Takayuki Watabe, OT, PhD, Marina Abe, OT, MHSc, Rikitaro Sako, PT, Hisayoshi Suzuki, OT, PhD, Mitsumasa Yoda, MD, PhD, Nobuyuki Kawate, MD, PhD
Jpn J Compr Rehabil Sci 12: 58-63, 2021
Objectives: This study aimed to determine the
association between the presence of external
ophthalmoplegia with diplopia due to brain injury and
Functional Independence Measure (FIM) motor items
in a case-control study.
Methods: The subjects were patients with brain injury,
admitted to a convalescent rehabilitation ward, who
were able to walk under supervision and had preserved
intellectual function. The correlation between the
strabismus angle of the external ophthalmoplegia
group and the total points of FIM motor items were
examined. In addition, the total points and sub-items
were compared between the external ophthalmoplegia
group and control group using statistical processing.
Results: There were 78 subjects: 34 in the external
ophthalmoplegia group and 44 in the control group.
Strabismus angle and the total points of FIM motor
items of the external ophthalmoplegia group were
significantly negatively correlated. Compared with the
control group, the external ophthalmoplegia group had
significantly lower levels of independence in bathing,
dressing (lower body), toileting, transfer to the chair,
transfer to the toilet, transfer to the bathroom, and
locomotion (walking).
Conclusions: External ophthalmoplegia with diplopia
is associated with FIM motor items.
Key words: external ophthalmoplegia, brain injury, FIM, convalescent rehabilitation ward