The Assessment of Stroke Patients Using the Functional Independence Measurement Scale
Stroke and FIM
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https://doi.org/10.5281/zenodo.8135432Keywords:
OSAS, thyroid, BMI, hypothyroidismAbstract
Background: The objectives of this study are; evaluating hemiplegic patients using the "Functional Independence Measurement Scale (FIM)", assessing the long-term daily life activities of patients receiving and not receiving rehabilitation based on FIM scale, emphasizing the prognostic importance of functional status assessment, and establishing the routine use of this scale in our clinic.
Material and Methods: The study conducted at Şişli Etfal Hospital used the Functional Independence Measurement Scale (FIM) to assess the functional independence of patients with cerebrovascular hemorrhage or ischemia. The patients were evaluated at different time points, including admission, discharge, and six months after the event. The FIM scale consists of 18 items in six categories, and each item is evaluated based on specific criteria. The study aimed to assess the effectiveness of a conventional rehabilitation program on the functional independence of the patients. p<0.05 was assumed statistically significant at 95% CI
Results: The study suggests that patients who received rehabilitation showed significant motor function improvement over time compared to those who did not receive rehabilitation. There was a strong correlation between the motor function status achieved after 6 months and the rehabilitation program. In the non-rehabilitation group, significant gains in motor function were observed during the initial period of the disease and the subsequent home control, but no significant change was seen between discharge and the 6-month home control (p>0.05)
Conclusion: The results indicated that patients who received rehabilitation showed significant improvements in motor function over time, and these improvements were greater compared to the non-rehabilitation group. The age, gender, and etiological cause of the stroke did not significantly affect the functional outcomes.
References
Zhang T, Yin X, Zhang Y, et al. Global Trends in Mortality and Burden of Stroke Attributable to Lead Exposure From 1990 to 2019. Front Cardiovasc Med. 2022;9:870747. Published 2022 Jun 23. doi:10.3389/fcvm.2022.870747
GBD 2016 Stroke Collaborators. Global, regional, and national burden of stroke, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Neurol. 2019;18(5):439-458. doi:10.1016/S1474-4422(19)30034-1
Madsen TE, Khoury JC, Leppert M, et al. Temporal Trends in Stroke Incidence Over Time by Sex and Age in the GCNKSS [published correction appears in Stroke. 2020 Jul;51(7):e141]. Stroke. 2020;51(4):1070-1076. doi:10.1161/STROKEAHA.120.028910
Kissela BM, Khoury JC, Alwell K, et al. Age at stroke: temporal trends in stroke incidence in a large, biracial population. Neurology. 2012;79(17):1781-1787. doi:10.1212/WNL.0b013e318270401d
Katan M, Luft A. Global Burden of Stroke. Semin Neurol. 2018;38(2):208-211. doi:10.1055/s-0038-1649503
Feigin VL, Norrving B, Mensah GA. Global Burden of Stroke. Circ Res. 2017;120(3):439-448. doi:10.1161/CIRCRESAHA.116.308413
Calmels P, Ebermeyer E, Bethoux F, Gonard C, Fayolle-Minon I. Relation entre la charge en soins à domicile et le niveau dindépendance fonctionnelle à la suite dun accident vasculaire cérébral [Relationship between burden of care at home and functional independence level after stroke]. Ann Readapt Med Phys. 2002;45(3):105-113. doi:10.1016/s0168-6054(02)00185-x
Black-Schaffer RM, Winston C. Age and functional outcome after stroke [published correction appears in Top Stroke Rehabil. 2004 Summer;11(3):viii]. Top Stroke Rehabil. 2004;11(2):23-32. doi:10.1310/DNJU-9VUH-BXU2-DJYU
Roy-O'Reilly M, McCullough LD. Age and Sex Are Critical Factors in Ischemic Stroke Pathology. Endocrinology. 2018;159(8):3120-3131. doi:10.1210/en.2018-00465
Ferrucci L, Koh C, Bandinelli S, Guralnik JM. Disability, Functional Status, and Activities of Daily Living. In: James E. Birren, ed. Encyclopedia of Gerontology (Second Edition), Elsevier, 2007:427-436.
