Family Hope Center WeeFIM® Explanation and Results (April 2025)
Part A: Family Hope Center WeeFIM® Explanation
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About the WeeFIM®
The effectiveness of any therapeutic approach must be periodically assessed using standardized and validated measures. At the Family Hope Center, we assess the effectiveness of our approach using the WeeFIM® instrument, the pediatric version of the Functional Independence Measure® (FIM®). Patient assessment data are recorded in an independent system called the WeeFIM II®.
The WeeFIM II® System
The WeeFIM II® System is the most respected pediatric outcomes management tool in the market. Used by pediatric inpatient, outpatient, and community-based rehabilitation programs, the WeeFIM II® System provides a simple, uniform construct that measures function in children. Based on the principal underpinnings of the FIM® instrument, the system allows clinicians to quickly assess functional status and track progression. It also provides patient-level data, profile reports, and program summary reports that demonstrate individual patient progress and overall program effectiveness (www.udsmr.org/products-pediatric-rehab).
The WeeFIM® Instrument
Both the FIM® and the WeeFIM® were developed from the World Health Organization’s biopsycho-social model of disability – the International Classification of Functioning, Disability, and Health – which identifies individuals as having a disability according to functional ability along various domains, their limitations in basic activities, and participation (or restrictions) in work, school, family life, and other social activities.
Both instruments have also been researched extensively and have high reliability and validity as diagnostic tools. (See Psychometric Properties references below.) This makes them especially useful in measuring the outcome of rehabilitative treatment.
The WeeFIM® itself measures how well children independently perform activities of daily living (ADL) and documents their decrease in need for assistance over time in response to therapy. It assesses functional independence in children with developmental disabilities aged 6 months to 21 years.
The WeeFIM® instrument is divided into three domains
SELF-CARE
The Self-care domain refers to how well a child can feed, groom, bathe, dress, and complete toileting tasks including the management of bowel and bladder.
MOBILITY
The Mobility domain refers to how well a child can transfer in/out of a chair or wheelchair, on/off a toilet, or in/out of a tub or shower. Mobility also includes a child’s ability to walk, crawl, or use a wheelchair, and to go up/down stairs.
COGNITION
The Cognition domain refers to how well a child understands information, expresses themselves, interacts with peers, solves daily problems, and recalls information.
Each domain is made up of a number of items that are individually assessed. In total, there are 18 items distributed across the three domains. Each item is assessed on a 7-level ordinal scale by the clinician, either through parent interview or by observing a child’s performance of essential daily functional skills measured against criterion standards. (See Appendix 1 below.) What this means is that the minimum possible WeeFIM® score is 18 (18 items x 1 on the ordinal scale), and the maximum possible WeeFIM® score is 126 (18 items x 7 on the ordinal scale).
Scoring is categorized into 2 main functional streams: “Dependent” (i.e., requires a helper: scores 1–5) and “Independent” (i.e., requires no helper: scores 6–7). (See Appendices 2 and 3 below.)
Using the WeeFIM® to Track Therapeutic Outcomes Over Time
In their seminal WeeFIM® research, Msall, DiGaudio, Duffy, et al. (1994) administered the WeeFIM® to 417 children without developmental delays or disabilities aged 6 months to 8 years. Their results show a progressive increase in independence regarding daily living skills as children age.
This progressive increase in independence for children without developmental delays or disabilities is summarized in the following table which is based on data included in the Results section of the above-referenced research paper.
| Mean Age (Months) | Mean Total WeeFIM® Score* | Level of Independence |
|---|---|---|
| 12 | 20 ± 5 | Total assistance |
| 18 | 38 ± 9 | Maximal assistance |
| 24 | 54 ± 13 | Moderate assistance |
| 36 | 84 ± 12 | Minimal assistance |
| 42 | 91 ± 12 | Supervision |
| 60 | 110 ± 11 | Modified independence |
| 84 | 120 ± 4 | Complete independence |
*Pearson correlation coefficients for all age groups and total WeeFIM® score are significant at the P < 0.01 level of significance, with the highest correlation between ages 2-5 years (r = 0.8).
Following is a more detailed table (from the WeeFIM II® Clinical Guide v6.4, Appendix B: WeeFIM® Normative Data, 2016) showing this progressive increase in independence for children without developmental delays or disabilities.
| Age Interval (Months) | Mean Age (Months) | Sample Size | Total WeeFIM® Rating (Range: 18–126) | ||
|---|---|---|---|---|---|
| Mean | Standard Deviation | Median | |||
| 5–7 | 6.78 | 18 | 18.00 | 0.00 | 18 |
| 8–10 | 9.50 | 25 | 28.00 | 12.52 | 24 |
| 11–13 | 12.24 | 17 | 32.88 | 7.72 | 31 |
| 14–16 | 15.33 | 19 | 36.00 | 6.18 | 37 |
| 17–19 | 18.62 | 17 | 45.80 | 12.47 | 42 |
| 20–22 | 21.99 | 8 | 55.33 | 13.05 | 52.5 |
| 23–25 | 24.18 | 21 | 63.50 | 13.37 | 61 |
| 26–28 | 27.56 | 12 | 67.63 | 27.38 | 65 |
| 29–31 | 30.88 | 11 | 74.90 | 9.64 | 78.5 |
| 32–34 | 33.25 | 14 | 89.92 | 10.69 | 92 |
| 35–37 | 36.38 | 20 | 98.15 | 13.08 | 90.5 |
| 38–40 | 39.48 | 16 | 90.87 | 8.09 | 88 |
| 41–43 | 42.57 | 12 | 100.00 | 9.99 | 98 |
| 44–46 | 45.60 | 14 | 101.00 | 10.81 | 101 |
| 47–49 | 48.65 | 25 | 102.57 | 9.40 | 103 |
| 50–52 | 51.37 | 17 | 106.60 | 9.10 | 108 |
| 53–55 | 54.22 | 21 | 108.53 | 10.37 | 111 |
| 56–58 | 57.96 | 10 | 110.25 | 11.22 | 112.5 |
| 59–61 | 60.53 | 18 | 115.63 | 7.76 | 117 |
| 62–64 | 63.07 | 6 | 112.17 | 9.70 | 114 |
| 65–67 | 66.43 | 9 | 111.25 | 9.27 | 107.5 |
| 68–70 | 69.86 | 14 | 116.38 | 6.36 | 118 |
| 71–73 | 72.16 | 12 | 117.82 | 6.63 | 121 |
| 74–76 | 75.92 | 12 | 113.27 | 7.99 | 113 |
| 77–79 | 78.61 | 8 | 120.00 | 7.75 | 123 |
| 80–82 | 81.35 | 9 | 120.33 | 5.27 | 121 |
| 83+ | 90.33 | 29 | 119.74 | 5.40 | 122 |
Appendices 4, 5 and 6 below show the progressive increase in independence for children without developmental delays or disabilities as a function of age for the three domains of Selfcare, Mobility and Cognition.
In their discussion, the authors also conclude that the WeeFIM®’s ability to measure functional independence over time – for both children developing normally and those with developmental disabilities – represented a significant improvement over other widely used developmental assessment tools such as the Battelle Developmental Inventory, the Vineland Adaptive Behavior Scales, and the Pediatric Evaluation of Disability Inventory.
WeeFIM® Quotients
In subsequent papers, Msall, DiGaudio, Rogers et al. (1994) and Msall (2005) use two quotients that provide a normalized way to view a child’s score and progress over time.
(Normalizing is a way of adjusting values so they can be compared more fairly or meaningfully. It helps put things into the same “scale” or “perspective,” even if the original numbers are very different.)
These quotients are defined as follows (Msall, DiGaudio, Rogers et al., 1994):
Functional Independence Quotient = total score / maximum score x 100
Developmental Functional Quotient = total score / mean score for age x 100
The authors also define similar quotients at the domain level:
Functional Independence Quotient = total domain score/ maximum score x 100
Developmental Functional Quotient = total domain score / mean score for age x 100
Additionally, it is important to note that the Uniform Data System for Medical Rehabilitation (UDSMR) also utilizes these quotients as standardized outputs for every child’s WeeFIM® Profile Report (WeeFIM II® Clinical Guide v6.4, Appendix B: WeeFIM® Normative Data, 2016).
The Family Hope Center also makes use of these normalized measures when analyzing the WeeFIM® data it collects.
How the WeeFIM® is Used Globally
The WeeFIM® is used by inpatient and outpatient rehabilitation facilities around the world to provide an easily understandable record of a child’s progress.
The WeeFIM® is used to:
- Track functional improvement and goal attainment for individuals or groups of children.
- Evaluate the effectiveness and efficiency of the care individual facilities provide by comparing facility outcomes to national benchmarks.
- Predict the burden of care at discharge.
- Network with other pediatric rehabilitation providers.
How the WeeFIM® is Used at the Family Hope Center
At the Family Hope Center, the WeeFIM® is used to evaluate the effectiveness of the therapeutic plans we teach parents to implement at home. The WeeFIM® allows us to measure a child’s score prior to (or soon after) beginning treatment and then measure a child’s progress over time, thereby providing clear insight into how children with neurodevelopmental disabilities are functioning in the most important environments in which they live, learn, and play.
Appendices
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Appendix 1: WeeFIM Assessment
Appendix 1: WeeFIM Assessment
WeeFIM II® Assessment Coding Form
|
Case Identification
1. Facility Code ____________________ 2. Patient Code ____________________ 3. Admission Date ____________________ MM/DD/YYYY Assessment Information
4. Assessment Type ____________________ 5. Assessment Date ____________________ MM/DD/YYYY 6. Information Source ____________________ 7. Assessment Method ____________________ 8. Living Setting ____________________ 9. Living With ____________________ 10. Educational Category ____________________ 11. Educational Setting ____________________ 12. Health Maintenance ____________________ 13. Therapy ____________________ 14. Therapy Services ____________________ 15. Gait Training Equipment ____________________________________ 16. Communication Devices ____________________________________ Custom Information
Seizures 0 to 4 ____________________ Blind Y / N ____________________ Deaf Y / N ____________________ Dr. Visits ____________________ Hospitalizations ____________________ |
WeeFIM® instrument
17. WeeFIM® instrument Self-Care
Mobility
Cognition
WeeFIM® total _____ * Leave no blanks for this column. If an item is not testable due to risk, enter 1. WeeFIM® rating levels
No Helper |
Copyright © 2006 Uniform Data System for Medical Rehabilitation (UDSMR), a division of UB Foundation Activities, Inc. (UBFA).
All rights reserved.
