Functional Ability Scale (FAbS): Fluency

A seven-point rating scale ranging from the least functional (Level 1) to independent (Level 7) to describe a patient's abilities over the course of intervention.

Related Major Focus Areas

Scoring Rubric

7 - Independent Speech fluency patterns for communication are within normal limits. The affective and cognitive component is within normal limits in all communication situations.
6 - Minor Atypical fluency patterns are evident in 5-11% of communication. Moments of dysfluency are fleeting to 0.5 seconds in duration. Secondary behaviors are not noticeable to the casual observer. The affective and cognitive components rarely interfere with functional communication.
5 - Mild Atypical fluency patterns are evident in 5-11% of communication. Moments of dysfluency are one second in duration. Secondary behaviors are barely noticeable to the casual observer. The affective and cognitive components with or without behavioral abnormalities seldom interfere with functional communication.
4 - Moderate Atypical fluency patterns are evident in 12-22% of communication. Moments of dysfluency are 2-9 seconds in duration. Secondary behaviors are distracting. The affective and cognitive components with or without the behavioral abnormalities, sometimes interfere with functional communication in some speaking situations.
3 - Severe Atypical fluency patterns are evident in 12-22% of communication. Moments of dysfluency are 10-30 seconds in duration. Secondary behaviors are very distracting. The affective and cognitive components with or without the behavioral abnormalities, occasionally interfere with functional communication in some speaking situations.
2 - Major Atypical fluency patterns are evident in 23% or more of communication. Moments of dysfluency are 30-60 seconds in duration. Secondary behaviors are severe in appearance. The affective and cognitive components with or without the behavioral abnormalities, frequently interfere with functional communication in many speaking situations.
1 - Profund Atypical fluency patterns are evident in 23% or more of communication. Moments of dysfluency are 60 seconds and longer in duration, accompanied by severe secondary behaviors. The affective and cognitive components with or without the behavioral abnormalities, precludes functional communication in most, if not all, speaking situations.