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| 機能的自立度評価 (Functional Independence Measure)× | Modified Rankin Scale (mRS)× | |
|---|---|---|
| 分野≠ | リハビリテーション | 神経学 |
| 系統 | Process / pipeline | Process / pipeline |
| 提唱年≠ | 1987 | 1988 |
| 提唱者≠ | Granger, Deutsch, Linn | Rankin scale original (Rankin, 1957); modified version by van Swieten et al. |
| 種類≠ | Comprehensive functional independence scale | Clinician-rated ordinal scale |
| 原典≠ | Granger, C. V., Deutsch, A., & Linn, R. T. (1998). Advances in functional assessment for medical rehabilitation. Topics in Stroke Rehabilitation, 5(2), 27–35. link ↗ | van Swieten, J. C., Koudstaal, P. J., Visser, M. C., Schouten, H. J., & van Gijn, J. (1988). Interobserver agreement for the assessment of handicap in stroke patients. Stroke, 19(5), 604-607. DOI ↗ |
| 別名 | FIM, FIM Scale, FIM+FAM | mRS, Rankin Scale, Modified Rankin |
| 関連≠ | 3 | 4 |
| 概要≠ | The Functional Independence Measure (FIM) is a comprehensive 18-item scale assessing functional independence and burden of care in patients with disability across motor and cognitive domains. Developed by Granger and colleagues in 1987, FIM has become the standard outcome measure in rehabilitation medicine, mandated by Medicare for documenting rehabilitation outcomes and discharge planning in inpatient rehabilitation facilities. | The Modified Rankin Scale is a simple 0-6 ordinal measure of global disability or dependency in patients with stroke and other neurological conditions. Originally developed by Rankin in 1957 and modified by van Swieten and colleagues in 1988, it remains the most widely used global disability outcome in stroke clinical trials and clinical practice. Its simplicity, brevity, and strong prognostic association make it the gold standard for acute stroke outcome measurement and is mandated as a primary endpoint in virtually all stroke therapeutic trials. |
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