Appendix 2: WeeFIM Levels of Function (Ratings, Descriptions, and Categories)
Appendix 2: WeeFIM Levels of Function (Ratings, Descriptions, and Categories)
| Helper / No Helper | Category | Rating Descriptor | Rating | Level of Function |
|---|---|---|---|---|
| No Helper | Independence | Complete Independence | 7 | Child safely performs all the tasks without assistance from a helper, within a reasonable amount of time, and without modifications, assistive devices or aids |
| Modified Independence | 6 | Child performs all tasks without assistance from a helper but requires either an assistive device/aid/prosthesis/orthosis, takes more than a reasonable amount of time, or there is a concern for the child’s safety | ||
| Helper | Modified Dependence | Supervision / Setup | 5 | Child performs all the tasks but requires either supervision without physical contact or setup assistance |
| Minimal Assistance | 4 | Child performs > 75% or more of the tasks, requiring no more help than touching | ||
| Moderate Assistance | 3 | Child performs 50% to 74% of the tasks, requiring physical assistance beyond touching | ||
| Complete Dependence | Maximal Assistance | 2 | Child performs 25% to 49%, requiring maximal assistance from a helper | |
| Total Assistance | 1 | Child performs <25% of the tasks, requiring total assistance from a helper |
Appendix 3: Scoring Criteria for a Particular Item (Ratings, Descriptions, and Categories)
Appendix 3: Scoring Criteria for a Particular Item (Ratings, Descriptions, and Categories)
Eating
Eating includes the use of suitable utensils to bring food and liquid to the mouth, chewing and swallowing, once a meal has been presented in the customary manner on a table or tray.
Rating guidelines:
- Presenting a meal in the customary manner includes opening containers, cutting meat, buttering bread, and pouring liquids.
- When rating this item, do not consider the child’s use of a knife.
- If the child functions at different levels during the day (for example, level 5 in the morning and level 4 in the evening), record the lower rating.
- If the child has a feeding tube that is not used for hydration or nutrition and a helper flushes the tube to maintain patency, do not consider the feeding tube and the parenteral line when rating this item.
No Helper:
7 Complete Independence: The child safely performs all the eating tasks without assistance by eating from a dish, managing a variety of food consistencies, and drinking from a cup or glass after the meal is presented in the customary way on a table or tray. The child uses a spoon or fork to bring food to the mouth, where it is chewed and swallowed.
6 Modified Independence: The child performs all the eating tasks without assistance from a helper, and one or more of the following are true:
- The child requires an assistive/adaptive device (e.g., long straw, spork, plate guard) to eat.
- The child requires more than a reasonable amount of time to eat.
- The child requires modified food consistency, modified liquid consistency, or blenderized food.
- The child self-administers parenteral or gastrostomy feedings.
- There is a concern for the child’s safety when he eats.
Helper:
5 Supervision/Setup: The child performs all the eating tasks, and one or both of the following are true:
- The child requires supervision (standby supervision, cues, or coaxing) to eat.
- The child requires setup (including application of an orthosis or an assistive/adaptive device necessary for eating) to eat.
Example: A helper applies a universal cuff, after which the child eats without assistance.
4 Minimal Assistance: The child performs 75% or more of the eating tasks.
Example: The child eats most of each meal by himself and only requires a helper to feed him the last three or four bites.
3 Moderate Assistance: The child performs 50% to 74% of the eating tasks.
Example: A helper scoops each bite of food onto a fork or spoon, after which the child brings the food to his mouth, chews the food, and swallows it.
2 Maximal Assistance: The child performs 25% to 49% of the eating tasks by eating solid food, finger feeding, or holding a bottle, but the child requires maximal assistance to do so.
Example: A helper scoops each bite of food and provides hand-over-hand assistance to the child.
Example: The child uses his fingers to feed himself crackers, cookies, and bite-size pieces of fruit, but a helper must feed him other foods.
1 Total Assistance: One or more of the following are true:
- The child performs less than 25% of the eating tasks (or none of them) by taking a bottle or breast-feeding within a reasonable amount of time, but the child requires total assistance to do so.
- The child does not eat or drink full meals by mouth, relying instead on other means of alimentation (e.g., parenteral feedings, gastrostomy feedings).
- The child requires assistance from two helpers to eat.
Example: The child takes three or four bites of each meal, and a helper feeds the remainder of each meal to the child.
Example: A helper performs 100% of the work necessary to feed the child.
Appendix 4: Progressive Increase in Independence for Children Without Developmental Delays or Disabilities as a Function of Age for Self-care Domain
Appendix 4: Progressive Increase in Independence for Children Without Developmental Delays or Disabilities as a Function of Age for Self-care Domain
Self-Care Domain: Norm Data
6 Self-care and 2 bowel and bladder items
(minimum = 8, maximum = 56)
Figure 25: Self-care normative data
Self-Care Domain Rating (Raw Rating)
| 5-7 | 8–10 | 11–13 | 14–16 | 17–19 | 20–22 | 23–25 | 26–28 | 29–31 | 32–34 | 35–37 | 38–40 | 41–43 | 44–46 | 47–49 | 50–52 | 53–55 | 56–58 | 59–61 | 62–64 | 65–67 | 68–70 | 71–73 | 74–76 | 77–79 | 80–82 | 83+ | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2 SD Above | 9.51 | 12.26 | 13.87 | 17.03 | 24.24 | 32.85 | 31.07 | 50.10 | 37.96 | 50.57 | 53.73 | 50.67 | 53.96 | 55.41 | 55.70 | 56.00 | 56.00 | 56.00 | 56.00 | 56.00 | 56.00 | 56.00 | 56.00 | 56.00 | 56.00 | 56.00 | 56.00 |
| 1 SD Above | 8.92 | 10.87 | 12.17 | 14.41 | 19.62 | 25.55 | 25.63 | 37.09 | 32.16 | 44.00 | 43.94 | 43.90 | 47.52 | 48.67 | 49.09 | 50.93 | 54.53 | 55.19 | 54.77 | 54.38 | 53.92 | 54.93 | 56.00 | 54.56 | 56.00 | 56.00 | 55.56 |
| Mean | 8.33 | 9.48 | 10.47 | 11.79 | 15.00 | 18.25 | 20.19 | 24.08 | 26.36 | 37.43 | 34.15 | 37.13 | 41.08 | 41.93 | 42.48 | 44.59 | 48.05 | 48.50 | 49.94 | 47.00 | 48.33 | 50.36 | 51.17 | 47.67 | 53.25 | 52.11 | 52.24 |
| 1 SD Below | 8.00 | 8.09 | 8.77 | 9.17 | 10.38 | 10.95 | 14.75 | 11.07 | 20.56 | 30.86 | 24.36 | 30.36 | 34.64 | 35.19 | 35.87 | 38.25 | 41.57 | 41.81 | 45.11 | 39.52 | 42.74 | 45.79 | 46.13 | 40.78 | 49.50 | 48.07 | 48.92 |
| 2 SD Below | 8.00 | 8.00 | 8.00 | 8.00 | 8.00 | 8.00 | 9.31 | 8.00 | 14.76 | 24.29 | 14.57 | 23.59 | 28.20 | 28.45 | 29.26 | 31.91 | 35.09 | 35.12 | 40.28 | 32.24 | 37.16 | 41.22 | 41.09 | 33.89 | 45.95 | 44.03 | 45.60 |
| Maximum | 56 | 56 | 56 | 56 | 56 | 56 | 56 | 56 | 56 | 56 | 56 | 56 | 56 | 56 | 56 | 56 | 56 | 56 | 56 | 56 | 56 | 56 | 56 | 56 | 56 | 56 | 56 |
| Minimum | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 |
Appendix 5: Progressive Increase in Independence for Children Without Developmental Delays or Disabilities as a Function of Age for Mobility Domain
Appendix 5: Progressive Increase in Independence for Children Without Developmental Delays or Disabilities as a Function of Age for Mobility Domain
Mobility Domain: Norm Data
3 transfer and 2 locomotion items
(minimum = 5, maximum = 35)
Figure 26: Mobility normative data
Mobility Domain Rating (Raw Rating)
| 5–7 | 8–10 | 11–13 | 14–16 | 17–19 | 20–22 | 23–25 | 26–28 | 29–31 | 32–34 | 35–37 | 38–40 | 41–43 | 44–46 | 47–49 | 50–52 | 53–55 | 56–58 | 59–61 | 62–64 | 65–67 | 68–70 | 71–73 | 74–76 | 77–79 | 80–82 | 83+ | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2 SD Above | 5.00 | 22.88 | 23.60 | 27.80 | 31.30 | 32.92 | 32.09 | 35.00 | 35.00 | 35.00 | 35.00 | 35.00 | 35.00 | 35.00 | 35.00 | 35.00 | 35.00 | 35.00 | 35.00 | 35.00 | 34.00 | 35.00 | 35.00 | 35.00 | 35.00 | 35.00 | 35.00 |
| 1 SD Above | 5.00 | 16.33 | 17.89 | 22.03 | 25.65 | 27.21 | 27.90 | 33.34 | 32.24 | 33.37 | 34.01 | 33.89 | 34.76 | 34.42 | 35.00 | 34.60 | 35.00 | 35.00 | 35.00 | 35.00 | 35.00 | 35.00 | 35.00 | 35.00 | 35.00 | 35.00 | 35.00 |
| Mean | 5.00 | 9.78 | 12.18 | 16.26 | 20.00 | 21.50 | 23.71 | 25.55 | 28.00 | 30.79 | 31.55 | 32.25 | 32.08 | 32.93 | 33.40 | 32.82 | 32.71 | 33.90 | 34.00 | 34.33 | 33.33 | 34.00 | 34.17 | 34.83 | 34.38 | 34.56 | 34.55 |
| 1 SD Below | 5.00 | 5.00 | 6.47 | 10.49 | 14.35 | 15.79 | 19.52 | 17.76 | 23.76 | 28.21 | 29.09 | 30.52 | 29.40 | 31.44 | 31.79 | 31.04 | 28.45 | 32.70 | 32.72 | 33.51 | 31.60 | 32.96 | 33.14 | 34.44 | 33.64 | 33.55 | 33.92 |
| 2 SD Below | 5.00 | 5.00 | 5.00 | 5.00 | 8.70 | 10.08 | 16.33 | 9.97 | 19.62 | 26.63 | 26.63 | 28.79 | 26.72 | 29.95 | 30.18 | 29.26 | 24.19 | 31.50 | 31.44 | 32.69 | 29.87 | 31.92 | 32.11 | 34.06 | 32.90 | 32.64 | 33.29 |
| Maximum | 35 | 35 | 35 | 35 | 35 | 35 | 35 | 35 | 35 | 35 | 35 | 35 | 35 | 35 | 35 | 35 | 35 | 35 | 35 | 35 | 35 | 35 | 35 | 35 | 35 | 35 | 35 |
| Minimum | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 |
Appendix 6: Progressive Increase in Independence for Children Without Developmental Delays or Disabilities as a Function of Age for Cognition Domain
