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Level 7: Complete independence - The patient can perform the task independently without assistance or the need for assistive devices. It is important to note that the FIM score does not measure a patients ability to perform all tasks or activities.
The cut-off point of the total FIM scale to discriminate patients with poor outcomes was calculated as 63 points, with an area under the curve, sensitivity, and specificity of 0.90, 82.7%, and 85.0%, respectively.
For example, a score of 1 indicates that a person needs total assistance with a task, while a score of 7 means a person can perform a task with complete independence. After all items have been assessed, a total FIM score is calculated. This score is a value that ranges between 18 and 126.
The FIM score is calculated by adding the motor and cognitive subscales scores, resulting in a total score between 18 and 126. A higher score indicates greater functional independence.
Scoring. Each item on the FIM is scored on a 7-point Likert scale, and the score indicates the amount of assistance required to perform each item (1 = total assistance in all areas, 7 = total independence in all areas).
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FIM is an 18-item, clinician reported scale that assesses an individuals functional capability in six areas including self-care, continence, mobility, transfers, communication and cognition. Each of the 18 items are graded on a scale of 1-7, based on the level of independence in that item.
The Functional Independence Measure (FIM) is a scale used to assess a patients functional independence in performing activities, particularly within the field of rehabilitation. It involves the classification of a persons mobility ing to 7 levels of function, from independence to total assistance.

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