FSS-ICU Standard Measure

Use the radio buttons below to score each of the five items. The total score will be calculated automatically.

If you are not familiar with FSS-ICU, please review the full instrument in detail at this link: FSS-ICU Full Instrument

1. Rolling

1: Dependent

2: Max Assist

3: Mod Assist

4: Min Assist

5: Supervision or Cues

6: Modified Independent

7: Independent

2. Supine to sit

1: Dependent

2: Max Assist

3: Mod Assist

4: Min Assist

5: Supervision or Cues

6: Modified Independent

7: Independent

3. Sitting unsupported

1: Dependent

2: Max Assist

3: Mod Assist

4: Min Assist

5: Supervision or Cues

6: Modified Independent

7: Independent

4. Sit to stand

1: Dependent

2: Max Assist

3: Mod Assist

4: Min Assist

5: Supervision or Cues

6: Modified Independent

7: Independent

5. Score for ambulation

1: <50'

2: 50-150'

3: 150' with 50% assistance

4: 150' with 25% assistance

5: 150' with Supervision and Cues

6: 150' with A.D.

7: 150' Independently

FSS-ICU Standard Measure

1. Rolling

2. Supine to sit

3. Sitting unsupported

4. Sit to stand

5. Score for ambulation

Total Score: 0 / 35