ADL Assessment for Hemiparetic Stroke Patients Based on the Functional Independence Measure.

DOI Web Site 被引用文献1件 参考文献14件
  • Katoh Junichi
    Departments of Internal Medicine, Hyogo Rehabilitation Center Hospital, 1070 Akebono-cho, Nishi-ku, Kobe 651-21, Japan.
  • Ohsaka Gorou
    Rehabilitation Medicine, Hyogo Rehabilitation Center Hospital, 1070 Akebono-cho, Nishi-ku, Kobe 651-21, Japan.
  • Hara Yasuhisa
    Departments of Internal Medicine, Hyogo Rehabilitation Center Hospital, 1070 Akebono-cho, Nishi-ku, Kobe 651-21, Japan.
  • Ishihara Kenzou
    Departments of Internal Medicine, Hyogo Rehabilitation Center Hospital, 1070 Akebono-cho, Nishi-ku, Kobe 651-21, Japan.
  • Taniguchi Hiroshi
    Faculty of Health Science, Kobe University School of Medicine
  • Narutaki Kyoya
    Departments of Internal Medicine, Hyogo Rehabilitation Center Hospital, 1070 Akebono-cho, Nishi-ku, Kobe 651-21, Japan.

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We have examined to the changes of the FIM score with the Brunnstrom stage and evaluated the ADL structures in rehabilitation for hemiparetic stroke patients. The total FIM score, on admission, was significantly higher as the grade on the Brunnstrom stage, in upper and lower extremities of hemiparetic stroke patients, increased. After 10 weeks rehabilitation, the change in the total FIM score of patients starting rehabilitation within 19 weeks of the occurrence of stroke was increased significantly compared with those of patients who had experienced stroke more than 20 weeks earlier. The change in the total FIM score, after rehabilitation, of patients with stroke in the left hemisphere was increased significantly compared with those of patients with stroke in the right hemisphere. We concluded that FIM is effective in rehabilitation assessment as a means of categorizing a patient’s condition, and as data for program evaluation.

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