The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
권호 표지

A Clinical Observation of the Stroke Patients : Using Functional Independence Measure

Functional Independence Measure를 이용한 뇌졸중(腦卒中) 환자의 임상적 관찰

  • Kim, Min-Seok (Dept. of Internal Medicine, Dongguk University, College of Oriental Medicine) ;
  • Jung, Seung-Hyun (Dept. of Internal Medicine, Dongguk University, College of Oriental Medicine) ;
  • Shin, Gil-Cho (Dept. of Internal Medicine, Dongguk University, College of Oriental Medicine) ;
  • Lee, Won-Chul (Dept. of Internal Medicine, Dongguk University, College of Oriental Medicine)
  • 김민석 (동국대학교 한의과대학 내과학교실) ;
  • 정승현 (동국대학교 한의과대학 내과학교실) ;
  • 신길조 (동국대학교 한의과대학 내과학교실) ;
  • 이원철 (동국대학교 한의과대학 내과학교실)
  • Published : 1998.08.30
Download PDF
⟨ Previous Next ⟩

Abstract

BACKGROUND The purpose of this study was to investigate disability of the patients after stroke, clinical applicability and usefulness of the FIM in evaluating the functional abilities and to assess the characteristics of the patients after stroke. And this study examined difference by predictive factors on the treatment outcome. METHOD The study was composed of 31 stroke patients who were within 1 week after stroke and had been treated in hospital more than 4 weeks. Improving rate was measured by using the Functional Independence Measure(FIM), and the correlation was analyzed between Motor FIM and Cognitive FIM. We analyzed significant meaning statistically in the mean value of FIM. RESULT 1. There was no significant meaning statistically in the mean value of FIM that was between both at admission and after 2 weeks. But there was proportional correlation between both at admission and after 4 weeks, and significant meaning statistically. 2. There was proportional correlation between both FIM and Motor FIM, and significant meaning statistically. But there was no significant meaning statistically between both FIM and Cognitive FIM. 3. There was no significant meaning statistically between both FIM and sex, age, side of weakness, stroke subtype, hypertension, hypercholesterolemia, diabetes mellitus, heart disease, starting point of rehabilitation therapy and past history of cerebral vascular accident. While dysarthria affected functional recovery in stroke patients, and significant meaning statistically. CONCLUSION 1. FIM appeared to be a valid and reliable method to measure the functional abilities of the patients after stroke. 2. Only one thing between Motor FIM and score didn't influence FIM score. 3. Dysarthria affected functional recovery in stroke patients, and it is the statistically significant factor.

