Dr. Linda Isaac, PhD Director, Rehabilitation Research Center Santa Clara Valley Medical Center
Assistant Professor (Affiliated) Stanford University, School of Medicine Department of Orthopedic Surgery
Citation Wright, J. (2000). The
Functional Assessment Measure. The Center for Outcome
Measurement in Brain Injury. http://www.tbims.org/
combi/FAM ( accessed
This citation is for the COMBI web material. Mr. Wright is
not the scale author for the FAM.
Training & Testing
and testing material are in two locations. Training material involves
rated vignettes. Please print out the vignettes and mark your answers.
After you have finished you can review the answers for the training
vignettes. Each answer includes a rationale.
materials are similar, only you rate a different set of vignettes
online. Your results will be emailed to you. Answers for individual
testing vignettes are not given, only a percentage correct.
use the training materials BEFORE you use the testing materials.
Debra, after having her trach removed, needed to swallow several times
even for her morning oatmeal.
Barbara eats way too fast and often chokes. She needs minimal assistance
to remind her to slow down.
Margaret can now eat pudding and applesauce but most of her calories
are from her NG tube feedings.
Bert transfers himself into the car despite the fact that he always
comes close to falling out as he lifts the wheelchair into the car.
Bettie can transfer into the drivers seat, but needs only some assistance
getting the wheelchair in behind her, but can unload it.
Beatrice can only open the car door and break down part of her wheelchair.
Then her son transfers her into the car and loads her wheelchair.
Jeremy takes the bus to school each day. It took him some phone calls
to get the correct route and figure out all the connections. He also
bought a monthly pass to avoid getting change out each trip.
Joey needs his mom to supervise each new trip he takes.
Lisa says she is independent, but in reality requires total assistance
from her brother.
My father needs help reading the business section, although he is
fine with the front page headlines and the captions under the photos.
After my nephew's accident he was no longer able to recognize initials
and letters etc., but he can play picture concentration.
Once my father could recognize the short notes and signature of his
grandchildren on the get well cards my mother was relieved.
Even with a large felt tip marker, Serge is unable to even trace over
the therapists letters.
Although Jose cannot move his left side he has been using his right
hand on the computer and composing some remarkable poetry and short
stories without errors.
Reynaldo writes familiar words and although he says he can read what
he writes, no one else can get past his name.
Guadalupe has to be cued to slow down her Spanish and then the interpreter
and her family can understand her.
We can only gather some type of mumbling from our daughter that conveys
her fear or happiness.
Maria automatically engages in normal conversation, and is usually
clear and easy to understand.
Roger is devastated by his new SCI, so much that he has not spoken
or eaten for a week.
Two to three times a month Paul is unusually solemn and introspective
and asks for more assistance on these days.
Tina is understandably depressed since her car accident. She gets
frustrated and anxious about new situations, and approximately once
per week this interferes with her rehabilitation. She is learning
to discuss this with her family.
Randall is having no trouble getting used to life in a wheelchair,
but he says a cure is coming soon and he will be out of his chair.
Leanne can do over half her ADL's, but only with coaxing and encouragement
from her therapist to get through each task.
Elliot has a lot of movement in his legs and doesn't understand why
he cannot just get up and walk out of the hospital and go home. This
is a constant problem.
Betty can only do straight forward simple repetitive tasks after much
Julianna needs some special training and assistance, but not all of
Bobby needs several different adaptive/assistive devices, but loves
that this enables him to work.
Frederick takes a few seconds to orient when in a new situation.
Ralph is oriented to the day, date, time and place, but needs cues
to answer correctly.
For the first 3 weeks of Ryan's semi-comatose state, his mom tried
to orient him each day to the month, day, date and place.
Darlene can only knit for 10 minutes then can no longer concentrate
on the stitches.
Woodworking has always been one of Dan's hobbies, but after his injury
he can only work for 15 minutes and still needs some redirection during
that short time.
Roland can be well on his way towards completing an extensive work
project, but if the phone rings he has a tough time getting back on
Frank does well in a structured therapy session but is not safe to
be left alone otherwise.
After being home 6 months, Rod's wife finally feels comfortable leaving
him alone so she can go shopping for a few hours.
Bertha only needs a peer's verbal comments when wheeling around the