Appendix 6: Progressive Increase in Independence for Children Without Developmental Delays or Disabilities as a Function of Age for Cognition Domain
Cognition Domain: Norm Data
2 communication and 3 social cognition items
(minimum = 5, maximum = 35)
Figure 27: Cognitive normative data
Cognitive Domain Rating (Raw Rating)
| 5–7 | 8–10 | 11–13 | 14–16 | 17–19 | 20–22 | 23–25 | 26–28 | 29–31 | 32–34 | 35–37 | 38–40 | 41–43 | 44–46 | 47–49 | 50–52 | 53–55 | 56–58 | 59–61 | 62–64 | 65–67 | 68–70 | 71–73 | 74–76 | 77–79 | 80–82 | 83+ | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2 SD Above | 5.00 | 12.36 | 11.18 | 11.57 | 16.20 | 18.26 | 32.47 | 29.24 | 26.78 | 35.00 | 34.81 | 32.36 | 35.00 | 35.00 | 33.88 | 35.00 | 35.00 | 35.00 | 35.00 | 35.00 | 35.00 | 35.00 | 35.00 | 35.00 | 35.00 | 35.00 | 35.00 |
| 1 SD Above | 5.00 | 9.43 | 9.27 | 10.13 | 13.40 | 15.38 | 26.15 | 23.12 | 23.64 | 29.93 | 29.13 | 27.58 | 31.96 | 33.45 | 30.33 | 33.94 | 32.98 | 33.22 | 35.00 | 34.85 | 34.16 | 35.00 | 35.00 | 34.09 | 35.00 | 35.00 | 35.00 |
| Mean | 5.00 | 6.50 | 7.36 | 8.09 | 10.60 | 12.50 | 19.85 | 17.00 | 20.50 | 22.62 | 23.45 | 22.80 | 27.73 | 27.23 | 26.78 | 29.53 | 29.87 | 29.13 | 32.25 | 30.83 | 30.50 | 32.54 | 33.00 | 31.55 | 32.86 | 33.67 | 33.11 |
| 1 SD Below | 5.00 | 5.00 | 5.45 | 7.25 | 7.80 | 9.62 | 13.54 | 10.68 | 17.36 | 15.31 | 17.77 | 18.02 | 23.51 | 21.01 | 23.23 | 25.12 | 26.76 | 25.04 | 28.59 | 26.81 | 26.84 | 29.58 | 30.68 | 29.01 | 29.19 | 31.94 | 29.97 |
| 2 SD Below | 5.00 | 5.00 | 5.00 | 5.81 | 5.00 | 6.74 | 7.23 | 5.00 | 14.22 | 8.00 | 12.09 | 13.24 | 19.29 | 14.79 | 19.68 | 20.71 | 23.65 | 20.95 | 24.93 | 22.79 | 23.18 | 26.62 | 28.36 | 26.47 | 25.52 | 30.21 | 26.83 |
| Maximum | 35 | 35 | 35 | 35 | 35 | 35 | 35 | 35 | 35 | 35 | 35 | 35 | 35 | 35 | 35 | 35 | 35 | 35 | 35 | 35 | 35 | 35 | 35 | 35 | 35 | 35 | 35 |
| Minimum | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 |
References
Seminal Publications:
- Granger, C. V., Hamilton, B. B., Keith, R. A., Zielezny, M., & Sherwin, F. S. (1986). Advances in functional assessment for medical rehabilitation. Topics in geriatric rehabilitation, 1(3), 59-74
- Msall, M. E., DiGaudio, K., Rogers, B. T., LaForest, S., Catanzaro, N. L., Campbell, J., Wilczenski, F., & Duffy, L. C. (1994). The Functional Independence Measure for Children (WeeFIM) conceptual basis and pilot use in children with developmental disabilities. Clinical Pediatrics, 33(7), 421-430
- Msall, M. E., DiGaudio, K., Duffy, L. C., LaForest, S., Braun, S., & Granger, C. V. (1994). WeeFIM: normative sample of an instrument for tracking functional independence in children. Clinical Pediatrics, 33(7), 431-438
WeeFIM and Neurodevelopmental Disabilities:
- Ottenbacher, K. J., Msall, M. E., Lyon, N., Duffy, L. C., Ziviani, J., Granger, C. V., Braun, S. & Feidler, R. C. (2000). The WeeFIM instrument: its utility in detecting change in children with developmental disabilities. Archives of physical medicine and rehabilitation, 81(10), 1317-1326
- Slomine B. (2011) Functional Independence Measure for Children. In: Kreutzer J.S., DeLuca J., Caplan B. (eds) Encyclopedia of Clinical Neuropsychology. Springer, New York, NY
- Msall, M. E. (2005). Measuring functional skills in preschool children at risk for neurodevelopmental disabilities. Mental retardation and developmental disabilities research reviews, 11(3), 263-273
Psychometric Properties:
- Sperle, P. A., Ottenbacher, K. J., Braun, S. L., Lane, S. J., & Nochajski, S. (1997). Equivalence reliability of the Functional Independence Measure for Children (WeeFIM®) administration methods. American Journal of Occupational Therapy, 51(1), 35-41
- Ottenbacher, K. J., Taylor, E. T., Msall, M. E., Braun, S., Lane, S. J., Granger, C. V., Lyons, N., Duffy, L. C. (1996). The stability and equivalence reliability of the functional independence measure for children (WeeFIM®). Developmental Medicine and Child Neurology, 38(10), 907-916
- Ottenbacher, K. J., Msall, M. E., Lyon, N., Duffy, L. C., Ziviani, J., Granger, C. V., Braun, S., Feidler, R. C. (2000). The WeeFIM instrument: Its utility in detecting change in children with developmental disabilities. Archives of Physical Medicine and Rehabilitation, 81(10), 1317-1326
- Kim, G. W., Kim, H., Jeon, J. Y., Jang, J. S. (2022). Validity and Reliability of Functional Independence Measure for Children (WeeFIM) for Children With Cerebral Palsy. Inquiry: a Journal of Medical Care Organization, Provision and Financing. 59, 1-12
- Chen, C. C., Bode, R. K., Granger, C. V., & Heinemann, A. W. (2005). Psychometric properties and developmental differences in children’s ADL item hierarchy: A study of the WeeFIM® instrument. American journal of physical medicine & rehabilitation, 84(9), 671-679
- McDowell, I. (2006). Measuring health: a guide to rating scales and questionnaires. Oxford University Press, USA
Comparisons with Other Pediatric Developmental Assessment Tools:
- Ottenbacher, K. J., Msall, M. E., Lyon, N., Duffy, L. C., Granger, C. V., & Braun, S. (1999). Measuring developmental and functional status in children with disabilities. Developmental medicine and child neurology, 41(3), 186-194
- Willis, C. D., Gabbe, B. J., Butt, W., & Cameron, P. A. (2006). Assessing outcomes in paediatric trauma populations. Injury, 37(12), 1185-1196
About the WeeFIM (UDSMR Resources):
- Uniform Data System for Medical Rehabilitation (UDSMR)
- The FIM Instrument: Its Background, Structure, and Usefulness
- The WeeFIM II ® System and Instrument
- Uniform Data System for Medical Rehabilitation. 2016. The WeeFIM II® Clinical Guide, Version 6.4. Buffalo: UDSMR
International Use of the WeeFIM:
- Wong, V., Wong, S., Chan, K., & Wong, W. (2002). Functional independence measure (WeeFIM) for Chinese children: Hong Kong cohort. Pediatrics, 109(2), e36-e36
- Serghiou, M. H., Rose, M. W., Pidcock, F. S., Esselman, P. C., Engrav, L. H., Kowalske, K. J., & Lezotte, D. C. (2008). The WeeFIM [R] instrument–a paediatric measure of functional independence to predict longitudinal recovery of paediatric burn patients. Developmental neurorehabilitation, 11(1), 39-50
- Tur, B. S., Küçükdeveci, A. A., Kutlay, Ş., Yavuzer, G., Elhan, A. H., & Tennant, A. (2009). Psychometric properties of the WeeFIM in children with cerebral palsy in Turkey. Developmental Medicine & Child Neurology, 51(9), 732-738
Part B: Family Hope Center WeeFIM® Results
Accordion 0
SECTION 1
In Section 1, we will present Family Hope Center WeeFIM® results for 1461 children who were classified as having one of the following seven disability types:
- ADD/ADHD
- Autism Spectrum Disorder
- Brain Dysfunction
- Cerebral Palsy
- Developmental Delay
- Genetic Disorders
- Speech and Language Impairments
The results cover the period from 2002 to 2021.
SECTION 2
In Section 2, we will present a subset of these same Family Hope Center WeeFIM® results that focuses on the three most common disability types present in the overall data set:
- Autism Spectrum Disorder
- Cerebral Palsy
- Developmental Delay
These three disability types represent more than 78% of the total results (1142 children in the subset/1461 children in total).
SECTION 3
In Section 3, we will present Family Hope Center WeeFIM® results from the same overall data set that show WeeFIM® progress as a function of age for select individual children with developmental delays or disabilities compared to WeeFIM® progress as a function of age for children without developmental delays or disabilities for the following disability types:
- ADD/ADHD
- Autism Spectrum Disorder
- Brain Dysfunction
- Cerebral Palsy
- Developmental Delay
- Genetic Disorders
- Speech and Language Impairments
Section 1
Family Hope Center WeeFIM® Results for 1461 Children Who Were Classified As Having One of Seven Disability Types (Data From 2002 to 2021)
The seven disability types represented in the data set are:
- ADD/ADHD
- Autism Spectrum Disorder
- Brain Dysfunction
- Cerebral Palsy
- Developmental Delay
- Genetic Disorders
- Speech and Language Impairments
Breakdown of the number of children with each disability type:
| Disability Type | # of Children | % of Total |
|---|---|---|
| ADD / ADHD | 120 | 8.2% |
| Autism Spectrum Disorder | 252 | 17.2% |
| Brain Dysfunction | 74 | 5.1% |
| Cerebral Palsy | 388 | 26.6% |
| Developmental Delay | 502 | 34.4% |
| Genetic Disorders | 97 | 6.6% |
| Speech and Language Impairments | 28 | 1.9% |
For each child whose results are in the data set, a WeeFIM® evaluation was conducted at each visit during the child’s treatment period.
Treatment periods for children in the data set ranged from a single visit to more than 20 visits.
The plots in this section show the average WeeFIM® total score and the average domain scores (Self-care, Mobility, and Cognition) for Visit 1 (Admission) through Visit 10. Stopping at Visit 10 ensures that the number of data points for each visit is greater than or equal to 10% of the total analyzed population.
(In Section 3, we will present plots for some individual children whose treatment period extends beyond Visit 10.)
The interval between visits is approximately 6 months. The elapsed time between Visit 1 (Admission) and Visit 10 is approximately 4.5 years.
The results in this section are presented as follows:
First, summary statistics about the entire analyzed population are shown.
