PM&R
Volume 1, Issue 3 , Pages 234-239 , March 2009

Projecting Function of Stroke Patients in Rehabilitation Using the AlphaFIM Instrument in Acute Care

Gary Stillman and Dr. Carl V. Granger presented information about these findings to the Northeast Cerebrovascular Consortium (NECC) in Boston in September 2006 and to an American Stroke Association (ASA) Stroke Symposium in Rochester, New York, May 2007.

  • Gary Stillman, MS, OTR

      Affiliations

    • Department of Rehabilitation Medicine, Kaleida Health, Millard Fillmore Suburban Hospital, Williamsville, NY⁎
    • ,
  • Carl Granger, MD

      Affiliations

    • Department of Rehabilitation Medicine, University at Buffalo School of Medicine and Biomedical Sciences, The State University of New York, Buffalo, NY; Uniform Data System for Medical Rehabilitation (UDSMR), Amherst, NY⁎
    • ,
  • Paulette Niewczyk, PhD, MPH

      Affiliations

    • Center for Functional Assessment Research, Department of Rehabilitation Medicine, University at Buffalo School of Medicine and Biomedical Sciences, The State University of New York, Buffalo, NY 14228; Department of Health Care Studies, Daemen College, Amherst, NY⁎
    • Corresponding Author InformationAddress correspondence to: P.N.

Received 13 August 2008 ,Accepted 25 October 2008.

References 

  1. Granger CV, Black T, Braun SL. Quality and outcome measures for medical rehabilitation. In:  Braddom RL editors. Physical Medicine & Rehabilitation. 3rd ed.. Philadelphia: W. B. Saunders; 2006;
  2. U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services. IRF patient assessment instrument. http://www.cms.hhs.gov/InpatientRehabFacPPS/04_IRFPAI.asp#TopOfPageAccessed August 8, 2008
  3. U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services. Data collection for administering the Continuity Assessment Record and Evaluation (CARE) Instrument. http://www.cms.hhs.gov/PaperworkReductionActof1995/PRAL/itemdetail.asp?filterType=none&filterByDID=0&sortByDID=1&sortOrder=ascending&itemID=CMS1201543&intNumPerPage=10Accessed October 23, 2007
  4. U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services. Policy council document: post-acute care reform plan, September 28, 2006. http://www.hhs.govAccessed November 6, 2007
  5. Research Triangle Institute, International. Post Acute Care Payment Reform Demonstration. http://www.pacdemo.rti.org/meetingInfo.cfm?cid=caretoolAccessed October 21, 2008
  6. Wanlass RL, Reutter SL, Kline AE. Communication among rehabilitation staff: “mild,” “moderate,” or “severe” deficits?. Arch Phys Med Rehabil. 1992;73:477–481
  7. Emhoff TA, McCarthy M, Cushman M, Goub JL, Valenziano C. Functional scoring of multi-trauma patients: who ends up where?. J Trauma. 1991;31:1227–1232
  8. Granger CV, Hamilton BB, Gresham GE, Kramer AA. The stroke rehabilitation outcome study: part II (Relative merits of the total Barthel Index score and a four-item sub score in predicting patient outcomes). Arch Phys Med Rehabil. 1989;70:100–103
  9. Uniform Data System for Medical Rehabilitation. Guide for the Uniform Data Set for Medical Rehabilitation (including the FIM™ instrument), Version 5.1. Buffalo, NY: UDSMR; 1997;
  10. Gresham GE, Granger CV, Linn RT, Kulas MA. Status of functional outcomes for stroke survivors. Phys Med Rehabil Clin N Am. 1999;10:957–966
  11. Deutsch A, Granger CV, Heinemann AW, et al. Poststroke rehabilitation outcomes and reimbursement of inpatient rehabilitation facilities and subacute rehabilitation programs. Stroke. 2006;27:1477–1482
  12. Uniform Data System for Medical Rehabilitation. About the FIM System. http://www.udsmr.org/WebModules/FIM/Fim_About.aspxAccessed August 7, 2008
  13. Uniform Data System for Medical Rehabilitation. The AlphaFIM® Instrument Guide, Version 2.1. Buffalo, NY: UDSMR; 2005;
  14. Fiedler C, Granger CV. The Functional Independence Measure: a measurement of disability and medical rehabilitation. In:  Chino N,  Melvin JL editor. Functional Evaluation of Stroke Patients. Tokyo: Springer; 1996;p. 75–88
  15. Rasch G. Probabilistic Models for Some Intelligence and Attainment Tests. Chicago: Mesa Press; 1993;
  16. Uniform Data System for Medical Rehabilitation. The UDS-PRO® System (including the FIM™ Instrument) Clinical Guide, Version 1.0. Buffalo, NY: UDSMR; 2001;
  17. Granger CV, Cotter AC, Hamilton BB, Fiedler RC. Functional assessment scales: a study of persons after stroke. Arch Phys Med Rehabil. 1993;74:133–138
  18. Granger CV, Cotter AC, Hamilton BB, Fiedler RC, Hens M. Functional assessment scales: a study of persons with multiple sclerosis. Arch Phys Med Rehabil. 1990;71:870–875
  19. Heinemann AW, Kirk P, Hastie BA, et al. Relationships between disability measures and nursing effort during medical rehabilitation for patients with traumatic brain and spinal cord injury. Arch Phys Med Rehabil. 1997;78:143–149

 Disclosure Key can be found on the Table of Contents and at www.pmrjournal.org

 AlphaFIM instrument and FIM instrument are trademarks of Uniform Data System for Medical Rehabilitation, a division of UB Foundation Activities, Inc.

PII: S1934-1482(08)00026-9

doi: 10.1016/j.pmrj.2008.10.014

PM&R
Volume 1, Issue 3 , Pages 234-239 , March 2009

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