Makoto Tokunaga, MD, PhD, Susumu Watanabe, MD, PhD, Ryoji Nakanishi, MD, PhD,
Hiroaki Yamanaga MD, PhD, Koichiro Yonemitsu, MD, Makoto Tanaka, RPT,
Kentaro Nakazono, RPT, Tatsuya Kurotsuchi, RPT, Shunji Kanaba, MD,
Shinichi Kawano, MD, PhD
Jpn J Compr Rehabil Sci 5: 79-86, 2014
Objective: To determine the relationships between
training dose and functional independence measure
(FIM) improvement in elderly stroke patients aged 75
years and older.
Methods: The subjects were 245 stroke patients
hospitalized in a kaifukuki rehabilitation ward. Each
subjectfs score can be calculated as follows: the value
of A in the equation, Corrected motor FIM effectiveness
= motor FIM gain / (A - motor FIM score at admission)
was set as 38, 59, 80, 87, 91 (for motor FIM score at
admission of 13-18, 19-24, 25-30, 31-36, 37-90
points, respectively). The subjects were divided into
two groups according to the training dose: those with
less than 5 sessions, and those with 5 or more sessions,
and corrected motor FIM effectiveness was compared
between these two groups.
Results: In patients aged 75-84 years and 85-96 years,
corrected motor FIM effectiveness was significantly
higher in the group attending 5 or more sessions than
in the group attending less than 5 sessions.
Conclusion: Our study indicates that not only in
elderly patients aged 75-84 years but also in those 85-
96 years FIM improvement (corrected motor FIM
effectiveness) was significantly higher in the subjects
with a larger amount of training dose.
Key words: elderly patients, training dose, FIM gain, corrected motor FIM effectiveness, kaifukuki rehabilitation ward