Second, a series of four plots is presented:
- The 1st plot presents the total WeeFIM® scores for the entire population being analyzed.
- The 2nd plot presents the Self-care WeeFIM® scores for the entire population being analyzed.
- The 3rd plot presents the Mobility WeeFIM® scores for the entire population being analyzed.
- The 4th plot presents the Cognition WeeFIM® scores for the entire population being analyzed.
All plots are laid out in the same way:
- The left y-axis is the Functional Independence Quotient (total score or total domain score/ maximum score x 100). Values can range from a minimum of 14% (18/126) to a maximum of 100% (126/126).
- The right y-axis is the Rating Descriptor hierarchy. Descriptors from
minimum to maximum are:- Total Assistance
- Maximal Assistance
- Moderate Assistance
- Minimal Assistance
- Supervision/Setup
- Modified Independence
- Complete Independence
- The x-axis has markers for each visit, starting with Admission (Visit 1) on the far left and continuing out through Visit 10 on the far right.
Following each plot is a WeeFIM® Levels of Function chart with markers to show the Level of Function at Visit 1 (Admission) and the Level of Function at Visit 10.
Summary Statistics
| Item | Value |
|---|---|
| Group Name | Family Hope Center WeeFIM® Results for Seven Disability Types |
| Date Range Covered (years) | 2002 - 2021 |
| Number of Children in Treatment Group | 1461 |
| Average Starting Age (years) | 6.3 |
| Average Ending Age (years) | 8.9 |
- Average WeeFIM® Scores
- Figure 1: Seven Disability Types: Number Per Group and Percent of Total
- Figure 2: Average WeeFIM® Total Scores: Seven Disability Types Combined: Visit 1 to Visit 10
- Figure 3: Average WeeFIM® Self-Care Scores: Seven Disability Types Combined: Visit 1 to Visit 10
- Figure 4: Average WeeFIM® Mobility Scores: Seven Disability Types Combined: Visit 1 to Visit 10
- Figure 5: Average WeeFIM® Cognition Scores: Seven Disability Types Combined: Visit 1 to Visit 10
Average WeeFIM® Scores
Figure 1
Seven Disability Types: Number Per Group and Percent of Total
Hovering over a section you will see the subpopulation both as a number and a % of the total population
Figure 2
Average WeeFIM® Total Scores: Seven Disability Types Combined: Visit 1 to Visit 10
| Description | Start (%) | End (%) | Percent Gained (%) |
|---|---|---|---|
| Average | 39.5 | 62.1 | 22.6 |
| Helper / No Helper | Category | Rating Descriptor | Rating | Level of Function | |
|---|---|---|---|---|---|
| No Helper | Independence | Complete Independence | 7 | Child safely performs all the tasks without assistance from a helper, within a reasonable amount of time, and without modifications, assistive devices or aids | |
| Modified Independence | 6 | Child performs all tasks without assistance from a helper but requires either an assistive device/aid/prosthesis/orthosis, takes more than a reasonable amount of time, or there is a concern for the child’s safety | |||
| Helper | Modified Dependence | Supervision / Setup | 5 | Child performs all the tasks but requires either supervision without physical contact or setup assistance | |
| Minimal Assistance | 4 | Child performs > 75% or more of the tasks, requiring no more help than touching | Visit 10 | ||
| Moderate Assistance | 3 | Child performs 50% to 74% of the tasks, requiring physical assistance beyond touching | |||
| Complete Dependence | Maximal Assistance | 2 | Child performs 25% to 49%, requiring maximal assistance from a helper | Visit 1 | |
| Total Assistance | 1 | Child performs <25% of the tasks, requiring total assistance from a helper |
Figure 3
Average WeeFIM® Self-Care Scores: Seven Disability Types Combined: Visit 1 to Visit 10
| Description | Start (%) | End (%) | Percent Gained (%) |
|---|---|---|---|
| Self-Care | 37.1 | 57.2 | 20.1 |
| Helper / No Helper | Category | Rating Descriptor | Rating | Level of Function | |
|---|---|---|---|---|---|
| No Helper | Independence | Complete Independence | 7 | Child safely performs all the tasks without assistance from a helper, within a reasonable amount of time, and without modifications, assistive devices or aids | |
| Modified Independence | 6 | Child performs all tasks without assistance from a helper but requires either an assistive device/aid/prosthesis/orthosis, takes more than a reasonable amount of time, or there is a concern for the child’s safety | |||
| Helper | Modified Dependence | Supervision / Setup | 5 | Child performs all the tasks but requires either supervision without physical contact or setup assistance | |
| Minimal Assistance | 4 | Child performs > 75% or more of the tasks, requiring no more help than touching | Visit 10 | ||
| Moderate Assistance | 3 | Child performs 50% to 74% of the tasks, requiring physical assistance beyond touching | |||
| Complete Dependence | Maximal Assistance | 2 | Child performs 25% to 49%, requiring maximal assistance from a helper | Visit 1 | |
| Total Assistance | 1 | Child performs <25% of the tasks, requiring total assistance from a helper |
Figure 4
Average WeeFIM® Mobility Scores: Seven Disability Types Combined: Visit 1 to Visit 10
| Description | Start (%) | End (%) | Percent Gained (%) |
|---|---|---|---|
| Mobility | 51.4 | 66.6 | 15.2 |
| Helper / No Helper | Category | Rating Descriptor | Rating | Level of Function | |
|---|---|---|---|---|---|
| No Helper | Independence | Complete Independence | 7 | Child safely performs all the tasks without assistance from a helper, within a reasonable amount of time, and without modifications, assistive devices or aids | |
| Modified Independence | 6 | Child performs all tasks without assistance from a helper but requires either an assistive device/aid/prosthesis/orthosis, takes more than a reasonable amount of time, or there is a concern for the child’s safety | |||
| Helper | Modified Dependence | Supervision / Setup | 5 | Child performs all the tasks but requires either supervision without physical contact or setup assistance | |
| Minimal Assistance | 4 | Child performs > 75% or more of the tasks, requiring no more help than touching | Visit 10 | ||
| Moderate Assistance | 3 | Child performs 50% to 74% of the tasks, requiring physical assistance beyond touching | Visit 1 | ||
| Complete Dependence | Maximal Assistance | 2 | Child performs 25% to 49%, requiring maximal assistance from a helper | ||
| Total Assistance | 1 | Child performs <25% of the tasks, requiring total assistance from a helper |
Figure 5
Average WeeFIM® Cognition Scores: Seven Disability Types Combined: Visit 1 to Visit 10
| Description | Start (%) | End (%) | Percent Gained (%) |
|---|---|---|---|
| Cognition | 31.5 | 65.3 | 33.8 |
| Helper / No Helper | Category | Rating Descriptor | Rating | Level of Function | |
|---|---|---|---|---|---|
| No Helper | Independence | Complete Independence | 7 | Child safely performs all the tasks without assistance from a helper, within a reasonable amount of time, and without modifications, assistive devices or aids | |
| Modified Independence | 6 | Child performs all tasks without assistance from a helper but requires either an assistive device/aid/prosthesis/orthosis, takes more than a reasonable amount of time, or there is a concern for the child’s safety | |||
| Helper | Modified Dependence | Supervision / Setup | 5 | Child performs all the tasks but requires either supervision without physical contact or setup assistance | |
| Minimal Assistance | 4 | Child performs > 75% or more of the tasks, requiring no more help than touching | Visit 10 | ||
| Moderate Assistance | 3 | Child performs 50% to 74% of the tasks, requiring physical assistance beyond touching | |||
| Complete Dependence | Maximal Assistance | 2 | Child performs 25% to 49%, requiring maximal assistance from a helper | Visit 1 | |
| Total Assistance | 1 | Child performs <25% of the tasks, requiring total assistance from a helper |
Section 2
Family Hope Center WeeFIM® Results for the Three Most Common Disability Types Present in the Overall Data Set (Data From 2002 to 2021)
In this section, we will present a subset of the Family Hope Center WeeFIM® results that focuses on the three most common disability types present in the overall data set:
- Autism Spectrum Disorder
- Cerebral Palsy
- Developmental Delay
The results in this section are presented as follows:
First, summary statistics about the entire analyzed population are shown.
Second, a series of four plots is presented:
- The 1st plot presents the total WeeFIM® scores for these three most common disability types.
- The 2nd plot presents the Self-care WeeFIM® scores for these three most common disability types.
- The 3rd plot presents the Mobility WeeFIM® scores for these three most common disability types.
- The 4th plot presents the Cognition WeeFIM® scores for these three most common disability types.
All plots are laid out in the same way:
- The left y-axis is the Functional Independence Quotient (total score or total domain score/ maximum score x 100). Values can range from a minimum of 14% (18/126) to a maximum of 100% (126/126).
- The right y-axis is the Rating Descriptor hierarchy. Descriptors from minimum to maximum are:
- Total Assistance
- Maximal Assistance
- Moderate Assistance
- Minimal Assistance
- Supervision/Setup
- Modified Independence
- Complete Independence
- The x-axis has markers for each visit, starting with Admission (Visit 1) on the far left and continuing out through Visit 10 on the far right.
Following each plot is a chart that characterizes Level of Function at Visit 1 (Admission), Level of Function at Visit 10 and notes the change in the number of levels between Visit 1 and Visit 10.
