脳血管障害の日常生活遂行能力に関する予後予測の検討 : Fugel-Meyer 評価法とFIMを用いて

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  • ノウケッカン ショウガイ ノ ニチジョウ セイカツ スイコウ ノウリョク ニ カンスル ヨゴ ヨソク ノ ケントウ Fugel Meyer ヒョウカホウ ト FIM オ モチイテ

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Our expectation of Rehabilitational accuracy for the recovery of patient's with cerebral accident (CVA) has been valued highly. It is very important and proper to set up appropriate therapeutic goals and prognosis at the beginning of Rehabilitation program. At present mostly we utilizes Functional Independent Measure (FIM) for the patient's independent motor accuracy. How ever, many patient achieve Activity of Daily Living (ADL) motor functions by compensational movements and also changing their handiness. But how paralyzed upper extremity's movements effects patient's ADL is not clearly understood. This study is to compared the Fugel-Meyer's method at the beginning of patient's admission into three groups and utilization of FIM for the patient's admission and leaving the hospital. Subjects : The patients who has been hospitalized and discharged from Nobeoka Rehabilitation Hospital between 14, May. 2002. ~15, Oct. 2003 (17 months of stay ), 13 Male patients, 11 female patients. Average patient's hospitalization was 4.35 ± 2.58. Patient's average of illness ~2.27 ± 1.79 months. Patient's age : male ~ 66.2 ± 11.6 years. Female : 61.6 ± 14.8 years. Patient's diagnosis : CVA ~ 11 patients, Brain infarction ~ 9 patients, Subarachnoid hemorage ~ 3 patients, Chronic Epidural hematoma ~ 1 patient. Right Hemiparalisis~ 14 (M ~9, F ~ 5), Left Hemiparalysis ~ 10 (M ~ 3, F ~ 7). Result : The Fugel - Meyer's three groups was independent at the beginning and the time of patient's discharge, and we found the difference.

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