Functional Status Score for the Intensive Care Unit
The Functional Status Score for the Intensive Care Unit (FSS-ICU) is used to evaluate a patient’s physical functioning in an ICU setting. If you wish to access and use the FSS-ICU, please follow this link (to find FSS-ICU, search under the “Physical Outcomes – Tests” heading), and register at this website. Additional resources are available for the FSS-ICU including a pocket card, FAQ, pre-ICU baseline retrospective data collection version, and translated versions. To get updates on revisions to the FSS-ICU and its User Instructions, sign up for the “Newsletter” feature at this website.
Link to FSS-ICU (under “Physical Outcomes – Tests”)
Validation studies of the FSS-ICU
Huang M, et al.Functional Status Score for the ICU: An International Clinimetric Analysis of Validity, Responsiveness, and Minimal Important Difference. Crit Care Med. 2016 Dec;44(12)
Ragavan VK, et al.The Functional Status Score for the Intensive Care Unit Scale: Is It Reliable in the Intensive Care Unit? Can It Be Used to Determine Discharge Placement? JACPT 2016 Aug; 93-100 Link to Article
Johns Hopkins Highest Level of Mobility scale
The Johns Hopkins Highest Level of Mobility (JH-HLM) scale is created to standardize the measurement and reporting of patient mobility in the hospital. The JH-HLM is currently being validated. Anyone wishing to use this scale should submit a user request form.
Survey Of Barriers to Early Mobility
A novel survey instrument to identify important barriers to mobilizing medical inpatients. Results from this paper can assist with the implementation of quality improvement projects for increasing early hospital-based patient mobility.
Manual Muscle Strength Testing
Resistance is applied manually to different muscle groups, and the reviewer grades the strength of the resistance using the Medical Research Council (MRC) scale.
Please click on the picture below to view the Manual Muscle Testing Protocol, published in the Journal of Visualized Experiments.
Manual Muscle Testing Video
Manual muscle testing (MMT) is a standardized clinical examination commonly used to measure strength of peripheral skeletal muscle groups. This video demonstrates MMT using the 6-point Medical Research Council scale.
For more information on surveys instruments and clinical testing methods, please visit: www.ImproveLTO.com.