Hostname: page-component-78c5997874-94fs2 Total loading time: 0 Render date: 2024-11-13T04:20:07.818Z Has data issue: false hasContentIssue false

Measurement in Rehabilitation — Lies, damned lies and statistics

Published online by Cambridge University Press:  27 August 2015

Hugh G. Dickson*
Affiliation:
University of New South Wales
*
Conjoint Professor of Aged Care and Rehabilitation, School of Community Medicine, University of New South Wales, Sydney NSW 2052, Australia. Email: Hugh.Dickson@swsahs.nsw.gov.au
Get access

Abstract

Measurement in Rehabilitation Medicine commences with clear definitions of the terms used and clear ideas about the nature of the entity being measured. In this lecture, issues such as goal based measurement, the difficulties of comparison, weighting systems, different types of scales, and the mathematical problems they present are discussed. Scales discussed include the American Medical Association Guides to the Evaluation of Permanent Impairment, and the Functional Independence Measure (FIM). Caution is necessary when drawing conclusions from statistics generated from ordinal scales, especially when comparisons are being made. The Australasian Faculty of Rehabilitation Medicine supports the use of standard measures and has developed an Australian Standard Data Set for Rehabilitation Medicine. The functional measure used in this data set is the FIM.

Type
Articles
Copyright
Copyright © Cambridge University Press 1999

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Dickson, H.G., & Kohler, F. (1999). Measures of individual and group changes in ordered categorical data. Scandinavian Journal of Rehabilitation Medicine, 31(2), 125–8.Google ScholarPubMed
Dickson, H.G., & Kohler, F. (1999). Functional Independence Measure (FIM). Scand J Rehab Med, 31(1), 6364.Google ScholarPubMed
Dickson, H.G. (1999). The measurement of handicap. PhD Thesis. University of New South Wales.Google Scholar
Dickson, H.G. (1998). SCIM — Spinal Cord Independence Measure: A new disability scale for patients with spinal cord lesions. Spinal Cord, 36, 734.CrossRefGoogle Scholar
Dickson, H.G., & Kohler, F. (1997). The multidimensionality of the FIM motor items precludes an interval scaling using Rasch analysis. Scandinavian Journal of Rehabilitation Medicine, 29, 270272.Google Scholar
Dickson, H.G., & Kohler, F. (1996). The multidimensionality of the FIM motor items precludes an interval scaling using Rasch analysis. Scandinavian Journal of Rehabilitation Medicine, 26, 156162.Google Scholar
Dickson, H.G., & Kohler, F. (1995). The Functional Independence Measure: a comparative validity and reliability study. Disability and Rehabilitation, 17(18), 456.CrossRefGoogle Scholar
Dickson, H.G., & Kohler, F. (1995). Interrater reliability of the 7-level functional independence measure (FIM). Scandinavian Journal of Rehabilitation Medicine, 27, 253256.CrossRefGoogle ScholarPubMed
Dickson, H.G. (1995). Handicap one year after a stroke: validity of a new scale. Journal of Neurology, Neurosurgery, and Psychiatry, 58, 268270.CrossRefGoogle ScholarPubMed
Dickson, H.G. (1993). Guide to the percentage “impairment” of the back, neck and pelvis. Medical Journal of Australia, 158, 214.CrossRefGoogle Scholar
Dickson, H.G., & Webster, I.W. (1992). The disability support pension and the “new maths”. Medical Journal of Australia, 157, 284285.CrossRefGoogle Scholar
Dickson, H.G., & Webster, I.W. (1992). The disability support pension and the “new maths”. Medical Journal of Australia, 156, 676677.CrossRefGoogle ScholarPubMed