Neurological measurements: Composite scales
ASIA / International Medical Society of Paraplegia (IMSOP)
Description
Contains five grades of impairment:
Grade A—Complete
Grade B—Incomplete: sensory but not motor function is preserved below the neurological level and includes the sacral segments S4/5
Grade C—Incomplete: motor function is preserved below the neurological level, and more than half of the key muscles below the neurological level have a muscle grade less than 3 strength
Grade D—Incomplete: motor function is preserved below the neurological level, and at least half of the key muscles below the neurological level have a muscle grade of 3 or more strength
Grade E—Normal
Interpretation
Grades are presented in ascending order of severity.
Clinical relevance
Assess severity of spinal cord injury.
Reliability
Population tested in | Interobserver reliability | Intraobserver reliability |
Not tested |
Functional independence measure (FIM) [1]
Description
18 items relating to the following categories:
Self-care (42 points)
Sphincter control (14 points)
Transfers (7 points)
Mobility (14 points)
Locomotion (14 points)
Communication and cognition (35 points)
Each item scored on a 1 to 7 point scale.
Interpretation
Total score is the sum of all items.
Maximum score: 126
Minimum score: 18
The lower the score, the greater the disability.
Clinical relevance
A global assessment of daily physical and cognitive function often used for determining the need for additional supportive care.
Reliability
Population tested in | Interobserver reliability | Intraobserver reliability |
Not tested |
References:
1. O′Toole DM, Golden AM (1991) Evaluating cancer patients for rehabilitation potential. West J Med; 155:384–387.Spinal cord independence measure (SCIM) [1]
Description
16 items relating to the following categories:
Self-care (20 points)
Respiration and sphincter management (40 points)
Mobility in room and around toilet (10 points)
Mobility indoors and outdoors (30 points)
Each item scored on a scale with a minimum score of 0 and a variable maximum score of 2, 5, 6, 8, 10, or 15.