Original Article

Relationship between therapistsf years of experience and Functional Independence Measure gain and efficiency in stroke rehabilitation

Yasunori Kawasaki, PT, MSc, Yoshimi Tsuchida, PT, Makio Yamaga, MD, PhD, Hiroaki Koga, MD, Tsuyoshi Nakamura, PhD, Yoshiaki Nose, MD, PhD, Junichi Iiyama, MD, PhD
Jpn J Compr Rehabil Sci 4: 55-60, 2013

Objective: This study aimed to clarify whether or not the years of experience of physical therapists (PTs) and occupational therapists (OTs) influences rehabilitation treatment results as quantified using the Functional Independence Measure (FIM).
Methods: The subjects were PTs and OTs who took care of 354 cerebrovascular accident (CVA) patients. With motor FIM gain and motor FIM efficiency as the evaluation scales, the following three combinations were evaluated: 1) FIM gain and efficiency on transfers, locomotion, and stairs, and PTsf years of experience; 2) FIM gain and efficiency in eating, grooming, bed bath, dressing, toilet behavior, urination management, and defecation management, and OTsf years of experience; and 3) motor FIM gain and motor FIM efficiency on all items and years of experience (PTsf + OTsf). Results were analyzed using simple regression, multiple regression, and stratified simple regression.
Results: A weakly positive relationship was observed between a PTfs years of experience and motor FIM gain in moderately impaired patients. No relationship was observed between an OTfs years of experience and motor FIM gain. There was no relationship between years of experience and motor FIM efficiency.
Conclusion: These results suggest that activities of daily living involving the lower limbs are influenced by a PTfs years of experience.

Key words: years of experience, motor FIM gain, quality of rehabilitation

Contents (volume 4)