Reeves MJ, Bushnell CD, Howard G, et al. Sex differences in stroke: epidemiology, clinical presentation, medical care, and outcomes. Lancet Neurol. 2008;7(10):915-926. doi:10.1016/S1474-4422(08)70193-5
Gall SL, Donnan G, Dewey HM, et al. Sex differences in presentation, severity, and management of stroke in a population-based study. Neurology. 2010;74(12):975-981. doi:10.1212/WNL.0b013e3181d5a48f
Derick T. Wade, Richard L. Hewer,Victorine A. Wood, Stroke: Influence of Patient's Sex, side of VVeakness on Outcome, Arch. Phys. Med. Rehabil Vol.65, September 1984; pp:513-516
Adams, G.F., Merret, J.D.rPrognosis and survival in the aftermath of hemiplegia. Brit.Med. J, 1:309,1961
Pamella W. Duncan ,Larry B.6oidstein,Ronnie D.Horner, Pamella B. Landsman, et al,Similar Motor Recovery of Upper and Lovver Extremities After Stroke,Stroke; Vol 25,No 6: June 1994; pp: 1181-1188
Li L, Scott CA, Rothwell PM. Association of Younger vs Older Ages With Changes in Incidence of Stroke and Other Vascular Events, 2002-2018. JAMA. 2022;328(6):563-574. doi:10.1001/jama.2022.12759
Rusek L, Persson CU, Svärdsudd K, et al. Lifetime risk of stroke in the general male population. Acta Neurol Scand. 2020;142(1):30-36. doi:10.1111/ane.13234
Türk Börü Ü, Kulualp AŞ, Tarhan ÖF, et al. Stroke prevalence among the Turkish population in a rural area of Istanbul: A community-based study. SAGE Open Med. 2018;6:2050312118797565. Published 2018 Sep 3. doi:10.1177/2050312118797565
Edwards JD, Kapoor A, Linkewich E, Swartz RH. Return to work after young stroke: A systematic review. International Journal of Stroke. 2018;13(3):243-256. doi:10.1177/1747493017743059
Knoflach M, Matosevic B, Rücker M, et al. Functional recovery after ischemic stroke--a matter of age: data from the Austrian Stroke Unit Registry. Neurology. 2012;78(4):279-285. doi:10.1212/WNL.0b013e31824367ab
Ten Brink AF, Hajos TR, van Bennekom C, et al. Predictors of physical independence at discharge after stroke rehabilitation in a Dutch population. Int J Rehabil Res. 2017;40(1):37-45. doi:10.1097/MRR.0000000000000198
Meschia JF, Brott T. Ischaemic stroke. Eur J Neurol. 2018;25(1):35-40. doi:10.1111/ene.13409
Dombovy ML, Sandok BA, Basford JR. Rehabilitation for stroke: a review. Stroke. 1986;17(3):363-369. doi:10.1161/01.str.17.3.363
Di Legge S, Saposnik G, Nilanont Y, Hachinski V. Neglecting the difference: does right or left matter in stroke outcome after thrombolysis?. Stroke. 2006;37(8):2066-2069. doi:10.1161/01.STR.0000229899.66019.62
Coleman ER, Moudgal R, Lang K, et al. Early Rehabilitation After Stroke: a Narrative Review. Curr Atheroscler Rep. 2017;19(12):59. Published 2017 Nov 7. doi:10.1007/s11883-017-0686-6
Liu Y, Yin JH, Lee JT, Peng GS, Yang FC. Early Rehabilitation after Acute Stroke:The Golden Recovery Period [published online ahead of print, 2022 Jan 18]. Acta Neurol Taiwan. 2022;
Hayward KS, Kramer SF, Dalton EJ, et al. Timing and Dose of Upper Limb Motor Intervention After Stroke: A Systematic Review. Stroke. 2021;52(11):3706-3717. doi:10.1161/STROKEAHA.121.034348
Balkaya M, Cho S. Optimizing functional outcome endpoints for stroke recovery studies. J Cereb Blood Flow Metab. 2019;39(12):2323-2342. doi:10.1177/0271678X19875212
Salter K, Jutai J, Hartley M, et al. Impact of early vs delayed admission to rehabilitation on functional outcomes in persons with stroke. J Rehabil Med. 2006;38(2):113-117. doi:10.1080/16501970500314350
Ancheta J, Husband M, Law D, Reding M. Initial functional independence measure score and interval post stroke help assess outcome, length of hospitalization, and quality of care. Neurorehabil Neural Repair. 2000;14(2):127-134. doi:10.1177/154596830001400205
Ferrarello F, Baccini M, Rinaldi LA, et al. Efficacy of physiotherapy interventions late after stroke: a meta-analysis. J Neurol Neurosurg Psychiatry. 2011;82(2):136-143. doi:10.1136/jnnp.2009.196428
Pinedo S, Erazo P, Tejada P, et al. Rehabilitation efficiency and destination on discharge after stroke. Eur J Phys Rehabil Med. 2014;50(3):323-333.
Van der Cruyssen K, Vereeck L, Saeys W, Remmen R. Prognostic factors for discharge destination after acute stroke: a comprehensive literature review. Disabil Rehabil. 2015;37(14):1214-1227. doi:10.3109/09638288.2014.961655
Chumney D, Nollinger K, Shesko K, Skop K, Spencer M, Newton RA. Ability of Functional Independence Measure to accurately predict functional outcome of stroke-specific population: systematic review. J Rehabil Res Dev. 2010;47(1):17-29. doi:10.1682/jrrd.2009.08.0140
Saji N, Kimura K, Ohsaka G, et al. Functional independence measure scores predict level of long-term care required by patients after stroke: a multicenter retrospective cohort study. Disabil Rehabil. 2015;37(4):331-337. doi:10.3109/09638288.2014.918195
Heruti RJ, Lusky A, Dankner R, et al. Rehabilitation outcome of elderly patients after a first stroke: effect of cognitive status at admission on the functional outcome. Arch Phys Med Rehabil. 2002;83(6):742-749. doi:10.1053/apmr.2002.32739
Rayegani SM, Raeissadat SA, Alikhani E, Bayat M, Bahrami MH, Karimzadeh A. Evaluation of complete functional status of patients with stroke by Functional Independence Measure scale on admission, discharge, and six months poststroke. Iran J Neurol. 2016;15(4):202-208.
Ota T, Akaboshi K, Nagata M, et al. Functional assessment of patients with spinal cord injury: measured by the motor score and the Functional Independence Measure. Spinal Cord. 1996;34(9):531-535. doi:10.1038/sc.1996.96
Anderson K, Aito S, Atkins M, et al. Functional recovery measures for spinal cord injury: an evidence-based review for clinical practice and research. J Spinal Cord Med. 2008;31(2):133-144. doi:10.1080/10790268.2008.11760704
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