WeeFIM

Msall, Michael E.; DiGaudio, Kathleen M.; Duffy, Linda C.; LaForest, Suzanne; Braun, Susan; Granger, Carl V.

doi:10.1177/000992289403300709

Cited by 199 publications

(19 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The WeeFIM has been validated in children with normal development 13 , developmental disabilities 14,15 , and acquired brain injury 15 . While the WeeFIM was initially designed to describe major levels of independence across typically developing children aged 6 months to 8 years 13 , it has been validated for use in adolescents with cerebral palsy up to age 16 years 16 and is commonly used to evaluate older children and young adults with TBI up to 21 years of age 1,17,18 . Raw scores on the WeeFIM range from 18 to 126.…”

Section: Methodsmentioning

confidence: 99%

“…Given the wide age range of children evaluated in the current study and the effect of age on WeeFIM ratings in children below the age of 7 years due to the developmental nature of the functional abilities assessed 13 , WeeFIM DFQs 19 were used as the measure of functional status in all data analyses. DFQs reflect percent of “normal” or “age-appropriate” functioning, allowing comparison across age groups.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Examining Acute Rehabilitation Outcomes for Children With Total Functional Dependence After Traumatic Brain Injury

Kramer¹,

Suskauer²,

Christensen³

et al. 2013

Journal of Head Trauma Rehabilitation

View full text Add to dashboard Cite

Objective To examine in a pilot cohort factors associated with functional outcome at discharge and three-month follow-up following discharge from inpatient rehabilitation in children with severe traumatic brain injury (TBI) who entered rehabilitation with the lowest level of functional skills. Participants 39 children and adolescents (3 to 18 years) who sustained a severe TBI and had the lowest possible rating at rehabilitation admission on the Functional Independence Measure for Children (WeeFIM total score = 18). Methods Retrospective review of data collected as part of routine clinical care. Results At discharge, 59% of the children were partially dependent for basic activities while 41% remained dependent for basic activities. Initial Glasgow Coma Scale score, time to follow commands, and time from injury to rehabilitation admission were correlated with functional status at discharge. Time to follow commands and time from injury to rehabilitation admission were correlated with functional status at three-month follow-up. Changes in functional status during the first few weeks of admission were associated with functional status at discharge and follow-up. Conclusion Even children with the most severe brain injuries, who enter rehabilitation completely dependent for all daily activities, have the potential to make significant gains in functioning by discharge and in the following few months. Assessment of functional status early in the course of rehabilitation contributes to the ability to predict outcome from severe TBI.

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Examining Acute Rehabilitation Outcomes for Children With Total Functional Dependence After Traumatic Brain Injury

Kramer¹,

Suskauer²,

Christensen³

et al. 2013

Journal of Head Trauma Rehabilitation

View full text Add to dashboard Cite

show abstract

“…Additionally, the behavioral assessment is intrinsically harder, due to the yet limited behavioral repertoire of infants and very young children [16,17], the dependence of outcome on the age at injury [18,19], and the overlap of the evolution of the CS with the physiological growth curve [20][21][22]. Normative datasets for adjusting young children's scores are often needed (e.g., [23]), though not always available, and the outcome prediction is then drawn by inference from adult data. However, at least among children with traumatic brain injury (TBI), there is initial support for the use of command following as a predictor for emergence to CS [24,25].…”

Section: Introductionmentioning

confidence: 99%

Joint Neuropsychological Assessment through Coma/Near Coma and Level of Cognitive Functioning Assessment Scales Reduces Negative Findings in Pediatric Disorders of Consciousness

