Purpose
The Function in Sitting Test (FIST) is a bedside evaluation of sitting balance that evaluates sensory, motor, proactive, reactive, and steady state balance factors.
Acronym
FIST
Area of Assessment
Bodily Functions
Assessment Type
Performance Measure
Cost
Free
Diagnosis/Conditions
- Brain Injury Recovery
- Stroke Recovery
- 14 items with an ordinal scale (0-4) for each test item:
4) Independent, completes the task independently and successfully
3) Needs Cues, completes the task independently and successfully; may need verbal / tactile cues or more time
2) Upper extremity support, unable to complete task without using upper extremities for support or assistance
1) Needs assistance, unable to complete task successfully without physical assistance
0) Complete assistance, requires complete physical assistance to perform task successfully, is unable to complete task successfully with physical assistance, or dependent
- Testing Instructions:
1) One trial of each item is allowed
2) Verbal directions and demonstration are given as needed by the therapist
3) Standard position: Individual seated at edge of hospital bed with half of upper leg supported (neutral abd / adduction / rotation), hips and knees at 90 degrees, and feet flat in support
4) Hands are placed in lap unless needed for support
- See Gorman et al., 2010 for measure
- Standard hospital bed (without air mattress)
- Stopwatch
Required Training
No Training
Instrument Reviewers
Reviewed by Heidi Roth, DHS, PT, NCS and the TBI EDGE task force of the Neurology Section of the APTA in 5/2012
Professional Association Recommendation
Recommendations for use of the instrument from the Neurology Section of the American Physical Therapy Association’s Multiple Sclerosis Taskforce (MSEDGE), Parkinson’s Taskforce (PD EDGE), Spinal Cord Injury Taskforce (PD EDGE), Stroke Taskforce (StrokEDGE), Traumatic Brain Injury Taskforce (TBI EDGE), and Vestibular Taskforce (Vestibular EDGE) are listed below. These recommendations were developed by a panel of research and clinical experts using a modified Delphi process.
For detailed information about how recommendations were made, please visit: ANPT Outcome Measures Recommendations (EDGE)
Abbreviations:
HR
Highly Recommend
R
Recommend
LS / UR
Reasonable to use, but limited study in target group / Unable to Recommend
NR
Not Recommended
Recommendations based on level of care in which the assessment is taken:
Acute Care
Inpatient Rehabilitation
Skilled Nursing Facility
Outpatient
Rehabilitation
Home Health
MS EDGE
UR
UR
UR
NR
UR
TBI EDGE
LS
LS
LS
LS
LS
Recommendations for use based on ambulatory status after brain injury:
Completely Independent
Mildly dependant
Moderately Dependant
Severely Dependant
TBI EDGE
NR
LS
LS
LS
Recommendations based on EDSS Classification:
EDSS 0.0 – 3.5
EDSS 4.0 – 5.5
EDSS 6.0 – 7.5
EDSS 8.0 – 9.5
MS EDGE
NR
NR
NR
UR
Recommendations for entry-level physical therapy education and use in research:
Students should learn to administer this tool? (Y/N)
Students should be exposed to tool? (Y/N)
Appropriate for use in intervention research studies? (Y/N)
Is additional research warranted for this tool (Y/N)
MS EDGE
No
No
No
Yes
TBI EDGE
No
No
No
Not reported
Considerations
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