Original Article

Changes in the gait ability of hemiplegic patients with stroke in the subacute phase \A pattern based on their gait ability and degree of lower extremity motor paralysis on admission\

Genichi Tanino, RPT, MHSc, Shigeru Sonoda, MD, PhD, Makoto Watanabe, OTR, BA, Yuko Okuyama, RPT, Sho Sasaki, RPT, BA, Hoshi Murai, RPT, Ken Tomida, RPT, MHSc, Akira Suzuki, RPT, BA, Kenji Kawakami, RPT, MS, Hiroyuki Miyasaka, OTR, PhD, Abbas Orand, RE, PhD, Yutaka Tomita, RE, PhD
Jpn J Compr Rehabil Sci 5: 40-49, 2014

Purpose: To examine changes in gait ability of stroke patients in the subacute phase based on their gait ability and severity of lower extremity motor paralysis.
Methods: The subjects were 1,698 hemiplegic patients with stroke. Patients were stratified by their gait ability on admission based on the Functional Independence Measure (FIM) (scores 1 to 7), and by their severity level of lower extremity motor paralysis based on the Stroke Impairment Assessment Set (complete, severe, moderate, and mild paralysis). Then the patients were classified into 28 groups using a combination of the seven FIM walk scores and the four severity levels of motor paralysis, and the relations with gait ability at discharge and various time points were analyzed.
Results: Patients in the complete paralysis group with an admission FIM walk score of 1 or 2 showed significantly lower FIM walk scores at discharge, compared to patients in the other groups. When patients had a FIM walk score of 3 or 4 on admission, the contribution of the severity of paralysis to the FIM walk score at discharge tended to be relatively small.
Conclusion: There were diverse courses of recovery of walking ability among stroke patients depending on their gait ability and severity of motor paralysis on admission.

Key words: cerebrovascular disorders, kaifukuki rehabilitation ward, walking, hemiplegia

Contents (volume 5)