Purpose: Assess patients' perception of activities of daily living and life participation that may have changed due to a sudden life event
Summary: The patient is asked to rate items based on their previous activity in comparison to their current activity. There are 10 items on the test that are assessed via an interview. If the patient is unable to answer the questions someone else who knows the patient well can be interviewed. Each item is ranked on a scale from 0-3 and are then summed to get a total score between 0-30. Higher scores indicate more dependence and a score of 31 can be given to an individual who has passed away before the assessment is complete.
Equipment: None
ICF Category: Body structure, body function, activity, and participation
There are no recommendations for use of the Functional Status Examination (FSE) with patients after a brain injury with an ambulatory status of completely independent, mildly dependent, moderately dependent, or severely dependent. There is no evidence to recommend the use of the FSE in acute care, inpatient rehabilitation, skilled nursing facilities, outpatient rehabilitation, or home health settings. Students should be exposed to the FSE, though they are not required to learn to administer it. The FSE is appropriate for use in research. Below are the psychometrics for this measure:
Construct Validity: Sensitive to range of recovery at 6-12 months, Correlates well with Glasgow Outcome Scale - Extended (GOS-E) scores (r=-0.38) (ρ=0.83)
Criterion Validity: Home management performance at 59% indicated a greater need of help with home management at 1 year. Not being able to do activities, living situation after injury, and neuropsychological function at 1 year are associated with more limited home management after injury
Floor/Ceiling Effects: None reported
Responsiveness: Responsive to changes over time
Test-retest: Excellent (ρ=0.80)