Functional Evaluation after Stroke Using the FIM(Functional Independence Measure); the Relationship between the FIM and the Barthel Index, and the Contribution of Communication Scores or Social Cognition Scores.

Sonoda, Shigeru; Tsubahara, Akio; Tajiri, Hisako; Igari, Motomi; Sawa, Shunji; Saito, Masaya; Domen, Kazuhisa; Chino, Naoichi

doi:10.2490/jjrm1963.29.217

Cited by 7 publications

(5 citation statements)

References 2 publications

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“…It comprises 13 items assessing physical function and five items evaluating cognitive function; each item is scored from 1 to 7. This scoring system facilitates the precise assessment of a patient's activities of daily living, making it a frequently used tool for determining the effectiveness of rehabilitation and predicting outcomes (15,16). Therefore, we assessed the recovery levels after rehabilitation using FIM efficiency based on the FIM scores at admission and discharge.…”

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

“…This scoring system facilitates the precise assessment of the daily activities of a patient, making it a frequently used tool for determining the effectiveness of rehabilitation and predicting outcomes. 13,14 In this study, patients with brainstem infarction were stratified into groups with favourable and poor prognoses. Univariate analysis was conducted to delineate the background characteristics of each group.…”

Section: Study Design and Populationmentioning

confidence: 99%

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Pontine Infarction: A Prospective Cohort Study on Its Clinical Features, Prognosis, and Association with Branch Atheromatous Disease

Motoie,

Ono,

Oketani

et al. 2024

Preprint

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BackgroundDespite existing research on brainstem infarction, there are limited evidence for pontine infarctions, which have been often associated with significant recurrence risks and variable outcomes. We aimed to analyze the characteristics, prognosis, and rehabilitation outcomes of pontine infarctions, including branch atheromatous disease (BAD).MethodsWe analyzed 408 pontine stroke cases from the Baba Memorial Hospital (2012-2022), excluding irrelevant cases. We focused on variables, such as the age, sex, medical history, antithrombotic drug use, symptoms, BAD, and functional independence measure (FIM) scores at admission and discharge. The patients were categorized into good and poor prognosis groups based on their discharge FIM scores. Univariate and logistic regression analyses were performed with age adjustments because of their strong correlation. We performed a comparison between the patients with and without BAD, followed by multiple regression analysis using FIM efficiency.ResultWe evaluated the rehabilitation outcomes in patients with pontine infarction using the FIM. We recorded a 63% rate of home discharge, similar to that of other stroke types. Patients with an admission FIM score ≥63 were more likely to be discharged regardless of their age. Factors, such as the age, paralytic symptoms, and stroke history determined the rehabilitation efficiency and discharge outcomes significantly(p<0.05). BAD did not impact prognosis significantly, despite its association with lower admission FIM scores caused by dysarthria and paralysis. Notably, a history of smoking and stroke was associated with lower FIM scores, indicating diminished rehabilitation effectiveness. Conversely, patients with dyslipidemia exhibited improved rehabilitation outcomes.ConclusionsThis study demonstrated a 63% home discharge rate for patients who have had pontine stroke, akin to others. Elevated admission FIM scores enhance the likelihood of discharge, whereas smoking and previous strokes impede rehabilitation, highlighting the need for specialized treatment approaches and additional studies.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Study Design and Populationmentioning

confidence: 99%

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Pontine Infarction: A Prospective Cohort Study on Its Clinical Features, Prognosis, and Association with Branch Atheromatous Disease

Motoie,

Ono,

Oketani

et al. 2024

Preprint

View full text Add to dashboard Cite

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“…This measure documents five levels (I‐V) of cognition for patients with a brain injury. It has shown both high reliability, such as equivalence and interrater reliability (Granger, Albrecht, & Hamilton, 1979; Loewen & Anderson, 1988; Wolfe, Taub, Woodrow, & Burney, 1991), and high criterion‐related validity (Gresham, Phillips, & Labi, 1980; Sonoda et al ., 1992). The LOCFAS evaluates the cognitive function of a patient with brain damage, but in contrast to the JCS, the higher the score, the less serious is the problem.…”

Section: Methodsmentioning

confidence: 99%

Effectiveness of the “Elevated Position” Nursing Care Program in promoting the reconditioning of patients with acute cerebrovascular disease