Keywords

References

  1. 최신지견 내과학 서울대학교 의과대학 내과학교실(편)
  2. 한 · 중 중풍병 학술대회 참가논문집 중풍환자의 기능회복도에 대한 임상적 고찰 고성규;조기호;김영석;배형섭;이경섭
  3. 한 · 중 중풍병 학술대회 참가논문집 중풍(뇌졸중)에 관한 임상적 연구 김영석;이경섭
  4. 대한재활의학학회지 v.19 뇌졸중 후 운동기능 회복에 대한 연구 김창환;김세주
  5. 대한신경외과학회지 v.7 최근 국내 뇌졸중의 역학적 동향에 대한 연구 명호진;이상복;노재규(외)
  6. 한 · 중 중풍병 학술대회 참가논문집 風痺환자 69例에 대한 임상적 고찰 박세광;이진섭
  7. 대한재활의학학회지 v.18 뇌졸중 후 첫 1일의 혈당치가 신경학적 회복에 미치는 영향 박용수;박정미;서정환
  8. 대한재활의학학회지 v.11 뇌졸중의 재활치료에 대한 고찰 박정일;박창일;조경자;신정순
  9. 대한재활의학과학회지 v.20 뇌졸중 환자의 FIM값에 영향을 주는 요인 신용일;김연희;서정환;김유창
  10. 대한재활의학회지 v.19 뇌졸중 환자에서의 FIM과 MBI의 비교 이종하;황치문;김희상;안경희
  11. 대한재활의학회지 v.18 재활의학 분야에 사용하는 기능평가척도의 비교 이청;박현;조형제
  12. Arch Phys Med Rehabil. v.55 Predictive factors in stroke rehabilitation Anderson, T.P.;Bourestom, N.;Greenberg, F.R.;Hildyard, V.G.
  13. Krusen's handbook of physical medicine and rehabilitation(4th ed.) Rehabilitation of patient with complete stroke Anderson, T.P.;Kottke, F.J.(ed.);Lehmann, J.F.(ed.)
  14. Rheumatol Rehabil v.21 Stroke: Does side matter? Andrews, K.;Brocklehurst, J.C.;Richard, B.;Laycock, P.J.
  15. Acta Med Scand v.207 The natural history of stroke in diabetic patients Asplund, K.;Hagg, E.;Helmers, C.;Lithner, F.;Strand, T.;Wester, P.O.
  16. Arch Phys Med Rehabil v.48 Predictors of long-term recovery in cerebrovascular disease Bourestom, N.C.
  17. Arch Phys Med Rehabil v.44 A study of 480 consecutive cases of cerebral vascular accident Boyle, R.W.;Scalzitti, P.D.
  18. Arch Phys Med Rehabil v.41 Development of objective predictors of recovery in hemiplegic patients Bruell, J.H.;Simon, J.I.
  19. Arch Phys Med Rehabil v.57 Lateralization in stroke syndromes as a factor in ambulation Cassvan, A.;Ross, P.L.;Dyer, P.R.;Zane, L.
  20. Am J Phys Med Rehabil v.75 Functional outcome of hemorrhagic and nonhemorrhagic stroke patients after in-patient rehabilitation Chae, J.;Zorowitz, R.D.;Johnston, M.V.
  21. Brain v.105 Unilateral spatial neglect and recovery from hemiplegia: A follow-up study Denes, G.;Semenza, C.;Stoppa, E.;Lis, A.
  22. Arch Phys Med Rehabil v.23 The evaluation of disability and treatment in hemiplegia Dinken, H.
  23. Stroke v.8 no.6 Factors influencing outcome and length of stay in a stroke rehabilitaion unit Feigenson, J.S.;McCarthy, M.L.;Greenberg, S.D.;Feigenson, W.D.
  24. New York State J Med v.77 no.9 Stroke rehabilitation 1. factors predicting outcome and length of stay-an overview Feigenson, J.S.;McCarthy, M.L.;Meese, P.D.;Feigenson, W.D.;Greenberg, S.D.;Rubin, E.;McDowell, F.H.
  25. Functional Independence Measure Forer, S.;Granger, C.V.(et al.)
  26. Arch Phys Med Rehabil v.71 Functional assessment scales: A Study of persons with multiple sclerosis Granger, C.V.;Cotter, A.C.;Hamilton, B.B.;Fiedler, R.C.;Hens, M.M.
  27. Top Geriatr Rehabil v.1 Advances in functional assessment for medical rehabilitation Granger, C.V.;Hamilton, B.B.;Keith, R.A.;Zielezny, M.;Sherwin, F.S.
  28. Bull WHO v.54 Experience from multicentre stroke register : a preliminary report Hatano, S.
  29. Arch Phys Med Rehabil v.67 Early intervention care in the acute stroke patient Hayes, S.H.;Carroll, S.R.
  30. Can Med Assoc J v.121 Predicting improvement in stroke patient referred for inpatient rehabilitation Jimenez, J.;Morgan, P.P.
  31. Am J Phys Med Rehabil. v.70 Research in physical medicine and rehabilitation. XII. Measurement Tools with application to brain injury Johnston, M.V.;Findley, T.W.;DeLuca, J.;Katz, R.T.
