Functional Independence Measure for Children (WEEFIM) – 2016
Data below is reviewed and up to date.
Below is a summary of an article that utilized the Functional Independence Measure for Children (WEEFIM):
Ko I-H, Kim J-H, Lee B-H. Relationships between lower limb muscle architecture and activities and participation of children with cerebral palsy.Journal of exercise rehabilitation. 2013;9(3):368-374. doi:10.12965/jer.130045
The purpose of this study was to examine how muscle strength and size of lower extremity muscles effects physical function, activity, and participation in children with cerebral palsy (CP). The study consisted of 38 infants with CP and 13 infants with normal development. Diagnostic ultrasound was used to measure the structure of the gastrocnemius and rectus femoris muscle groups. The Wee Functional Independence Measure (WeeFIM) was used to measure development condition, health, education standards and local community standards of the subjects. Manual muscle testing of the knee extensors and plantar flexors, the Gross Motor Function Classification System (GMFCS), the Gross Motor Function Measure (GMFM), and the ICF-CY check list were also utilized as outcome measures. The examiners performed diagnostic ultrasound and manual muscle testing on all subjects as well as conducted the various outcome measures, including the WeeFIM.
Significant differences in thickness of muscle was found in relation with GMFCS level, thickness of knee and ankle extensor muslces, and clauses of self-care, activity, mobility, ambulation, communication, and social acknolwedgement as measured via the outcome measures, including the WeeFIM. A higher total score of GMFM and WeeFIM resulted in higher activity and participation scores on the ICF-CY.
Strengths of the study included utilizing applicable outcome measures and having a good sample size for the study. Weaknesses included having a wide variety of musculature impairments in the subjects with CP. In addition, assessing strength via manual muscle testing on infants may not have the same reliability and validity as it does with adults. Overall, I believe the study identifies the importance of muscle size and strength in relation to differences in function, activity, and participation for children with cerebral palsy.