Okubo

2011

Japan Journal Nursing Sci

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Aim: Over 34,000 Japanese patients suffer from a persistent disturbance of consciousness. The purpose of this study was to investigate the effectiveness of the "Elevated Position" Nursing Care Program (EPNCP) in promoting the reconditioning of patients with acute cerebrovascular disease (ACD). The primary assumption of this study was that they could experience the reconditioning process and would reach a reconditioned state through their involvement in the EPNCP, thus improving their level of consciousness and quality of life. Method: A historical controlled trial study, based on an intention-to-treat analysis of hospitalized patients with ACD who became participants the day after starting medical or surgical treatment, was used. Trained nurses implemented the EPNCP from May to September 2005 for an experimental group of 45 participants. The data on two independent control groups of 92 and 40 patients with ACD were gathered from historical medical records. The six measures were: Japan Coma Scale; Level of Cognitive Functioning Assessment Scale; number of days from the intervention to sitting in a wheelchair; number of participants who left the intensive care unit (ICU) by wheelchair; Barthel Index; and modified Rankin Scale. Results: Significant differences were found regarding the number of participants who left the ICU by wheelchair, length of time from the EPNCP's commencement to the wheelchair-sitting position, and the Barthel Index 1 week after leaving the ICU. Conclusion: The EPNCP was safe for the reconditioning of patients with ACD and somewhat effective in improving their physical function. A comprehensive nursing care program now exists for elevating patients with cerebrovascular disease during the early phase following the onset of symptoms or immediately after surgery. Further research should be conducted, extending the duration of the intervention program and the length of the measurement period, followed by a careful analysis of the results.

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“…Beginning in the late 1970s,Granger et al 1) , Linacre et al 2) , Chino et al 3) , Niki 4) , Masakado et al 5) , Tsuji et al 6) and Sonoda et al 7) conducted studies on the difficulty of ADL items for stroke patients using the Barthel Index or the functional independence measure (FIM). Following these studies, Ueda, Okawa and others [8][9][10][11][12] from the early 1990s began reporting ADL gaps between the level of potential activity and the level of actual activity.…”

Section: Introductionmentioning

confidence: 99%

The Gaps between Capability ADL and Performance ADL of Stroke Patients in a Convalescent Rehabilitation Ward -Based on the Functional Independence Measure-

Iwai¹,

Aoyagi

Tokuhisa

et al. 2011

J Phys Ther Sci

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Abstract.[Purpose] The purpose of this study was to clarify the structure of activities of daily living and their characteristics based on the relationship with their difficulty levels and the gaps between the actual activity level achieved in daily living (performance ADL) and the potential activity level that can be performed under supervision (capability ADL).[Subjects] The subjects of this study were 255 stroke patients.[Methods] Performance ADL and capability ADL were evaluated using the functional independence measure, and the scores were converted to an interval scale by Rasch analysis to compare item difficulty and gaps.[Results] Scores of performance ADL were lower than those of capability ADL. The gaps between capability ADL and performance ADL on admission had not decreased at the time of discharge. ADL items could be categorized into three difficulty levels of high, moderate and low by interval scales. Some ADL items tended to develop gaps, while others did not. The correlation between difficulty level and the gap was extremely low, and ADL items of higher difficulty did not always have greater gaps. [Conclusion] We confirmed that the improvement of capability ADL precedes that of performance ADL in the process of ADL improvement.

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Functional Evaluation after Stroke Using the FIM(Functional Independence Measure); the Relationship between the FIM and the Barthel Index, and the Contribution of Communication Scores or Social Cognition Scores.

Cited by 7 publications

References 2 publications

Pontine Infarction: A Prospective Cohort Study on Its Clinical Features, Prognosis, and Association with Branch Atheromatous Disease

Pontine Infarction: A Prospective Cohort Study on Its Clinical Features, Prognosis, and Association with Branch Atheromatous Disease

Effectiveness of the “Elevated Position” Nursing Care Program in promoting the reconditioning of patients with acute cerebrovascular disease

The Gaps between Capability ADL and Performance ADL of Stroke Patients in a Convalescent Rehabilitation Ward -Based on the Functional Independence Measure-

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