PMID- 16401435
OWN - NLM
STAT- MEDLINE
DCOM- 20060222
LR  - 20220317
IS  - 0003-9993 (Print)
IS  - 0003-9993 (Linking)
VI  - 87
IP  - 1
DP  - 2006 Jan
TI  - Determination of the minimal clinically important difference in the FIM 
      instrument in patients with stroke.
PG  - 32-9
AB  - OBJECTIVE: To define the minimal clinically important difference (MCID) for the 
      FIM instrument in patients poststroke. DESIGN: Prospective case series discharged 
      over a 9-month period. SETTING: Long-term acute care hospital. PARTICIPANTS: 
      Patients with stroke (N=113). INTERVENTIONS: Not applicable. MAIN OUTCOME 
      MEASURES: Admission, discharge, and change scores were calculated for the total 
      FIM, motor FIM, and cognitive FIM. Assessments of clinical change were rated at 
      discharge on a 15-point (-7 to +7) Likert scale by attending physicians, with 
      MCID defined at a cutoff score of 3. The FIM change scores associated with MCID 
      were identified from receiver operating characteristic curves. Bayesian analysis 
      was used to determine the probability of individual patients achieving MCID. 
      RESULTS: FIM change scores associated with MCID were 22, 17, and 3 for the total 
      FIM, motor FIM, and cognitive FIM, respectively. The accuracy of the MCID was 
      greater when subjects were categorized based on admission FIM scores than when 
      considering the sample as a whole. Larger FIM change scores were related to MCID 
      in subjects with lower admission FIM scores. CONCLUSIONS: These findings will 
      assist in the interpretation of FIM change scores relative to physicians' 
      assessments of important clinical change.
FAU - Beninato, Marianne
AU  - Beninato M
AD  - Graduate Programs in Physical Therapy, MGH Institute of Health Professions, 
      Boston, MA 02129, USA. mbeninato@mghihp.edu
FAU - Gill-Body, Kathleen M
AU  - Gill-Body KM
FAU - Salles, Sara
AU  - Salles S
FAU - Stark, Paul C
AU  - Stark PC
FAU - Black-Schaffer, Randie M
AU  - Black-Schaffer RM
FAU - Stein, Joel
AU  - Stein J
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Arch Phys Med Rehabil
JT  - Archives of physical medicine and rehabilitation
JID - 2985158R
SB  - IM
MH  - Activities of Daily Living/*classification
MH  - Adult
MH  - Age Factors
MH  - Aged
MH  - Aged, 80 and over
MH  - Cognition/physiology
MH  - Cohort Studies
MH  - *Disability Evaluation
MH  - Female
MH  - *Health Status Indicators
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Motor Activity/physiology
MH  - Outcome Assessment, Health Care/*methods
MH  - Physical Therapy Modalities
MH  - Probability
MH  - Prognosis
MH  - Prospective Studies
MH  - Recovery of Function
MH  - Risk Factors
MH  - Sensitivity and Specificity
MH  - Severity of Illness Index
MH  - Sex Factors
MH  - Statistics, Nonparametric
MH  - Stroke/*diagnosis
MH  - *Stroke Rehabilitation
MH  - Treatment Outcome
EDAT- 2006/01/13 09:00
MHDA- 2006/02/24 09:00
CRDT- 2006/01/13 09:00
PHST- 2005/05/12 00:00 [received]
PHST- 2005/08/17 00:00 [revised]
PHST- 2005/08/25 00:00 [accepted]
PHST- 2006/01/13 09:00 [pubmed]
PHST- 2006/02/24 09:00 [medline]
PHST- 2006/01/13 09:00 [entrez]
AID - S0003-9993(05)01273-6 [pii]
AID - 10.1016/j.apmr.2005.08.130 [doi]
PST - ppublish
SO  - Arch Phys Med Rehabil. 2006 Jan;87(1):32-9. doi: 10.1016/j.apmr.2005.08.130.