Hirokazu Hori, MD, Shigeru Sonoda, MD, PhD, Makoto Watanabe, OTR, MS, Yuko Okuyama, RPT, Sayaka Okamoto, MD, PhD, Hideto Okazaki, MD, PhD
Jpn J Compr Rehabil Sci 10: 82-87, 2019
Objective: In post-stroke patients admitted to Kaifukuki
(comprehensive inpatient) rehabilitation wards, we
investigated whether the level of activities of daily living
(ADL) at discharge differs depending on the change in
Functional Independence Measure (FIM) score from
admission to 2 weeks post-admission.
Methods: A total of 2,636 post-stroke patients were
studied. Total scores of FIM motor subscale (FIMM)
were divided into 7 grades (FIMM7) and total scores
of FIM cognitive subscale (FIMC) were also divided
into 7 grades (FIMC7). The FIMM7 or FIMC7 on
admission and that at 2 weeks post-admission were
compiled in a cross table, and the median values of
FIMM on admission, FIMM at discharge, FIMM gain,
and FIMM efficiency were calculated, and the
differences were analyzed statistically.
Results: For both FIMM7 and FIMC7, as the
difference in score between admission and 2 weeks
post-admission became greater, more combinations
showed significantly higher FIMM at discharge and
higher FIMM gain/efficiency.
Conclusion: Patients showing improvement in FIMM
or FIMC from admission to 2 weeks post-admission
may have better ADL outcomes.
Key words: stroke, rehabilitation, convalescent stage, ADL, outcome prediction