Makoto Tokunaga, MD, PhD, Kimiko Fukunaga, MD, Katsuhiko Sannomiya, RPT,
Yoshihiko Imada, OTR, Rieko Inoue, ST, Hiroomi Hamasaki, RPT, Daisuke Noguchi, RPT,
Yukihiko Nakashima, OTR, Susumu Watanabe, MD, PhD, Ryoji Nakanishi, MD, PhD,
Hiroaki Yamanaga, MD, PhD
Jpn J Compr Rehabil Sci 4: 61-66, 2013
Purpose: To determine if the difference between
measured Nichijo-seikatsu-kino-hyokahyo score
(NSKH) and predicted NSKH score (measured
NSKH-predicted NSKH) derived from the Functional
Independence Measure (FIM) score is related to FIM
gain, and whether it increases the predictive accuracy
of FIM gain.
Methods: We studied 102 stroke patients in the
Kaifukuki rehabilitation ward with FIM scores at
admission between 18 and 58. We analyzed whether a
correlation exists between gmeasured NSKHpredicted
NSKHh and gFIM gainh, and performed a
multiple regression analysis to predict FIM gain.
Results: A significant negative correlation (correlation
constant -0.275, p<0.01) was detected between
measured NSKH-predicted NSKH and FIM gain. The
adjusted R-square value increased by 0.101 after
incorporating measured NSKH-predicted NSKH into
the predictive equation for FIM gain, which included
age and FIM score at admission.
Conclusion: This study demonstrates that measured
NSKH-predicted NSKH correlates with FIM gain, and
that measured NSKH-predicted NSKH is an index that
increases the predictive accuracy of FIM gain.
Key words: Nichijo-seikatsu-kino-hyokahyo, needs of nursing care, Functional Independence Measure, gain