Yoshihiko Imada, OTR, Makoto Tokunaga, MD, PhD, Kimiko Fukunaga, MD,
Katsuhiko Sannomiya, RPT, 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 5: 12-18, 2014
Objective: To clarify the relationship between
cognitive Functional Independence Measure (FIM)
and motor FIM gain.
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.
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.
Conclusion: This study clarified the relationship
between cognitive FIM scores at admission and motor
FIM gain in individuals with stroke.
Key words: cognitive FIM, motor FIM gain, multiple regression analysis, stratification