et al. 2020

View full text Add to dashboard Cite

The present study aimed to: (a) characterize the emergence to a conscious state (CS) in a sample of children and adolescents with severe brain injury during the post-acute rehabilitation and through two different neuropsychological assessment tools: the Rappaport Coma/Near Coma Scale (CNCS) and Level of Cognitive Functioning Assessment Scale (LOCFAS); (b) compare the evolution in patients with brain lesions due to traumatic and non-traumatic etiologies; and (c) describe the relationship between the emergence to a CS and some relevant clinical variables. In this observational prospective longitudinal study, 92 consecutive patients were recruited. Inclusion criteria were severe disorders of consciousness (DOC), Glasgow Coma Scale (GCS) score ≤8 at insult, age 0 to 18 years, and direct admission to inpatient rehabilitation from acute care. The main outcome measures were CNCS and LOCFAS, both administered three and six months after injury. The cohort globally shifted towards milder DOC over time, moving from overall ‘moderate/near coma’ at three months to ‘near/no coma’ at six months post-injury. The shift was captured by both CNCS and LOCFAS. CNCS differentiated levels of coma at best, while LOCFAS was superior in characterizing the emergence from coma. Agreement between scales was fair, and reduced negative findings at less than 10%. Patients with traumatic brain injury (TBI) vs. non-traumatic brain injury (NTBI) were older and had neurosurgical intervention more frequently. No relation between age and the level of consciousness was found overall. Concurrent administration of CNCS and LOCFAS reduced the rate of false negatives and better detected signs of arousal and awareness. This provides indication to administer both tools to increase measurement precision.

show abstract

“…In another study, Zoccolillo et al [10] employed a group of Kinect-based games for the rehabilitation of cerebral palsy patients and used the QUEST and ABILHAND-kids score measures to compare the body structure and function and the activity level before and after the game-based rehabilitation. Acar et al [45] have also used the QUEST and ABILHAND-Kids score measures as well as the Jebsen Taylor Hand Function Test [46] and the Functional Independence Measure (WeeFIM) [47] to evaluate the enhancement in the body structure and function and the activity level achieved by using a set of Nintendo Wii games as rehabilitation tools for cerebral palsy patients. Compared with these previous studies, the current study is characterized by the use of a computerized assessment method to achieve automatic evaluation of the movements performed by cerebral palsy patients during their engagement in game-based rehabilitation exercises.…”

Section: Discussionmentioning

confidence: 99%

A Game-Based Rehabilitation System for Upper-Limb Cerebral Palsy: A Feasibility Study

Daoud

Alhusseini

Ali

et al. 2020

Sensors

View full text Add to dashboard Cite

Game-based rehabilitation systems provide an effective tool to engage cerebral palsy patients in physical exercises within an exciting and entertaining environment. A crucial factor to ensure the effectiveness of game-based rehabilitation systems is to assess the correctness of the movements performed by the patient during the game-playing sessions. In this study, we propose a game-based rehabilitation system for upper-limb cerebral palsy that includes three game-based exercises and a computerized assessment method. The game-based exercises aim to engage the participant in shoulder flexion, shoulder horizontal abduction/adduction, and shoulder adduction physical exercises that target the right arm. Human interaction with the game-based rehabilitation system is achieved using a Kinect sensor that tracks the skeleton joints of the participant. The computerized assessment method aims to assess the correctness of the right arm movements during each game-playing session by analyzing the tracking data acquired by the Kinect sensor. To evaluate the performance of the computerized assessment method, two groups of participants volunteered to participate in the game-based exercises. The first group included six cerebral palsy children and the second group included twenty typically developing subjects. For every participant, the computerized assessment method was employed to assess the correctness of the right arm movements in each game-playing session and these computer-based assessments were compared with matching gold standard evaluations provided by an experienced physiotherapist. The results reported in this study suggest the feasibility of employing the computerized assessment method to evaluate the correctness of the right arm movements during the game-playing sessions.

show abstract

WeeFIM

Cited by 199 publications

References 14 publications

Examining Acute Rehabilitation Outcomes for Children With Total Functional Dependence After Traumatic Brain Injury

Examining Acute Rehabilitation Outcomes for Children With Total Functional Dependence After Traumatic Brain Injury

Joint Neuropsychological Assessment through Coma/Near Coma and Level of Cognitive Functioning Assessment Scales Reduces Negative Findings in Pediatric Disorders of Consciousness

A Game-Based Rehabilitation System for Upper-Limb Cerebral Palsy: A Feasibility Study

Contact Info

Product

Resources

About