Yuta Fujitaka, PT, MS, Naojiro Tanaka, PT, MS, Hisae Nakadai, PT, Rina Sato, PT,
Mitsuko Watanabe, ST, MS, Noriko Kageyama, RD, Takatsugu Okamoto, MD, PhD
Jpn J Compr Rehabil Sci 8: 98-103, 2017
Purpose: This study aimed to investigate the differences
in improvement rate of Functional Independence
Measure score (FIM) stratified by nutritional status
and age in stroke patients admitted to a kaifukuki
(convalescent) rehabilitation ward (KRW).
Methods: Stroke patients aged 60 years or older
admitted to the KRW in our hospital between May
2013 and February 2015 were studied. Patients with
Mini Nutritional Assessment-Short Form (MNA-SF)
score 7 or below at admission were classified in the
malnutrition group, and those with score 8 or above in
the normal nutrition group. Each group was further
stratified by age into 60s, 70s, and 80 and older, with a
total of 6 groups. FIM effectiveness was calculated as
an indicator of FIM improvement rate, and multiple
comparison was conducted among groups.
Results: FIM effectiveness did not differ among age
groups in the normal nutrition group, but was
significantly lower in patients aged >-80 compared to
those aged 60s and 70s in the malnutrition group.
Conclusion: In stroke patients with malnutrition, the
FIM improvement rate decreased as age increased.
This finding suggests that in order to conduct
rehabilitation efficiently, the nutritional status should
be taken into consideration when planning the
rehabilitation program, especially in patients of
advanced age.
Key words: Kaifukuki rehabilitation ward, stroke, nutritional status, age groups, FIM improvement rate