Summary Statistics
| Item | Value |
|---|---|
| Group Name | WeeFIM® Results for Autism Spectrum Disorder, Cerebral Palsy and Developmental Delay |
| Date Range Covered (years) | 2002 - 2021 |
| Total Number of Children in the 3 Treatment Groups | 1142 (78% of total of 1461) |
| Number of Children in Each Group |
252 - Autism Spectrum Disorder (17%) 388 - Cerebral Palsy (27%) 502 - Developmental Delay (34%) |
- Figure 6: Average WeeFIM® Total Scores: Three Most Common Disability Types: Visit 1 to Visit 10
- Figure 7: Average WeeFIM® Self-Care Scores: Three Most Common Disability Types: Visit 1 to Visit 10
- Figure 8: Average WeeFIM® Mobility Scores: Three Most Common Disability Types: Visit 1 to Visit 10
- Figure 9: Average WeeFIM® Cognition Scores: Three Most Common Disability Types: Visit 1 to Visit 10
Figure 6
Average WeeFIM® Total Scores: Three Most Common Disability Types: Visit 1 to Visit 10
| Disability Type | Start (%) | End (%) | Percent Gained (%) |
|---|---|---|---|
| Autism | 45.5 | 73.6 | 28.1 |
| Cerebral Palsy | 24 | 51.1 | 27.1 |
| Developmental Delay | 42.9 | 69.9 | 27 |
| Average WeeFIM® Total Score | Autism Spectrum Disorder | Cerebral Palsy | Developmental Delay |
|---|---|---|---|
| Visit 1 (Admission): Level of Function | Moderate Assistance | Total Assistance | Moderate Assistance |
| Visit 10: Level of Function | Supervision/Setup | Moderate Assistance | Minimal Assistance |
| Change in Levels of Function | +2 | +2 | +1 |
Figure 7
Average WeeFIM® Self-Care Scores: Three Most Common Disability Types: Visit 1 to Visit 10
| Disability Type | Start (%) | End (%) | Percent Gained (%) |
|---|---|---|---|
| Autism | 40.6 | 69.2 | 28.6 |
| Cerebral Palsy | 21.6 | 45.3 | 23.7 |
| Developmental Delay | 41.1 | 65.4 | 24.3 |
| Average WeeFIM® Self-Care Score | Autism Spectrum Disorder | Cerebral Palsy | Developmental Delay |
|---|---|---|---|
| Visit 1 (Admission): Level of Function | Maximal Assistance | Total Assistance | Maximal Assistance |
| Visit 10: Level of Function | Minimal Assistance | Moderate Assistance | Minimal Assistance |
| Change in Levels of Function | +2 | +2 | +2 |
Figure 8
Average WeeFIM® Mobility Scores: Three Most Common Disability Types: Visit 1 to Visit 10
| Disability Type | Start (%) | End (%) | Percent Gained (%) |
|---|---|---|---|
| Autism | 69.7 | 85.7 | 16 |
| Cerebral Palsy | 24.4 | 49.5 | 25.1 |
| Developmental Delay | 56 | 77 | 21 |
| Average WeeFIM® Mobility Score | Autism Spectrum Disorder | Cerebral Palsy | Developmental Delay |
|---|---|---|---|
| Visit 1 (Admission): Level of Function | Minimal Assistance | Total Assistance | Moderate Assistance |
| Visit 10: Level of Function | Modified Assistance | Moderate Assistance | Supervision/Setup |
| Change in Levels of Function | +2 | +2 | +2 |
Figure 9
Average WeeFIM® Cognition Scores: Three Most Common Disability Types: Visit 1 to Visit 10
| Disability Type | Start (%) | End (%) | Percent Gained (%) |
|---|---|---|---|
| Autism | 28.9 | 68.6 | 39.7 |
| Cerebral Palsy | 27.5 | 62.1 | 34.6 |
| Developmental Delay | 32.7 | 69.9 | 37.2 |
| Average WeeFIM® Cognition Score | Autism Spectrum Disorder | Cerebral Palsy | Developmental Delay |
|---|---|---|---|
| Visit 1 (Admission): Level of Function | Maximal Assistance | Total Assistance | Maximal Assistance |
| Visit 10: Level of Function | Minimal Assistance | Minimal Assistance | Minimal Assistance |
| Change in Levels of Function | +2 | +3 | +2 |
Section 3
Family Hope Center WeeFIM® Results for Select Children With Developmental Delays or Disabilities That Show WeeFIM® Progress as a Function of Age Compared to WeeFIM® Progress as a Function of Age for Children Without Developmental Delays or Disabilities (Data From 2002 to 2021)
In this section, we will present Family Hope Center WeeFIM® results from the same overall data set that show WeeFIM® progress as a function of age for select individual children with developmental delays or disabilities compared to WeeFIM® progress as a function of age for children without developmental delays or disabilities for the following disability types:
- ADD/ADHD
- Autism Spectrum Disorder
- Brain Dysfunction
- Cerebral Palsy
- Developmental Delay
- Genetic Disorders
- Speech and Language Impairments
The results in this section are presented in a similar way for each subgroup.
There are 3 graphs and 2 charts in each subgroup.
-
- The 1st graph presents the WeeFIM® progress as a function of age for five children in the subgroup being analyzed whose total WeeFIM® percent gained is 40% or greater, compared to WeeFIM® progress as a function of age for children without developmental delays or disabilities.
- The 2nd graph presents the WeeFIM® progress as a function of age for one of the five children in the subgroup being analyzed whose age at the beginning of treatment was between 6 months and 3 years old, compared to WeeFIM® progress as a function of age for children without developmental delays or disabilities.
- The 2nd graph is followed by a WeeFIM® Levels of Function chart with markers indicating the average Level of Function at the first assessment and the last assessment for the individual child whose results were presented in the 2nd graph.
- The 3rd graph presents the WeeFIM® progress as a function of age for one of the five children in the subgroup being analyzed whose age at the beginning of treatment was Greater Than 3 years Old and Less Than 10 years Old Compared to WeeFIM® progress as a function of age for children without developmental delays or disabilities.
- The 3rd graph is followed by a WeeFIM® Levels of Function chart with markers indicating the average Level of Function at the first assessment and the last assessment for the individual child whose results were presented in the 3rd graph.
All graphs are laid out in the same way:
- The left y-axis is the Functional Independence Quotient (total score or total domain score/ maximum score x 100). Values can range from a minimum of 14% (18/126) to a maximum of 100% (126/126).
- The right y-axis is the Rating Descriptor hierarchy. Descriptors from minimum to maximum are:
- Total Assistance
- Maximal Assistance
- Moderate Assistance
- Minimal Assistance
- Supervision/Setup
- Modified Independence
- Complete Independence
- The x-axis shows age in years. Each circle on each plot represents a WeeFIM® assessment score administered at a given age in years.
- The left-most plot on each graph presents the WeeFIM® progress as a function of age for children without developmental delays or disabilities.
- The other plots to the right of the left-most plot on each graph present progress for select children in each subgroup that show WeeFIM® progress as a function of age.
1st Subgroup: ADD/ADHD
| Total WeeFIM® Functional Independence Quotient % Gained (Range Across 5 Children Selected) |
Rating Descriptor Levels Gained (Range Across 5 Children Selected) |
|---|---|
| 41% to 52% | 3 - 4 |
- Figure 10: WeeFIM Progress as a Function of Age for Five Children With ADD/ADHD Whose Total WeeFIM® Percent Gained is 40% or Greater Compared to WeeFIM® Progress as a Function of Age for Children Without Developmental Delays or Disabilities
- Figure 11: WeeFIM Progress as a Function of Age for One of the Five Children With ADD/ADHD Whose Total WeeFIM® Percent Gained is 40% or Greater and Whose Age at the Beginning of Treatment Was Between 6 Months and 3 Years Old Compared to WeeFIM® Progress as a Function of Age for Children Without Developmental Delays or Disabilities
- Figure 12: WeeFIM Progress as a Function of Age for One of the Five Children With ADD/ADHD Whose Total WeeFIM® Percent Gained is 40% or Greater and Whose Age at the Beginning of Treatment Was Greater Than 3 years Old and Less Than 10 years Old Compared to WeeFIM® Progress as a Function of Age for Children Without Developmental Delays or Disabilities
Figure 10
WeeFIM Progress as a Function of Age for Five Children With ADD/ADHD Whose Total WeeFIM® Percent Gained is 40% or Greater Compared to WeeFIM® Progress as a Function of Age for Children Without Developmental Delays or Disabilities
| Child | Start (%) | End (%) | Percent Gained (%) |
|---|---|---|---|
| Normative Curve | 14.3 | 95 | 80.7 |
| Child 1 | 47.6 | 92.1 | 44.5 |
| Child 2 | 59.5 | 100 | 40.5 |
| Child 3 | 25.4 | 77.8 | 52.4 |
| Child 4 | 50.8 | 91.3 | 40.5 |
| Child 5 | 36.5 | 88.1 | 51.6 |
Figure 11
WeeFIM Progress as a Function of Age for One of the Five Children With ADD/ADHD Whose Total WeeFIM® Percent Gained is 40% or Greater and Whose Age at the Beginning of Treatment Was Between 6 Months and 3 Years Old Compared to WeeFIM® Progress as a Function of Age for Children Without Developmental Delays or Disabilities
| Disability Type | Start (%) | End (%) | Percent Gained (%) |
|---|---|---|---|
| Normative Curve | 14.3 | 95 | 80.7 |
| Child With ADD/ADHD (2.9 Years Old) | 25.4 | 77.8 | 52.4 |
| Helper / No Helper | Category | Rating Descriptor | Rating | Level of Function | |
|---|---|---|---|---|---|
| No Helper | Independence | Complete Independence | 7 | Child safely performs all the tasks without assistance from a helper, within a reasonable amount of time, and without modifications, assistive devices or aids | |
| Modified Independence | 6 | Child performs all tasks without assistance from a helper but requires either an assistive device/aid/prosthesis/orthosis, takes more than a reasonable amount of time, or there is a concern for the child’s safety | |||
| Helper | Modified Dependence | Supervision / Setup | 5 | Child performs all the tasks but requires either supervision without physical contact or setup assistance | Last Assessment |
| Minimal Assistance | 4 | Child performs > 75% or more of the tasks, requiring no more help than touching | |||
| Moderate Assistance | 3 | Child performs 50% to 74% of the tasks, requiring physical assistance beyond touching | |||
| Complete Dependence | Maximal Assistance | 2 | Child performs 25% to 49%, requiring maximal assistance from a helper | ||
| Total Assistance | 1 | Child performs <25% of the tasks, requiring total assistance from a helper | First Assessment |
Figure 12
WeeFIM Progress as a Function of Age for One of the Five Children With ADD/ADHD Whose Total WeeFIM® Percent Gained is 40% or Greater and Whose Age at the Beginning of Treatment Was Greater Than 3 years Old and Less Than 10 years Old Compared to WeeFIM® Progress as a Function of Age for Children Without Developmental Delays or Disabilities
| Disability Type | Start (%) | End (%) | Percent Gained (%) |
|---|---|---|---|
| Normative Curve | 14.3 | 95 | 80.7 |
| Child With ADD/ADHD (7.6 Years Old) | 50.8 | 91.3 | 40.5 |
| Helper / No Helper | Category | Rating Descriptor | Rating | Level of Function | |
|---|---|---|---|---|---|
| No Helper | Independence | Complete Independence | 7 | Child safely performs all the tasks without assistance from a helper, within a reasonable amount of time, and without modifications, assistive devices or aids | |
