Keywords

Functional Self-Assessment Scale (FSAS), inpatient rehabilitation, self-awareness, traumatic brain injury

 

Authors

  1. Garmoe, William PhD
  2. Newman, Anne C. PhD
  3. O'Connell, Michael PhD

Abstract

Objective: To examine the Functional Self-Assessment Scale (FSAS) in hospitalized orthopedic patients with no brain dysfunction, and compare results to prior self-awareness data collected with brain injury patients.

 

Design: Comparison of patient and staff ratings on FSAS using paired sample t tests.

 

Participants: Thirty-one adult volunteers hospitalized on National Rehabilitation Hospital (NRH) orthopedic treatment unit.

 

Measures: FSAS was used to compare patient and staff ratings of patient performance on tasks relevant for inpatient rehabilitation. Subjects were screened to rule out brain impairment.

 

Results: Statistically significant but very small differences were found between orthopedic patients and therapist ratings using the FSAS. However, brain injury patients' ratings show a significantly larger discrepancy between self-therapist ratings than do orthopedic patients.

 

Conclusion: Impaired self-awareness is related to brain injury rather than nonspecific factors in rehabilitation inpatients.