脳卒中片麻痺患者のリハビリテーション効果判定におけるFIMの有用性の検討

概要

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Twenty Patients with hemiplegia following stroke were studied to clarify utility of the Functional Independence Measure (FIM) at the time of their admission to hospital and three months after that. Their mean age was 66.8 ± 12.3 years old. Factors which can affect scores of the FIM, such as age, precence of pain and aphagia, as well as motivation to cope with their disabilities, and their mental status were also analyzed in relation to effects of their rehabilitation. As a result, items associating with motor function in the FIM reflect more easily than those associating with cognitive function in the FIM. Patients' age, urinary incontinence, motivation, mental status as well as severity of paralysis of upper and lower extreniry were principal factors which affect score of the FIM. These result suggest that the FIM has clinical utility in evaluating effects of changes of motor function in early stage of rehabilitation in hemiplegic patients.
神戸大学の論文