Functional Independence Score in Hemophilia (FISH)

Performance measures:

(1) eating and grooming

(2) bathing

(3) dressing

(4) transfer to and from chair

(5) squatting

(6) walking

(7) step or stair climbing

where:

• Eating and grooming are upper extremity and coordination activities.

• A more straightforward scoring system is grading from 0 to 3.

• Squatting may not be a common activity for some, and bending over or toileting may be a better measure.

subscore for self-care =

= (points for eating and grooming) + (points for bathing) + (points for dressing)

subscore for transfers =

= (points for chair transfer) + (points for squatting)

subscore for locomotion =

= (points for walking) + (points for step climbing)

total score =

= SUM(points for all 7 measures)

percent of normal activity =

= ((total score) - 7) / 21

Interpretation:

• minimum total score: 7

• maximum total score: 28

• The higher the score the better the person's functional ability.