Relationship between cognitive FIM score and motor FIM gain in patients with stroke in a <i>Kaifukuki</i> rehabilitation ward

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Imada Y, Tokunaga M, Fukunaga K, Sannomiya K, Inoue R, Hamasaki H, Noguchi D, Nakashima Y, Watanabe S, Nakanishi R, Yamanaga H. Relationship between cognitive FIM score and motor FIM gain in patients with stroke in a <br>Kaifukuki rehabilitation ward. Jpn J Compr Rehabil Sci 2014; 5: 12-18. <br>Objective: To clarify the relationship between cognitive Functional Independence Measure (FIM) and motor FIM gain. <br>Methods: We examined 1,137 patients with stroke in a Kaifukuki rehabilitation ward. Both motor and cognitive FIM scores at admission were divided into six separate groups (three groups per parameter), and we then compared these groups with motor FIM gain as the objective variable. We also performed a multiple regression analysis using motor FIM gain as the objective variable. <br>Results: In the groups where motor FIM scores at admission were 13–38 points and 39–64 points, motor FIM gain was significantly higher in individuals that had high cognitive FIM scores at admission. In the multiple regression analysis, we found that motor FIM gain increased by 0.889 points when cognitive FIM scores at admission increased by 1 point in patients whose motor FIM score at admission was between 13 and 34 points and whose cognitive FIM score at admission was between 5 and 14 points. <br>Conclusion: This study clarified the relationship between cognitive FIM scores at admission and motor FIM gain in individuals with stroke.

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