| Modified Independence | 6 | Child performs all tasks without assistance from a helper but requires either an assistive device/aid/prosthesis/orthosis, takes more than a reasonable amount of time, or there is a concern for the child’s safety | Last Assessment | ||
| Helper | Modified Dependence | Supervision / Setup | 5 | Child performs all the tasks but requires either supervision without physical contact or setup assistance | |
| Minimal Assistance | 4 | Child performs > 75% or more of the tasks, requiring no more help than touching | |||
| Moderate Assistance | 3 | Child performs 50% to 74% of the tasks, requiring physical assistance beyond touching | First Assessment | ||
| Complete Dependence | Maximal Assistance | 2 | Child performs 25% to 49%, requiring maximal assistance from a helper | ||
| Total Assistance | 1 | Child performs <25% of the tasks, requiring total assistance from a helper |
2nd Subgroup: Autism Spectrum Disorder
| Total WeeFIM® Functional Independence Quotient % Gained (Range Across 5 Children Selected) | Rating Descriptor Levels Gained (Range Across 5 Children Selected) |
|---|---|
| 55% to 71% | 4 - 5 |
- Figure 13: WeeFIM Progress as a Function of Age for Five Children With Autism Spectrum Disorder Whose Total WeeFIM® Percent Gained is 40% or Greater Compared to WeeFIM® Progress as a Function of Age for Children Without Developmental Delays or Disabilities
- Figure 14: WeeFIM Progress as a Function of Age for One of the Five Children With Autism Spectrum Disorder Whose Total WeeFIM® Percent Gained is 40% or Greater and Whose Age at the Beginning of Treatment Was Between 6 Months and 3 Years Old Compared to WeeFIM® Progress as a Function of Age for Children Without Developmental Delays or Disabilities
- Figure 15: WeeFIM Progress as a Function of Age for One of the Five Children With Autism Spectrum Disorder Whose Total WeeFIM® Percent Gained is 40% or Greater and Whose Age at the Beginning of Treatment Was Greater Than 3 years Old and Less Than 10 years Old Compared to WeeFIM® Progress as a Function of Age for Children Without Developmental Delays or Disabilities
Figure 13
WeeFIM Progress as a Function of Age for Five Children With Autism Spectrum Disorder Whose Total WeeFIM® Percent Gained is 40% or Greater Compared to WeeFIM® Progress as a Function of Age for Children Without Developmental Delays or Disabilities
| Child | Start (%) | End (%) | Percent Gained (%) |
|---|---|---|---|
| Normative Curve | 14.3 | 95 | 80.7 |
| Child 1 | 31 | 85.7 | 54.7 |
| Child 2 | 15.9 | 76.2 | 60.3 |
| Child 3 | 20.6 | 92.1 | 71.5 |
| Child 4 | 14.3 | 78.6 | 64.3 |
| Child 5 | 31.7 | 91.3 | 59.6 |
Figure 14
WeeFIM Progress as a Function of Age for One of the Five Children With Autism Spectrum Disorder Whose Total WeeFIM® Percent Gained is 40% or Greater and Whose Age at the Beginning of Treatment Was Between 6 Months and 3 Years Old Compared to WeeFIM® Progress as a Function of Age for Children Without Developmental Delays or Disabilities
| Disability Type | Start (%) | End (%) | Percent Gained (%) |
|---|---|---|---|
| Normative Curve | 14.3 | 95 | 80.7 |
| Child With Autism Spectrum Disorder (9 Months) | 14.3 | 78.6 | 64.3 |
| Helper / No Helper | Category | Rating Descriptor | Rating | Level of Function | |
|---|---|---|---|---|---|
| No Helper | Independence | Complete Independence | 7 | Child safely performs all the tasks without assistance from a helper, within a reasonable amount of time, and without modifications, assistive devices or aids | |
| Modified Independence | 6 | Child performs all tasks without assistance from a helper but requires either an assistive device/aid/prosthesis/orthosis, takes more than a reasonable amount of time, or there is a concern for the child’s safety | |||
| Helper | Modified Dependence | Supervision / Setup | 5 | Child performs all the tasks but requires either supervision without physical contact or setup assistance | Last Assessment |
| Minimal Assistance | 4 | Child performs > 75% or more of the tasks, requiring no more help than touching | |||
| Moderate Assistance | 3 | Child performs 50% to 74% of the tasks, requiring physical assistance beyond touching | |||
| Complete Dependence | Maximal Assistance | 2 | Child performs 25% to 49%, requiring maximal assistance from a helper | ||
| Total Assistance | 1 | Child performs <25% of the tasks, requiring total assistance from a helper | First Assessment |
Figure 15
WeeFIM Progress as a Function of Age for One of the Five Children With Autism Spectrum Disorder Whose Total WeeFIM® Percent Gained is 40% or Greater and Whose Age at the Beginning of Treatment Was Greater Than 3 years Old and Less Than 10 years Old Compared to WeeFIM® Progress as a Function of Age for Children Without Developmental Delays or Disabilities
| Disability Type | Start (%) | End (%) | Percent Gained (%) |
|---|---|---|---|
| Normative Curve | 14.3 | 95 | 80.7 |
| Child With Autism Spectrum Disorder (6.3 Years) | 31 | 85.7 | 54.7 |
| Helper / No Helper | Category | Rating Descriptor | Rating | Level of Function | |
|---|---|---|---|---|---|
| No Helper | Independence | Complete Independence | 7 | Child safely performs all the tasks without assistance from a helper, within a reasonable amount of time, and without modifications, assistive devices or aids | |
| Modified Independence | 6 | Child performs all tasks without assistance from a helper but requires either an assistive device/aid/prosthesis/orthosis, takes more than a reasonable amount of time, or there is a concern for the child’s safety | Last Assessment | ||
| Helper | Modified Dependence | Supervision / Setup | 5 | Child performs all the tasks but requires either supervision without physical contact or setup assistance | |
| Minimal Assistance | 4 | Child performs > 75% or more of the tasks, requiring no more help than touching | |||
| Moderate Assistance | 3 | Child performs 50% to 74% of the tasks, requiring physical assistance beyond touching | |||
| Complete Dependence | Maximal Assistance | 2 | Child performs 25% to 49%, requiring maximal assistance from a helper | First Assessment | |
| Total Assistance | 1 | Child performs <25% of the tasks, requiring total assistance from a helper |
3rd Subgroup: Brain Dysfunction
| Total WeeFIM® Functional Independence Quotient % Gained (Range Across 5 Children Selected) | Rating Descriptor Levels Gained (Range Across 5 Children Selected) |
|---|---|
| 42% to 71% | 3 - 5 |
- Figure 16: WeeFIM Progress as a Function of Age for Five Children With Brain Dysfunction Whose Total WeeFIM® Percent Gained is 40% or Greater Compared to WeeFIM® Progress as a Function of Age for Children Without Developmental Delays or Disabilities
- Figure 17: WeeFIM Progress as a Function of Age for One of the Five Children With Brain Dysfunction Whose Total WeeFIM® Percent Gained is 40% or Greater and Whose Age at the Beginning of Treatment Was Between 6 Months and 3 Years Old Compared to WeeFIM® Progress as a Function of Age for Children Without Developmental Delays or Disabilities
- Figure 18: WeeFIM Progress as a Function of Age for One of the Five Children With Brain Dysfunction Whose Total WeeFIM® Percent Gained is 40% or Greater and Whose Age at the Beginning of Treatment Was Greater Than 3 years Old and Less Than 10 years Old Compared to WeeFIM® Progress as a Function of Age for Children Without Developmental Delays or Disabilities
Figure 16
WeeFIM Progress as a Function of Age for Five Children With Brain Dysfunction Whose Total WeeFIM® Percent Gained is 40% or Greater Compared to WeeFIM® Progress as a Function of Age for Children Without Developmental Delays or Disabilities
| Child | Start (%) | End (%) | Percent Gained (%) |
|---|---|---|---|
| Normative Curve | 14.3 | 95 | 80.7 |
| Child 1 | 34.1 | 88.1 | 54 |
| Child 2 | 14.3 | 85.7 | 71.4 |
| Child 3 | 14.3 | 61.9 | 47.6 |
| Child 4 | 29.4 | 71.4 | 42 |
| Child 5 | 21.4 | 74.6 | 53.2 |
Figure 17
WeeFIM Progress as a Function of Age for One of the Five Children With Brain Dysfunction Whose Total WeeFIM® Percent Gained is 40% or Greater and Whose Age at the Beginning of Treatment Was Between 6 Months and 3 Years Old Compared to WeeFIM® Progress as a Function of Age for Children Without Developmental Delays or Disabilities
| Disability Type | Start (%) | End (%) | Percent Gained (%) |
|---|---|---|---|
| Normative Curve | 14.3 | 95 | 80.7 |
| Child With Brain Dysfunction (1.5 Years) | 14.3 | 85.7 | 71.4 |
| Helper / No Helper | Category | Rating Descriptor | Rating | Level of Function | |
|---|---|---|---|---|---|
| No Helper | Independence | Complete Independence | 7 | Child safely performs all the tasks without assistance from a helper, within a reasonable amount of time, and without modifications, assistive devices or aids | |
| Modified Independence | 6 | Child performs all tasks without assistance from a helper but requires either an assistive device/aid/prosthesis/orthosis, takes more than a reasonable amount of time, or there is a concern for the child’s safety | Last Assessment | ||
| Helper | Modified Dependence | Supervision / Setup | 5 | Child performs all the tasks but requires either supervision without physical contact or setup assistance | |
| Minimal Assistance | 4 | Child performs > 75% or more of the tasks, requiring no more help than touching | |||
| Moderate Assistance | 3 | Child performs 50% to 74% of the tasks, requiring physical assistance beyond touching | |||
| Complete Dependence | Maximal Assistance | 2 | Child performs 25% to 49%, requiring maximal assistance from a helper | ||
| Total Assistance | 1 | Child performs <25% of the tasks, requiring total assistance from a helper | First Assessment |
Figure 18
WeeFIM Progress as a Function of Age for One of the Five Children With Brain Dysfunction Whose Total WeeFIM® Percent Gained is 40% or Greater and Whose Age at the Beginning of Treatment Was Greater Than 3 years Old and Less Than 10 years Old Compared to WeeFIM® Progress as a Function of Age for Children Without Developmental Delays or Disabilities
| Disability Type | Start (%) | End (%) | Percent Gained (%) |
|---|---|---|---|
| Normative Curve | 14.3 | 95 | 80.7 |
| Child With Brain Dysfunction (6.1 Years) | 21.4 | 74.6 | 53.2 |
| Helper / No Helper | Category | Rating Descriptor | Rating | Level of Function | |
|---|---|---|---|---|---|
| No Helper | Independence | Complete Independence | 7 | Child safely performs all the tasks without assistance from a helper, within a reasonable amount of time, and without modifications, assistive devices or aids | |
| Modified Independence | 6 | Child performs all tasks without assistance from a helper but requires either an assistive device/aid/prosthesis/orthosis, takes more than a reasonable amount of time, or there is a concern for the child’s safety | |||
