Observational studyEuropean journal of physical and rehabilitation medicine2023
Reliability and validity of the Spanish adaptation of the Functional Independence Measure + Functional Assessment Measure.
Observational study in European journal of physical and rehabilitation medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- A Therapist-Configurable Serious Game System for Upper-Limb Neurorehabilitation: A Pilot Feasibility Study.Sensors (Basel, Switzerland) · 2026Article
- Understanding Motherhood After Stroke Occurring During Pregnancy, Childbirth, or the Postpartum Period: An Exploratory Mixed-Methods Study.Healthcare (Basel, Switzerland) · 2026Article
- Update, translation, cross-cultural adaptation, and validation of Nottingham Stroke Dressing Assessment into Spanish.Scientific reports · 2026Article
- The potential benefits of transcranial magnetic stimulation combined with reminiscence therapy on cognitive function in patients with stroke.Open medicine (Warsaw, Poland) · 2026Article
- Touchscreen-based assessment of upper limb kinematics after stroke: Reliability, validity and sensitivity to motor impairment.Journal of neuroengineering and rehabilitation · 2025Article
- The impact of airway management guided by Protection Motivation Theory on the prevention and prognosis of post-stroke pneumonia.Frontiers in neurology · 2025Article
- Minimally conscious state plus versus minus: Likelihood of emergence and long-term functional independence.Annals of clinical and translational neurology · 2024Article
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Authors and funding
8 authors.
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Abstract
backgroundThe Functional Independence Measure + Functional Assessment Measure (FIM+FAM) Scale is one of the most widely used instruments to measure functional independence post-stroke, and features many cultural adaptations to various languages.
aimThe aim of this study was to determine the psychometric properties of a Spanish cross-cultural adaptation of the FIM+FAM for use in the stroke population.
designObservational study.
settingOutpatient long-term service of a neurorehabilitation unit. POPULATION: One hundred and twenty-two individuals with stroke.
methodsThe functional independence of the participants was assessed with the adapted version of the FIM+FAM. Additionally, the functional, motor and cognitive condition of the participants was assessed with a battery of standardized clinical instruments. Finally, a group of 31 participants out of the total were evaluated a second time with the FIM+FAM by a different evaluator than the one who performed the first evaluation. Internal consistency, inter-rater reliability and convergent validity with other clinical instruments of the adapted version of the FIM+FAM were determined.
resultsThe internal consistency of the adapted version of the FIM+FAM was excellent, as evidenced by Cronbach's α values that exceeded 0.973. The inter-rater reliability was likewise excellent, with correlations above 0.990 in all domains and subscales. Additionally, the convergent validity of the scale adaptation with clinical instruments was variable, with values ranging from 0.264 to 0.983, but consistent with the construct assessed in the different instruments examined.
conclusionsThe internal consistency, inter-rater reliability and convergent validity of the Spanish-adapted version of the FIM+FAM Scale showed excellent reliability and validity of the adaptation, which supports its use to assess functional independence after stroke. CLINICAL REHABILITATION IMPACT: Availability of a valid adaptation for the evaluation of functional independence after stroke in Spanish population.
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