Article

OBJECTIVE: To investigate the use of concepts of capacity and performance when
assessing functioning of stroke survivors, measured with the Functional
Independence Measure (FIM) and the International Classification of Functioning,
Disability and Health (ICF). METHODS: During an inpatient interdisciplinary
rehabilitation programme for 62 subacute stroke survivors, limitations in
speaking, walking, toileting and eating were assessed at admission and discharge
with both the FIM and a scale based on the ICF Brief Core Set for stroke.
Correlation between the results obtained with these 2 scales was assessed using
Spearman's correlation coefficient. RESULTS: The level of restriction of
functioning, defined as capacity or performance in terms of the ICF, correlated
well with the results obtained with the FIM (0.47-0.87) .
The only statistically
significant difference was found in assessing limitations in eating, where
assessment with the FIM had a higher correlation with the concept of capacity
than performance (0.75 vs 0.55). The observed correlations were not associated
with stroke severity. CONCLUSION: Even though the FIM and an ICF-based scale may
describe limitation of functioning of stroke survivors similarly, ICF is probably
more comprehensive in describing both capacity and performance.

Langue : ANGLAIS