Atividade e Participação.…”

“…Tal instrumento é usado para medir o grau de cuidado que a pessoa, com deficiência, requer para executar atividades motoras e cognitivas. 7 Dessa forma, o objetivo deste estudo é demonstrar, através da MIF, as características funcionais de idosos em instituições de longa permanência (ILPI's) e relacionar tal instrumento de avaliação funcional à Classificação Internacional de Funcionalidade, Incapacidade e Saúde (ICF) para reconhecimento da abordagem fisioterapêutica.…”