Reliability and validity of a self-report FIM (FIM-SR) in persons with amputation or spinal cord injury and chronic pain

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Study examined the psychometric properties of a self-report version of the Functional Independence Measure, called FIM-SR, in a group of people with spinal cord injury (SCI) and a group with amputations. Reliability was estimated using Cronbach's alpha and test-retest correlation coefficients. Validity was examined by comparing FIM-SR scores with the Craig Handicap Assessment and Reporting Technique (CHART), by comparing the CHART scores between the participants with SCI and amputation, and by comparing CHART scores between subjects with different levels of SCI. results indicate that the FIM-SR motor scales and the total FIM-SR score are reliable and valid measures of perceived functional independence in people with SCI. However, the entire FIM-SR in the amputation group, and the FIM-SR cognitive scales in the SCI sample seem to be less useful measures of functioning due to subjects reporting high levels of independence.

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