Nobuyuki Arai, MD, Yasumasa Abe, MD, Hiromichi Metani, MD, Takashi Hiraoka, MD, Kozo Hanayama, MD
Jpn J Compr Rehabil Sci 14: 33-38, 2023
Objective: The functional effects of cranioplasty were
measured in patients with severe cerebral infarction
who had undergone cerebral decompression by
comparing the functional independence measure
(FIM) during convalescent rehabilitation before and
after cranioplasty.
Methods: The study design was a single-center
retrospective cohort study.
Results: Fifty-five patients underwent cerebral
decompression after cerebral infarction at our hospital, six
of whom were included in this study. Two patients who
exhibited cranial depression had no changes in FIM one
month prior to cranioplasty. However, the FIM increased
one month postoperatively. These patients showed a large
increase in the scores for movement and transfer.
Discussion: Cranioplasty may play a role in improving
ability during convalescent rehabilitation in patients
with severe cerebral infarction who undergo cerebral
decompression, especially in movement and transfer
items.
Key words: cerebral decompression, severe cerebral infarction, cranioplasty, FIM