Tetsuya Yamagami, RPT, PhD, Mitsutaka Oka, ROT, Naomi Sunagawa, ROT, Yumiko Onozuka, RN, Yukiko Tanaka, MD, PhD, Haruyasu Yamaguchi, MD, PhD,
Masami Saito, MD
Jpn J Compr Rehabil Sci 9: 52-58, 2018
Objective: The influence of the presence and severity
of concomitant dementia on Functional Independence
Measure (FIM) gain and strategies for rehabilitation
were investigated in Kaifukuki rehabilitation wards.
Methods: The presence of dementia, and FIM gain
and efficiency on admission and discharge as well as
outcomes were compared among 232 patients in
Kaifukuki rehabilitation wards. In addition, factors
considered to be associated with a significant increase
(positive) or decrease (negative) in FIM gain were
investigated.
Results: Changes in FIM by the presence or absence of
dementia showed a significant main effect (F=352.4,
p<0.001) and interaction (F=5.382, p=0.021). FIM gain
and efficiency were significantly lower in the group
with dementia, but no significant difference in severity
was noted between the group without dementia and the
group of mildly demented elderly subjects with level II
dependence in activities of daily living. Factors
associated with positive FIM gain were medical and life
management as well as approaches to involvement,
whereas aggravation of the main disease and
complications were considered negative factors.
Conclusion: FIM improved even in the presence of
dementia through convalescent rehabilitation and care
in consideration of dementia, suggesting that effects
comparable with those for patients without dementia
are possible when dementia is mild.
Key words: convalescent rehabilitation, dementia, Functional Independence Measure (FIM), Activities of Daily Living (ADL)