FIM Instrument 7 Compleeiniepeaene (no | NO nose a deves) | HELIER 6 Modiedindgpendence (device, ‘um tine sale) Mid Dependence TaPER 3 Sipern tandby asa, 4 Minimal asst (patent = 75%) 5 Madera i (patiens = ean eee 2° sb (paent = 2596-99) 1 Toad asi (patience shan 2380) vemene SalcGare Eating Grooming Bathing Dressing upper body Dressing lower body roleting Sphincier Control Bladder management Bowel management ‘Transfers Bed, chair wheelchair ‘elle “Tub, shower Locomotion. “Wallwheelchair Sain ‘Motor Subtotal Rating Compreheasion Epresion Socal Cognition Social interaction Problem solving Memory Cognitive Suboul ating Activities of Daily Living (ADL) and Instrumental ‘Activities of Daily Living (1-ADL) apt. “Bathing and showering ‘+ Rowel and bladder management + Dressing 1 Feeding 1 Functional mobiley 1 Personal device ate Tersonal iygene and grooming Sena acitaty 1 Steep and rest Toilet hygiene ADL Care of others (incl ‘acepiver) + Gareotpas + Child eating + Communication device we + Community mobility 1 nancial management 4 Heaih management and maintenance Home establishment and managerment ‘Meal preparation and deanup 1 Safe” procedures and emergency responses + Shopping selecting and supervisingMinimum Sore Ea ont al 5) ‘Whats the year (season) (ate (dy) monte ee 5 a ‘Where are we (slate) (county) town} (basil oor? B2 7 wenn BE ‘als 5 tention and Calesation £2 Alternatively spell world” backward o £ Recall, = : ‘Language eS 1 v) Repeat the following “No ifs, ands, or buts” @ 3 ) ‘Follow a 3-stage command: es “Take a pape in your hand, ol it in hal, and put it onthe floor’ g Sg 1 ()——Readand obey the folwing: CLOSE YOUR EYES 235 1 ) ‘Write a sentence, 3 30 tL} Captain g eFs e gia a iel \ pie 2 a82 tase eS Ssohaangpcetnan ‘Alert Drowsy Stupor Coma or Table 6. Standardized Motor Eye opening —— = a Score Response Nt 0 ‘Total paralysis ‘Best motor response § eee trertemeagsfaergeetineten iaceeen a eee against resistance (but weak} stem Source: oaical Research Counc, Aids to tho nvostigation cf peripheral netves. London:Crowe Publishing: 1978, tone, manifested by catch, followed by minimal 1@ remainder (ess than half) of the ROM Slight increase in musck resistance throughout 1“ More marked increase in muscle tone through most of the ROM, but affected part(s) easily moved 3 2 1 ™ ‘ 3 2 s 3 2 Considerable increase in muscle tone, passive movement difficult Affected part(s) rigid in flexion or extension 4ASIA IMPAIRMENT SCALE [1D A= Complete: No motor or sensory function is preserved in the sacral segments S485, [2 B= Incomplete: Sensory but not motor function is preserved below the neurological level and includes the sacral segments S4-S5. (C= Incomplete: Motor function is preserved below the neurological level, and more than half of key muscles below the neurological level have a muscle grade less than 3 [J D= Incomplete: Motor function is preserved below the neurological level, and at least half of key muscles below the neurological level bave a muscle grade of 3 or more E = Normal: motor and sensor "y function are normal CLINICAL SYNDROMES Central Cord Brown-Sequard Anterior Cord Conus Medullaris, Cauda Equina