| 1 | SPNGFIMB ;WDE/SD OUTCOME GRID FOR FIM'S 8/22/2002
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| 2 |  ;;2.0;Spinal Cord Dysfunction;**19**;01/02/1997
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| 3 | FIM1 ; 
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| 4 |  ;;-------------------------------------------------------------------------
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| 5 |  ;;|Median|  1  |  1   |   1    |  1  |  1  |  1  |   1   |   1   |   1    |
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| 6 |  ;;-------------------------------------------------------------------------
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| 7 |  ;;|Exp   |  1  |  1   |   1    |  1  |  1  |  1  |   1   |   1   |   6    |
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| 8 |  ;;-------------------------------------------------------------------------
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| 9 |  ;;|Range |  1  |  1   |   1    |  1  |  1  |  1  |   1   |   1   |  1-6   |
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| 10 |  ;;-------------------------------------------------------------------------
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| 11 |  ;;|Goal  |     |      |        |     |     |     |       |       |        |
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| 12 |  ;;-------------------------------------------------------------------------
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| 13 |  ;;
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| 14 |  ;;The median FIM Motor Score for individuals with similar SCIs at one
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| 15 |  ;;year following their injury is 13 (interquartile range 13-18).  Other
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| 16 |  ;;important considerations for individuals with motor complete C1-C3
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| 17 |  ;;tetraplegia include ventilator use and inability to clear secretions,
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| 18 |  ;;equipment or assistance to provide pressure relief and/or positioning,
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| 19 |  ;;and communication equipment or assistance.  Accessible public
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| 20 |  ;;transportation or an attendant-operated van with lift and tie-downs is
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| 21 |  ;;needed.  The veteran should be able to instruct all aspects of care,
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| 22 |  ;;but will need total assistance for homemaking.
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| 23 |  ;;EOR999
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| 24 |  Q
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| 25 | FIM2 ;
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| 26 |  ;;-------------------------------------------------------------------------
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| 27 |  ;;|Median|  1  |  1   |   1    |  1  |  1  |  1  |   1   |   1   |   1    |
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| 28 |  ;;-------------------------------------------------------------------------
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| 29 |  ;;|Exp   |  1  |  1   |   1    |  1  |  1  |  1  |   1   |   1   |   6    |
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| 30 |  ;;-------------------------------------------------------------------------
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| 31 |  ;;|Range |  1  |  1   |   1    |  1  |  1  |  1  |   1   |   1   |  1-6   |
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| 32 |  ;;-------------------------------------------------------------------------
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| 33 |  ;;|Goal  |     |      |        |     |     |     |       |       |        |
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| 34 |  ;;-------------------------------------------------------------------------
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| 35 |  ;;
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| 36 |  ;;The median FIM Motor Score for individuals with similar SCIs at one
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| 37 |  ;;year following their injury is 18 (interquartile range 13-23).  Other 
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| 38 |  ;;important considerations for individuals with motor complete C4
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| 39 |  ;;tetraplegia include whether the person is able to breathe without
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| 40 |  ;;ventilator use.  Assistance with clearing secretions may be needed due
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| 41 |  ;;to an inability to cough. There is need for equipment or assistance to
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| 42 |  ;;provide pressure relief and/or positioning, and communication
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| 43 |  ;;equipment or assistance.  Accessible public transportation or an
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| 44 |  ;;attendant-operated van with lift and tie-downs is needed.  The veteran
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| 45 |  ;;should be able to instruct all aspects of care, but will need total
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| 46 |  ;;assistance for homemaking.
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| 47 |  ;;EOR999
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| 48 |  Q
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| 49 | FIM3 ;
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| 50 |  ;;-------------------------------------------------------------------------
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| 51 |  ;;|Median|  1  |  1   |   1    |  5  |  1  |  1  |   1   |   1   |   6    |
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| 52 |  ;;-------------------------------------------------------------------------
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| 53 |  ;;|Exp   |  1  |  1   |   1    |  5  |  1  |  1  |  1-3  |   1   |   6    |
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| 54 |  ;;-------------------------------------------------------------------------
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| 55 |  ;;|Range |  1  |  1   |   1    | 2-6 | 1-4 | 1-4 |  1-5  |  1-3  |  5-6   |
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| 56 |  ;;-------------------------------------------------------------------------
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| 57 |  ;;|Goal  |     |      |        |     |     |     |       |       |        |
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| 58 |  ;;-------------------------------------------------------------------------
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| 59 |  ;;
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| 60 |  ;;The median FIM Motor Score for individuals with similar SCIs at
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| 61 |  ;;one year following their injury is 23 (interquartile range 20.5-33.5).
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| 62 |  ;;Other important considerations for individuals with motor complete
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| 63 |  ;;C5 tetraplegia include low respiratory endurance and vital capacity
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| 64 |  ;;secondary to paralysis of intercostals; assistance may be needed to
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| 65 |  ;;clear secretions.  There is a need for equipment to be independent
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| 66 |  ;;with pressure relief and/or positioning.  In order to be independent
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| 67 |  ;;with communication, some assistance is needed with equipment set-
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| 68 |  ;;up of adaptive devices for page turning, writing, button pushing, etc
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| 69 |  ;;Accessible public transportation or an attendant-operated van with
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| 70 |  ;;lift and tie-downs is needed.  The veteran should be able to instruct
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| 71 |  ;;all aspects of care, but will need total assistance for homemaking.
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| 72 |  ;;EOR999
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| 73 |  Q
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| 74 | FIM4 ;
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| 75 | A ;;-------------------------------------------------------------------------
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| 76 |  ;;|Median|  1  |  1   |   1    |  5  |  2  |  2  |   4   |   1   |   6    |
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| 77 |  ;;-------------------------------------------------------------------------
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| 78 |  ;;|Exp   | 1-2 | 1-2  |   3    | 5-6 | 1-3 | 1-3 |  3-6  |   1   |   6    |
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| 79 |  ;;-------------------------------------------------------------------------
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| 80 |  ;;|Range |  1  |  1   |  1-3   | 4-6 | 1-5 | 1-5 |  2-6  |  1-3  |  4-6   |
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| 81 |  ;;-------------------------------------------------------------------------
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| 82 |  ;;|Goal  |     |      |        |     |     |     |       |       |        |
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| 83 |  ;;-------------------------------------------------------------------------
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| 84 | B ;;
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| 85 |  ;;The median FIM Motor Score for individuals with similar SCIs at one
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| 86 |  ;;year following their injury is 27 (interquartile range 22-42).  Other 
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| 87 |  ;;important considerations for individuals with motor complete C6
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| 88 |  ;;tetraplegia include low respiratory endurance and vital capacity
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| 89 |  ;;secondary to paralysis of intercostals; assistance may be needed to
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| 90 |  ;;clear secretions.  There is a need for equipment or adapted techniques
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| 91 |  ;;to be independent with pressure relief and/or positioning.
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| 92 |  ;;Independence with communication may be achieved with or without
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| 93 |  ;;assistance from adaptive devices for tenodesis, page turning, writing,
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| 94 |  ;;button pushing, keyboard use, object manipulation, etc.  Independent
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| 95 |  ;;driving from a wheelchair may be possible with a modified van with
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| 96 |  ;;lift, sensitized hand controls, and tie-downs.  The veteran should be 
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| 97 |  ;;able to instruct all aspects of care, having the ability to do some
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| 98 |  ;;light meal preparation, but will need total assistance for all other
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| 99 |  ;;homemaking.
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| 100 |  ;;EOR999
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| 101 |  Q
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