In recent years the Functional Independence Measure has emerged as a s
tandard assessment instrument for use in rehabilitation and therapy pr
ogrammes for disabled persons, including those with spinal cord injury
(SCI). This measure was devised to be rated by a clinician familiar w
ith the patient. We studied 40 spinal cord injury patients who were ra
ted on the FIM by a clinician within the 6 weeks prior to discharge, a
nd who then rated themselves on the FIM at one month post discharge. T
here was a strong correlation between the differently rated scores. Th
is suggests that the FIM can be given to patients as a self-report que
stionnaire, thus reducing time of assessment and increasing assessment
potential.