| Helper | Modified Dependence | Supervision / Setup | 5 | Child performs all the tasks but requires either supervision without physical contact or setup assistance | Last Assessment |
| Minimal Assistance | 4 | Child performs > 75% or more of the tasks, requiring no more help than touching | |||
| Moderate Assistance | 3 | Child performs 50% to 74% of the tasks, requiring physical assistance beyond touching | |||
| Complete Dependence | Maximal Assistance | 2 | Child performs 25% to 49%, requiring maximal assistance from a helper | ||
| Total Assistance | 1 | Child performs <25% of the tasks, requiring total assistance from a helper | First Assessment |
4th Subgroup: Cerebral Palsy
| Total WeeFIM® Functional Independence Quotient % Gained (Range Across 5 Children Selected) | Rating Descriptor Levels Gained (Range Across 5 Children Selected) |
|---|---|
| 55% to 64% | 4 - 5 |
- Figure 19: WeeFIM Progress as a Function of Age for Five Children With Cerebral Palsy Whose Total WeeFIM® Percent Gained is 40% or Greater Compared to WeeFIM® Progress as a Function of Age for Children Without Developmental Delays or Disabilities
- Figure 20: WeeFIM® Progress as a Function of Age for One of the Five Children With Cerebral Palsy Whose Total WeeFIM® Percent Gained is 40% or Greater and Whose Age at the Beginning of Treatment Was Between 6 Months and 3 Years Old Compared to WeeFIM® Progress as a Function of Age for Children Without Developmental Delays or Disabilities
- Figure 21: WeeFIM® Progress as a Function of Age for One of the Five Children With Cerebral Palsy Whose Total WeeFIM® Percent Gained is 40% or Greater and Whose Age at the Beginning of Treatment Was Greater Than 3 years Old and Less Than 10 years Old Compared to WeeFIM® Progress as a Function of Age for Children Without Developmental Delays or Disabilities
Figure 19
WeeFIM Progress as a Function of Age for Five Children With Cerebral Palsy Whose Total WeeFIM® Percent Gained is 40% or Greater Compared to WeeFIM® Progress as a Function of Age for Children Without Developmental Delays or Disabilities
| Child | Start (%) | End (%) | Percent Gained (%) |
|---|---|---|---|
| Normative Curve | 14.3 | 95 | 80.7 |
| Child 1 | 19.8 | 84.1 | 64.3 |
| Child 2 | 26.2 | 81.7 | 55.5 |
| Child 3 | 19.8 | 84.1 | 64.3 |
| Child 4 | 16.7 | 71.4 | 54.7 |
| Child 5 | 19 | 73.8 | 54.8 |
Figure 20
WeeFIM® Progress as a Function of Age for One of the Five Children With Cerebral Palsy Whose Total WeeFIM® Percent Gained is 40% or Greater and Whose Age at the Beginning of Treatment Was Between 6 Months and 3 Years Old Compared to WeeFIM® Progress as a Function of Age for Children Without Developmental Delays or Disabilities
| Disability Type | Start (%) | End (%) | Percent Gained (%) |
|---|---|---|---|
| Normative Curve | 14.3 | 95 | 80.7 |
| Child With Cerebral Palsy (2.2 Years) | 19.8 | 84.1 | 64.3 |
| Helper / No Helper | Category | Rating Descriptor | Rating | Level of Function | |
|---|---|---|---|---|---|
| No Helper | Independence | Complete Independence | 7 | Child safely performs all the tasks without assistance from a helper, within a reasonable amount of time, and without modifications, assistive devices or aids | |
| Modified Independence | 6 | Child performs all tasks without assistance from a helper but requires either an assistive device/aid/prosthesis/orthosis, takes more than a reasonable amount of time, or there is a concern for the child’s safety | |||
| Helper | Modified Dependence | Supervision / Setup | 5 | Child performs all the tasks but requires either supervision without physical contact or setup assistance | Last Assessment |
| Minimal Assistance | 4 | Child performs > 75% or more of the tasks, requiring no more help than touching | |||
| Moderate Assistance | 3 | Child performs 50% to 74% of the tasks, requiring physical assistance beyond touching | |||
| Complete Dependence | Maximal Assistance | 2 | Child performs 25% to 49%, requiring maximal assistance from a helper | ||
| Total Assistance | 1 | Child performs <25% of the tasks, requiring total assistance from a helper | First Assessment |
Figure 21
WeeFIM® Progress as a Function of Age for One of the Five Children With Cerebral Palsy Whose Total WeeFIM® Percent Gained is 40% or Greater and Whose Age at the Beginning of Treatment Was Greater Than 3 years Old and Less Than 10 years Old Compared to WeeFIM® Progress as a Function of Age for Children Without Developmental Delays or Disabilities
| Disability Type | Start (%) | End (%) | Percent Gained (%) |
|---|---|---|---|
| Normative Curve | 14.3 | 95 | 80.7 |
| Child With Cerebral Palsy (7.6 Years) | 16.7 | 71.4 | 54.7 |
| Helper / No Helper | Category | Rating Descriptor | Rating | Level of Function | |
|---|---|---|---|---|---|
| No Helper | Independence | Complete Independence | 7 | Child safely performs all the tasks without assistance from a helper, within a reasonable amount of time, and without modifications, assistive devices or aids | |
| Modified Independence | 6 | Child performs all tasks without assistance from a helper but requires either an assistive device/aid/prosthesis/orthosis, takes more than a reasonable amount of time, or there is a concern for the child’s safety | |||
| Helper | Modified Dependence | Supervision / Setup | 5 | Child performs all the tasks but requires either supervision without physical contact or setup assistance | Last Assessment |
| Minimal Assistance | 4 | Child performs > 75% or more of the tasks, requiring no more help than touching | |||
| Moderate Assistance | 3 | Child performs 50% to 74% of the tasks, requiring physical assistance beyond touching | |||
| Complete Dependence | Maximal Assistance | 2 | Child performs 25% to 49%, requiring maximal assistance from a helper | ||
| Total Assistance | 1 | Child performs <25% of the tasks, requiring total assistance from a helper | First Assessment |
5th Subgroup: Developmental Delay
| Total WeeFIM® Functional Independence Quotient % Gained (Range Across 5 Children Selected) | Rating Descriptor Levels Gained (Range Across 5 Children Selected) |
|---|---|
| 69% to 75% | 4 - 6 |
- Figure 22: WeeFIM Progress as a Function of Age for Five Children With Developmental Delay Whose Total WeeFIM® Percent Gained is 40% or Greater Compared to WeeFIM® Progress as a Function of Age for Children Without Developmental Delays or Disabilities
- Figure 23: WeeFIM® Progress as a Function of Age for One of the Five Children With Developmental Delay Whose Total WeeFIM® Percent Gained is 40% or Greater and Whose Age at the Beginning of Treatment Was Between 6 Months and 3 Years Old Compared to WeeFIM® Progress as a Function of Age for Children Without Developmental Delays or Disabilities
- Figure 24: WeeFIM® Progress as a Function of Age for One of the Five Children With Developmental Delay Whose Total WeeFIM® Percent Gained is 40% or Greater and Whose Age at the Beginning of Treatment Was Greater Than 3 years Old and Less Than 10 years Old Compared to WeeFIM® Progress as a Function of Age for Children Without Developmental Delays or Disabilities
Figure 22
WeeFIM Progress as a Function of Age for Five Children With Developmental Delay Whose Total WeeFIM® Percent Gained is 40% or Greater Compared to WeeFIM® Progress as a Function of Age for Children Without Developmental Delays or Disabilities
| Item | Start (%) | End (%) | Percent Gained (%) |
|---|---|---|---|
| Normative Curve | 14.3 | 95 | 80.7 |
| Child 1 | 27 | 100 | 73 |
| Child 2 | 14.3 | 83.3 | 69 |
| Child 3 | 15.1 | 85.7 | 70.6 |
| Child 4 | 25.4 | 100 | 74.6 |
| Child 5 | 29.4 | 99.2 | 69.8 |
Figure 23
WeeFIM® Progress as a Function of Age for One of the Five Children With Developmental Delay Whose Total WeeFIM® Percent Gained is 40% or Greater and Whose Age at the Beginning of Treatment Was Between 6 Months and 3 Years Old Compared to WeeFIM® Progress as a Function of Age for Children Without Developmental Delays or Disabilities
| Disability Type | Start (%) | End (%) | Percent Gained (%) |
|---|---|---|---|
| Normative Curve | 14.3 | 95 | 80.7 |
| Child With Developmental Delay (1.5 Years) | 14.3 | 83.3 | 69 |
| Helper / No Helper | Category | Rating Descriptor | Rating | Level of Function | |
|---|---|---|---|---|---|
| No Helper | Independence | Complete Independence | 7 | Child safely performs all the tasks without assistance from a helper, within a reasonable amount of time, and without modifications, assistive devices or aids | |
| Modified Independence | 6 | Child performs all tasks without assistance from a helper but requires either an assistive device/aid/prosthesis/orthosis, takes more than a reasonable amount of time, or there is a concern for the child’s safety | |||
| Helper | Modified Dependence | Supervision / Setup | 5 | Child performs all the tasks but requires either supervision without physical contact or setup assistance | Last Assessment |
| Minimal Assistance | 4 | Child performs > 75% or more of the tasks, requiring no more help than touching | |||
| Moderate Assistance | 3 | Child performs 50% to 74% of the tasks, requiring physical assistance beyond touching | |||
| Complete Dependence | Maximal Assistance | 2 | Child performs 25% to 49%, requiring maximal assistance from a helper | ||
| Total Assistance | 1 | Child performs <25% of the tasks, requiring total assistance from a helper | First Assessment |
Figure 24
WeeFIM® Progress as a Function of Age for One of the Five Children With Developmental Delay Whose Total WeeFIM® Percent Gained is 40% or Greater and Whose Age at the Beginning of Treatment Was Greater Than 3 years Old and Less Than 10 years Old Compared to WeeFIM® Progress as a Function of Age for Children Without Developmental Delays or Disabilities
| Disability Type | Start (%) | End (%) | Percent Gained (%) |
|---|---|---|---|
| Normative Curve | 14.3 | 95 | 80.7 |
| Child With Developmental Delay (3.3 Years) | 25.4 | 100 | 74.6 |
| Helper / No Helper | Category | Rating Descriptor | Rating | Level of Function | |
|---|---|---|---|---|---|
| No Helper | Independence | Complete Independence | 7 | Child safely performs all the tasks without assistance from a helper, within a reasonable amount of time, and without modifications, assistive devices or aids | Last Assessment |
| Modified Independence | 6 | Child performs all tasks without assistance from a helper but requires either an assistive device/aid/prosthesis/orthosis, takes more than a reasonable amount of time, or there is a concern for the child’s safety | |||
| Helper | Modified Dependence | Supervision / Setup | 5 | Child performs all the tasks but requires either supervision without physical contact or setup assistance | |
| Minimal Assistance | 4 | Child performs > 75% or more of the tasks, requiring no more help than touching | |||
| Moderate Assistance | 3 | Child performs 50% to 74% of the tasks, requiring physical assistance beyond touching | |||
