Relationship between the Motor Assessment Scale at One Month after Admission and Functional Independent Measure at Discharge in Severe Stroke Patients

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  • 重度脳卒中患者における入院1 ヵ月時のMotor Assessment Scale と退院時FIM との関連
  • ─偏相関分析による検討─

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Abstract

Purpose: The aim of this study was to clarify the relationship between the skill for basic movements such as rolling and sit-to-stand at one month after admission and activities of daily living (ADL) independence at discharge in severe stroke patients.<br>Methods: This retrospective study included 25 patients with first stroke who had a score of less than 40 points on the Functional Independent Measure (FIM) scale at admission. ADL was assessed by using the FIM at admission and discharge, and basic movements were assessed by using the Motor Assessment Scale at admission and at one month. Partial correlation analyses were conducted between each basic movement at one month after admission and the FIM at discharge (dFIM) or the functional gain of FIM (gFIM) during the hospital stay.<br>Results: There were significant positive correlations between the dFIM and “Supine to sitting over side of bed”, “Balanced sitting”, and “Sit to stand”. There were significant positive correlations between the gFIM and “Supine to sidelying”, “Spine to sitting over side of bed”, “Balanced sitting”, and “Sit to stand”. In particular, “Balanced sitting” and “Sit to stand” indicated a high correlation coefficient with the dFIM and gFIM.<br>Conclusion: These findings suggest that the relationships between the dFIM or the gFIM and basic movements at one month after admission, and “Balanced sitting” and “Sit to stand” are particularly important.

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