Minimal Clinically Important Difference for Functional Independence Measure Gain in Post-acute Rehabilitation Ward Patients with Motor Disorders

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  • 回復期リハビリテ―ション病棟での運動器疾患患者のFunctional Independence Measure運動スコア利得における臨床的に意義のある最小差
  • カイフクキ リハビリテ ― ション ビョウトウ デ ノ ウンドウキ シッカン カンジャ ノ Functional Independence Measure ウンドウ スコア リトク ニ オケル リンショウテキ ニ イギ ノ アル サイショウサ

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Abstract

[Purpose] To determine the minimal clinically important difference (MCID) for motor-FIM gain in post-acute rehabilitation ward patients with motor disorders. [Subjects and Methods] A total of 102 post-acute rehabilitation ward patients were studied. Motor-FIM gain was calculated by deducing the admission score from that at 30 days after it. As an external index for FIM-based evaluation, the Global Rating of Change (GRC) Scale, in which patients report the levels of changes in their conditions, was used. Patients with GRC scores from –1 to 1 were classified as the Small Change Group (based on changes in their ADL), and their mean score was adopted as the MCID. [Results] The mean motor-FIM gain in the Small Change Group was 14.6. [Conclusion] Post-acute rehabilitation ward patients with motor disorders may begin to realize improvements in their ADL when they gain a motor-FIM score of 14.6.

Journal

  • Rigakuryoho Kagaku

    Rigakuryoho Kagaku 33 (2), 235-240, 2018

    The Society of Physical Therapy Science

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