過去３年間の脳梗塞患者における回復期前期でのｍｏｔｏｒ　ＦＩＭの経過

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  • 鈴木 英二
    埼玉医科大学リハビリテーション医学教室
  • 間嶋 満
    埼玉医科大学リハビリテーション医学教室
  • 牧田 茂
    埼玉医科大学リハビリテーション医学教室
  • 藤井 泰
    埼玉医科大学リハビリテーション医学教室
  • 今井 太郎
    埼玉医科大学リハビリテーション医学教室

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タイトル別名
  • Clinical Course of Ischemic Stroke Patients Measured by Motor FIM in Post-acute Stage
  • カコ 3ネンカン ノ ノウコウソク カンジャ ニ オケル カイフクキ ゼンキ デ ノ motor FIM ノ ケイカ

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We reported on the clinical course of ischemic stroke patients using motor items of the Functional Independence Measure (motor FIM). Subjects were 183 ischemic stroke patients transferred to our department from 1999 to 2001. Re-admitted patients, patients with repeat-attacks or patients with severe co-morbidity were excluded. Nurses of the Rehabilitation Department scored patient motor FIM every week. We discuss the averaged motor FIM during the first five weeks after admission. Motor FIM scores at admission were at the 60 level in 1999, the 50 level in 2000, and at the 40 level in 2001. Motor FIM scores did not change in 1999 and 2000 but improved in 2001 during the 5 week periods. This is because in 1999 and 2000 there were many mild level patients and mild level patients who were discharged promptly and not so many severe patients who improved in 5 weeks. On the contrary, there were many severe level patients in 2001 and their conditions improved in 5 weeks. Motor FIM gain was high in the beginning period and high in 2001. We divided the subjects into 2 groups; low FIM group (motor FIM 13-52), high FIM group (motor FIM 53-91). Motor FIM gain was higher in the low FIM group. There were many patients in the low FIM group in 2001.

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