  32. Arch Phys Med Rehabil v.65 Early rehabilitation for stroke patients: a new look Johnston, M.V.;Keister, M.
  33. Ann Intern Med v.74 Serum cholesterol, lipoproteins and the risk of coronary heart dises. The Framingham study Kannel, W.B.;Castelli, W.P.;Gorden, T.
  34. Medicine v.45 Prognosis after stroke: long-term course of 159 patients Katz, S.;Ford, A.B.;Chinn, A.B.;Newill, V.A.
  35. Stroke v.15 The profile of recovery from stroke and factor influencing outcome Kotila, M.;Waltimo, O.;Niemi, M.L.;Looksonen, R.;Lempinen, M.
  36. Diabetes Care v.6 Diabetes mellitus and cerebrovascular disease : Prevalence of carotid artery occlusive disease and associated risk factors in 482 adult diabetic patients Kuebler, T.W.;Bendick, P.J.;Finberg, S.E.;Markand, O.N.;Norton, J.A.;Vinicor, F.N.;Clark, C.M.
  37. Stroke v.12 Prevention of recurrent stroke Leonberg, Jr. S.C.;Elliott, F.A.
  38. Arch Phys Med Rehabil. v.75 The structure and stability of the functional independence measure Linacre, J.M.;Heinmann, A.W.;Wright, B.D.;Granger, C.V.;Hamilton, B.B.
  39. Arch Phys Med Rehabil v.45 An analysis of the sociologic factors affecting the rehabilation: outcome and prediction Litman, T.J.
  40. Phys Ther v.63 Functional differences in patients with left or right cerebrovascular accidents Mills, V.M.;DiGenio, M.
  41. Arch Phys Med Rehabil v.65 Stroke onset and rehabilitation : Time lag as a factor in treatment outcome Novack, T.A.;Satterfield, W.T.;Lyons, K.;Kolski, G.;Hackmeyer, L.;Conor, M.
  42. Am J. Phys Med Rehabil. v.74 Increased damage after ischemic stroke in patients with hyperglycemia patients with or without established diabetes mellitus Plusinelli, W.A.;Levy, D.E.;Sigsbee, B.;Scherer, P.;Plum, F.
  43. Arch Phys Med Rehabil v.75 Association between location of the lesion and discharge status of ADL in first stroke patients Saeki, S.;Ogata, H.;Hachisuka, K.;Okubo, T.;Takahashi, K.;Hoshuyama, T.
  44. Stroke v.19 Result of the seven-year prospective study of stroke patients Schmidt, E.V.;Smirnov, V.E.
  45. J Neurol Neurosurg Psychiatry v.46 Recovery after stroke Skilbeck, C.E.;Wade, D.T.;Hewer, R.L.;Wood, V.A.
  46. J Phys Med Rehabil v.74 ADL structure for stroke patients in Japan based on the Functional Independence Measure Tsuji, T.;Sonoda, S.;Domen, K.;Saitoh, E.;Liu, M.;Chino, N.
  47. J Neurol Neurosurg Psychiatry v.48 Recovery after stroke-The first 3 months Wade, D.T.;Wood, V.A.;Langton-Hewer, R.
  48. Arch Phys Med Rehabil v.67 Stroke : Associations with age, sex, and side of weakness Wade, D.T.;Hewer, R.L.
  49. J Neurol Neurosurg Psychiat v.46 The hemiplegic arm after stroke: measurement and recovery Wade, D.T.;Hewer, R.L.;Wood, V.A.;Skilbeck, C.E.;Ismail, H.M.
  50. Stroke v.7 Prognosis of patients with unilateral extracranial occulusion of the internal carotid artery Waltimo, O.;Kaste, M.;Fogelholm, R.
  51. Stroke v.14 Factors contributing to strokes in patients with atherosclerotic disease of the great vessels: the role of diabetes Weinberger, J.;Biscarra, V.;Weisberg, M.K.;Jacobson, J.H.
  52. Circulation v.80 Current approches to drug therapy for the hypercholesterolemic patient Witzum, J.L.
  53. Ann Intern MEd v.90 Cholesterol in the prediction of atherosclerotic disease. New perspective based on the Framingham study Kannel, W.V.;Castelli, W.P.;Gorden, T.