
@article{ref1,
title="Validation of the Early Functional Abilities scale: an assessment of four dimensions in early recovery after traumatic brain injury",
journal="Journal of rehabilitation medicine",
year="2018",
author="Poulsen, Ingrid and Kreiner, Svend and Engberg, Aase W.",
volume="50",
number="2",
pages="165-172",
abstract="OBJECTIVE: The Early Functional Abilities scale assesses the restoration of brain function after brain injury, based on 4 dimensions. The primary objective of this study was to evaluate the validity, objectivity, reliability and measurement precision of the Early Functional Abilities scale by Rasch model item analysis. A secondary objective was to examine the relationship between the Early Functional Abilities scale and the Functional Independence Measurement™, in order to establish the criterion validity of the Early Functional Abilities scale and to compare the sensitivity of measurements using the 2 instruments. <br><br>METHODS: The Rasch analysis was based on the assessment of 408 adult patients at admission to sub-acute rehabilitation in Copenhagen, Denmark after traumatic brain injury. <br><br>RESULTS: The Early Functional Abilities scale provides valid and objective measurement of vegetative (autonomic), facio-oral, sensorimotor and communicative/cognitive functions. Removal of one item from the sensorimotor scale confirmed unidimensionality for each of the 4 subscales, but not for the entire scale. The Early Functional Abilities subscales are sensitive to differences between patients in ranges in which the Functional Independence Measurement™ has a floor effect. <br><br>CONCLUSION: The Early Functional Abilities scale assesses the early recovery of important aspects of brain function after traumatic brain injury, but is not unidimensional. We recommend removal of the &quot;standing&quot; item and calculation of summary subscales for the separate dimensions.<p /> <p>Language: en</p>",
language="en",
issn="1650-1977",
doi="10.2340/16501977-2300",
url="http://dx.doi.org/10.2340/16501977-2300"
}