Comparison of Functional Independence Measure (FIM) Gain between Groups with Extreme Differences in FIM Score at Admission

Tokunaga, Makoto; Higashi, Toshio; Inoue, Rieko; Ohkubo, T.; Watanabe, Susumu

doi:10.4172/2329-9096.1000402

Cited by 11 publications

(4 citation statements)

References 6 publications

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“…The FIM efficiency was calculated by subtracting the admission FIM from the discharge FIM, dividing this difference by the maximum possible FIM score without the admission FIM, and multiplying it by 100 (Figure 2) (12).…”

Section: Discussionmentioning

confidence: 99%

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Pontine Infarction: A Prospective Cohort Study on Its Clinical Features, Prognosis, and Association with Branch Atheromatous Disease

Motoie,

Ono,

Oketani

et al. 2024

Preprint

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BackgroundDespite existing research on brainstem infarction, there are limited evidence for pontine infarctions, which have been often associated with significant recurrence risks and variable outcomes. We aimed to analyze the characteristics, prognosis, and rehabilitation outcomes of pontine infarctions, including branch atheromatous disease (BAD).MethodsWe analyzed 408 pontine stroke cases from the Baba Memorial Hospital (2012-2022), excluding irrelevant cases. We focused on variables, such as the age, sex, medical history, antithrombotic drug use, symptoms, BAD, and functional independence measure (FIM) scores at admission and discharge. The patients were categorized into good and poor prognosis groups based on their discharge FIM scores. Univariate and logistic regression analyses were performed with age adjustments because of their strong correlation. We performed a comparison between the patients with and without BAD, followed by multiple regression analysis using FIM efficiency.ResultWe evaluated the rehabilitation outcomes in patients with pontine infarction using the FIM. We recorded a 63% rate of home discharge, similar to that of other stroke types. Patients with an admission FIM score ≥63 were more likely to be discharged regardless of their age. Factors, such as the age, paralytic symptoms, and stroke history determined the rehabilitation efficiency and discharge outcomes significantly(p<0.05). BAD did not impact prognosis significantly, despite its association with lower admission FIM scores caused by dysarthria and paralysis. Notably, a history of smoking and stroke was associated with lower FIM scores, indicating diminished rehabilitation effectiveness. Conversely, patients with dyslipidemia exhibited improved rehabilitation outcomes.ConclusionsThis study demonstrated a 63% home discharge rate for patients who have had pontine stroke, akin to others. Elevated admission FIM scores enhance the likelihood of discharge, whereas smoking and previous strokes impede rehabilitation, highlighting the need for specialized treatment approaches and additional studies.

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Section: Discussionmentioning

confidence: 99%

“…A discharge FIM ≥90, as suggested by prior studies, was set as the threshold for a good prognosis group (11). The FIM efficiency was calculated by subtracting the admission FIM from the discharge FIM, dividing this difference by the maximum possible FIM score without the admission FIM, and multiplying it by 100 (Figure 2) (12).…”

Section: Methodsmentioning

confidence: 99%

Pontine Infarction: A Prospective Cohort Study on Its Clinical Features, Prognosis, and Association with Branch Atheromatous Disease

Motoie,

Ono,

Oketani

et al. 2024

Preprint

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“…The aim of the study by Tokunaga et al [3], was to elucidate the most successfully method for the average improvement in motor Functional Independence Measure (mFIM) at each hospital with the least influenced by the difference of mFIM score at admission. For this purpose, the authors considered 3 groups divided based on motor FIM score at admission as 3 hospitals.…”

Section: Obata Et Al [2]mentioning

confidence: 99%

“…The result observed in this patient should be further tested among a large population of patients presenting similar symptoms. Moreover, the basic mechanisms underlying aquatic PW intervention should be further elucidated.The aim of the study by Tokunaga et al [3], was to elucidate the most successfully method for the average improvement in motor Functional Independence Measure (mFIM) at each hospital with the least influenced by the difference of mFIM score at admission. For this purpose, the authors considered 3 groups divided based on motor FIM score at admission as 3 hospitals.…”

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confidence: 99%

Physical Medicine for Health and Recovery

Takeuchi¹

2017

Int J Phys Med Rehabil

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EditorialIt was seen that, physical exercise and meditation are the most effective strategy to cope up with daily life stress and anxiety. Even from the ancient documentary evidences, it is established that, health and mind somehow can be regulated by the regular practice of physical exercise and meditation. The rationale of such realization has made 'physical medicine' an 'influential pathway' to be healthy over any life style circumstances. Various modifications in the main theme of physical exercise have been observed in recent time in the name of 'Physical therapy' or 'Physiotherapy' . However, application of 'Physical medicine' in neurological rectification is globally a novel approach. It has been shown that, involvement of 'caregiver' in the manual exercise is crucial in patient perspective. Depending upon the application specificity, various associated techniques have been introduced in recent time like short wave diathermy, wax therapy, interferential therapy, ultrasonic, and muscle strengthening exercise, which have been shown to be effective to treat and relive from pain, recovery of stroke patients, recovery from cerebral palsy and cardio pulmonary rehabilitation. Globally, the awareness and study on 'Physical Medicine' is increasing gradually and the present 'International Journal of Physiotherapy & Physical Rehabilitation' provides a world-class platform to publish relevant works on related field of Physical medicine. The authors of the recently released issue (Volume 5, Issue 3) have documented several impactful articles, a brief of which has been discussed here.The issue contains total eleven articles including eight research articles, one review article, one case report and one letter to editor. Together, the issue presents a valuable piece of research work in the field of 'Physical medicine' .Bani-Ahmed et al. [1], have investigated the functional significance of the ipsilateral primary motor cortex (iM1) hyperactivity with respect to compensatory behavioral strategies employed by patients suffering from chronic arm paresis. Functional MRI and trunk kinematic studies were performed to validate their findings. The data were collected during paretic arm movements from eleven patients before and after a four-week training specifically designed to improve the motor control of the paretic arm and diminish the behavioral (trunk) compensation comprising of variable practice of a reach-tograsp task with feedback given as knowledge-of-performance. Eight age-matched healthy controls underwent similar evaluations and training. Magnitude of iM1 (and cM1) activation and anterior trunk displacement were analysed. The authors found that, before training, patients exhibited significantly stronger iM1 activation, increased trunk motion, and significant positive correlations between these two variables compared to controls. After training, patients significantly decreased iM1 activation and displayed a trend toward decreased trunk use. The correlations between iM1 activation and trunk motion persisted and were d...

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Characterization, Outcomes, and Time to Event Predictors of Urinary Tract Infections Acquired During Postacute Stroke Inpatient Rehabilitation: A Comprehensive Cohort Study

García-Rudolph,

Albu,

Wright

et al. 2024

Archives of Physical Medicine and Rehabilitation

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Comparison of Functional Independence Measure (FIM) Gain between Groups with Extreme Differences in FIM Score at Admission

Cited by 11 publications

References 6 publications

Pontine Infarction: A Prospective Cohort Study on Its Clinical Features, Prognosis, and Association with Branch Atheromatous Disease

Pontine Infarction: A Prospective Cohort Study on Its Clinical Features, Prognosis, and Association with Branch Atheromatous Disease

Physical Medicine for Health and Recovery

Characterization, Outcomes, and Time to Event Predictors of Urinary Tract Infections Acquired During Postacute Stroke Inpatient Rehabilitation: A Comprehensive Cohort Study

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