Archives of Physical Medicine and Rehabilitation
Tools of Disability Outcomes ResearchThe tools of disability outcomes research functional status measures☆,☆☆
Section snippets
Background
Functional assessment can occur across many levels of the disablement process. In the 1980, World Health Organization's (WHO) International Classification of Impairment, Disability, and Handicap (ICIDH), functional status assessment was the measure of the impact of disability. Recently, WHO, in the International Classification of Functioning and Disability1 (ICIDH-2), classified level of functioning for the whole person as an activity. Activity is characterized by what a person does in the
Generic functional status assessments
This section presents the generic functional status assessments in chronological order of publication. A brief discussion of each scale, its development, validity, and reliability will be presented. Table 1 summarizes each scale.
Conclusion
Table 1 compares the 5 functional status measures evaluated in this paper. All measures, with the exception of the Katz index, adequately cover the domain of disability. The LORS, the PECS, and the FIM have published comparative data for people with varying disabilities. The FIM is the least biased of the measures. The Katz index, Barthel index, and FIM instrument are relatively brief, requiring little time from the respondent, while the administrative burden is less with the Barthel index and
Acknowledgements
The authors thank Richard R. Brown, a master's student in the Department of Occupational Therapy, Thomas Jefferson University, for his efforts in conducting the literature search for this review.
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No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the authors or upon any organization with which the authors are associated.
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Correspondence to Michelle E. Cohen, PhD, Dept of Occupational Therapy, Thomas Jefferson University, 130 S 9th St, Ste 810, Philadelphia, PA 19107, e-mail: [email protected]