| Complete Dependence | Maximal Assistance | 2 | Child performs 25% to 49%, requiring maximal assistance from a helper | ||
| Total Assistance | 1 | Child performs <25% of the tasks, requiring total assistance from a helper | First Assessment |
6th Subgroup: Genetic Disorders (Including Down Syndrome)
| Total WeeFIM® Functional Independence Quotient % Gained (Range Across 5 Children Selected) | Rating Descriptor Levels Gained (Range Across 5 Children Selected) |
|---|---|
| 56% to 72% | 4 - 5 |
- Figure 25: WeeFIM Progress as a Function of Age for Five Children With Genetic Disorders Whose Total WeeFIM® Percent Gained is 40% or Greater Compared to WeeFIM® Progress as a Function of Age for Children Without Developmental Delays or Disabilities
- Figure 26: WeeFIM Progress as a Function of Age for One of the Five Children With Genetic Disorders Whose Total WeeFIM® Percent Gained is 40% or Greater and Whose Age at the Beginning of Treatment Was Between 6 Months and 3 Years Old Compared to WeeFIM® Progress as a Function of Age for Children Without Developmental Delays or Disabilities
- Figure 27: WeeFIM Progress as a Function of Age for One of the Five Children With Genetic Disorders Whose Total WeeFIM® Percent Gained is 40% or Greater and Whose Age at the Beginning of Treatment Was Greater Than 3 years Old and Less Than 10 years Old Compared to WeeFIM® Progress as a Function of Age for Children Without Developmental Delays or Disabilities
Figure 25
WeeFIM Progress as a Function of Age for Five Children With Genetic Disorders Whose Total WeeFIM® Percent Gained is 40% or Greater Compared to WeeFIM® Progress as a Function of Age for Children Without Developmental Delays or Disabilities
| Item | Start (%) | End (%) | Percent Gained (%) |
|---|---|---|---|
| Normative Curve | 14.3 | 95 | 80.7 |
| Child 1 | 14.3 | 73.8 | 59.5 |
| Child 2 | 14.3 | 70.6 | 56.3 |
| Child 3 | 20.6 | 80.2 | 59.6 |
| Child 4 | 27 | 89.7 | 62.7 |
| Child 5 | 14.3 | 86.5 | 72.2 |
Figure 26
WeeFIM Progress as a Function of Age for One of the Five Children With Genetic Disorders Whose Total WeeFIM® Percent Gained is 40% or Greater and Whose Age at the Beginning of Treatment Was Between 6 Months and 3 Years Old Compared to WeeFIM® Progress as a Function of Age for Children Without Developmental Delays or Disabilities
| Item | Start (%) | End (%) | Percent Gained (%) |
|---|---|---|---|
| Normative Curve | 14.3 | 95 | 80.7 |
| Child With Genetic Disorder (5 Months) | 14.3 | 86.5 | 72.2 |
| Helper / No Helper | Category | Rating Descriptor | Rating | Level of Function | |
|---|---|---|---|---|---|
| No Helper | Independence | Complete Independence | 7 | Child safely performs all the tasks without assistance from a helper, within a reasonable amount of time, and without modifications, assistive devices or aids | |
| Modified Independence | 6 | Child performs all tasks without assistance from a helper but requires either an assistive device/aid/prosthesis/orthosis, takes more than a reasonable amount of time, or there is a concern for the child’s safety | Last Assessment | ||
| Helper | Modified Dependence | Supervision / Setup | 5 | Child performs all the tasks but requires either supervision without physical contact or setup assistance | |
| Minimal Assistance | 4 | Child performs > 75% or more of the tasks, requiring no more help than touching | |||
| Moderate Assistance | 3 | Child performs 50% to 74% of the tasks, requiring physical assistance beyond touching | |||
| Complete Dependence | Maximal Assistance | 2 | Child performs 25% to 49%, requiring maximal assistance from a helper | ||
| Total Assistance | 1 | Child performs <25% of the tasks, requiring total assistance from a helper | First Assessment |
Figure 27
WeeFIM Progress as a Function of Age for One of the Five Children With Genetic Disorders Whose Total WeeFIM® Percent Gained is 40% or Greater and Whose Age at the Beginning of Treatment Was Greater Than 3 years Old and Less Than 10 years Old Compared to WeeFIM® Progress as a Function of Age for Children Without Developmental Delays or Disabilities
| Item | Start (%) | End (%) | Percent Gained (%) |
|---|---|---|---|
| Normative Curve | 14.3 | 95 | 80.7 |
| Child With Genetic Disorder (5.3 Years) | 27 | 89.7 | 62.7 |
| Helper / No Helper | Category | Rating Descriptor | Rating | Level of Function | |
|---|---|---|---|---|---|
| No Helper | Independence | Complete Independence | 7 | Child safely performs all the tasks without assistance from a helper, within a reasonable amount of time, and without modifications, assistive devices or aids | |
| Modified Independence | 6 | Child performs all tasks without assistance from a helper but requires either an assistive device/aid/prosthesis/orthosis, takes more than a reasonable amount of time, or there is a concern for the child’s safety | Last Assessment | ||
| Helper | Modified Dependence | Supervision / Setup | 5 | Child performs all the tasks but requires either supervision without physical contact or setup assistance | |
| Minimal Assistance | 4 | Child performs > 75% or more of the tasks, requiring no more help than touching | |||
| Moderate Assistance | 3 | Child performs 50% to 74% of the tasks, requiring physical assistance beyond touching | |||
| Complete Dependence | Maximal Assistance | 2 | Child performs 25% to 49%, requiring maximal assistance from a helper | ||
| Total Assistance | 1 | Child performs <25% of the tasks, requiring total assistance from a helper | First Assessment |
7th Subgroup: Speech and Language Impairments (Note: Minimum % Gain Reduced From 40% to 17%)
| Total WeeFIM® Functional Independence Quotient % Gained (Range Across 5 Children Selected) | Rating Descriptor Levels Gained (Range Across 5 Children Selected) |
|---|---|
| 17% to 50% | 1 - 3 |
- Figure 28: WeeFIM Progress as a Function of Age for Five Children With Speech and Language Impairments Whose Total WeeFIM® Percent Gained is 17% or Greater Compared to WeeFIM® Progress as a Function of Age for Children Without Developmental Delays or Disabilities
- Figure 29: WeeFIM Progress as a Function of Age for One of the Five Children With Speech and Language Impairments Whose Total WeeFIM® Percent Gained is 17% or Greater and Whose Age at the Beginning of Treatment Was Between 6 Months and 3 Years Old Compared to WeeFIM® Progress as a Function of Age for Children Without Developmental Delays or Disabilities
- Figure 30: WeeFIM Progress as a Function of Age for One of the Five Children With Speech and Language Impairments Whose Total WeeFIM® Percent Gained is 17% or Greater and Whose Age at the Beginning of Treatment Was Greater Than 3 years Old and Less Than 10 years Old Compared to WeeFIM® Progress as a Function of Age for Children Without Developmental Delays or Disabilities
Figure 28
WeeFIM Progress as a Function of Age for Five Children With Speech and Language Impairments Whose Total WeeFIM® Percent Gained is 17% or Greater Compared to WeeFIM® Progress as a Function of Age for Children Without Developmental Delays or Disabilities
| Item | Start (%) | End (%) | Percent Gained (%) |
|---|---|---|---|
| Normative Curve | 14.3 | 95 | 80.7 |
| Child 1 | 60.3 | 87.3 | 27 |
| Child 2 | 43.7 | 93.7 | 50 |
| Child 3 | 60.3 | 77 | 16.7 |
| Child 4 | 64.3 | 83.3 | 19 |
| Child 5 | 14.3 | 40.5 | 26.2 |
Figure 29
WeeFIM Progress as a Function of Age for One of the Five Children With Speech and Language Impairments Whose Total WeeFIM® Percent Gained is 17% or Greater and Whose Age at the Beginning of Treatment Was Between 6 Months and 3 Years Old Compared to WeeFIM® Progress as a Function of Age for Children Without Developmental Delays or Disabilities
| Item | Start (%) | End (%) | Percent Gained (%) |
|---|---|---|---|
| Normative Curve | 14.3 | 95 | 80.7 |
| Child With Speech and Language Impairments (2.5 Years) | 14.3 | 40.5 | 26.2 |
| Helper / No Helper | Category | Rating Descriptor | Rating | Level of Function | |
|---|---|---|---|---|---|
| No Helper | Independence | Complete Independence | 7 | Child safely performs all the tasks without assistance from a helper, within a reasonable amount of time, and without modifications, assistive devices or aids | |
| Modified Independence | 6 | Child performs all tasks without assistance from a helper but requires either an assistive device/aid/prosthesis/orthosis, takes more than a reasonable amount of time, or there is a concern for the child’s safety | |||
| Helper | Modified Dependence | Supervision / Setup | 5 | Child performs all the tasks but requires either supervision without physical contact or setup assistance | |
| Minimal Assistance | 4 | Child performs > 75% or more of the tasks, requiring no more help than touching | |||
| Moderate Assistance | 3 | Child performs 50% to 74% of the tasks, requiring physical assistance beyond touching | |||
| Complete Dependence | Maximal Assistance | 2 | Child performs 25% to 49%, requiring maximal assistance from a helper | Last Assessment | |
| Total Assistance | 1 | Child performs <25% of the tasks, requiring total assistance from a helper | First Assessment |
Figure 30
WeeFIM Progress as a Function of Age for One of the Five Children With Speech and Language Impairments Whose Total WeeFIM® Percent Gained is 17% or Greater and Whose Age at the Beginning of Treatment Was Greater Than 3 years Old and Less Than 10 years Old Compared to WeeFIM® Progress as a Function of Age for Children Without Developmental Delays or Disabilities
| Item | Start (%) | End (%) | Percent Gained (%) |
|---|---|---|---|
| Normative Curve | 14.3 | 95 | 80.7 |
| Child With Speech and Language Impairments (9.4 Years) | 43.7 | 93.7 | 50 |
| Helper / No Helper | Category | Rating Descriptor | Rating | Level of Function | |
|---|---|---|---|---|---|
| No Helper | Independence | Complete Independence | 7 | Child safely performs all the tasks without assistance from a helper, within a reasonable amount of time, and without modifications, assistive devices or aids | |
| Modified Independence | 6 | Child performs all tasks without assistance from a helper but requires either an assistive device/aid/prosthesis/orthosis, takes more than a reasonable amount of time, or there is a concern for the child’s safety | Last Assessment | ||
| Helper | Modified Dependence | Supervision / Setup | 5 | Child performs all the tasks but requires either supervision without physical contact or setup assistance | |
| Minimal Assistance | 4 | Child performs > 75% or more of the tasks, requiring no more help than touching | |||
| Moderate Assistance | 3 | Child performs 50% to 74% of the tasks, requiring physical assistance beyond touching | First Assessment | ||
| Complete Dependence | Maximal Assistance | 2 | Child performs 25% to 49%, requiring maximal assistance from a helper | ||
| Total Assistance | 1 | Child performs <25% of the tasks, requiring total assistance from a helper |