Changes in Long-Term Functional Independence in Patients with Moderate and Severe Ischemic Stroke: Comparison of the Responsiveness of the Modified Barthel Index and the Functional Independence Measure
- 주제(키워드) functional independence measure , independence , modified Barthel Index , severity , stroke
- 주제(기타) Environmental Sciences
- 주제(기타) Public, Environmental & Occupational Health
- 설명문(일반) [Lee, Eun Young] Wonkwang Univ, Sch Med, Dept Rehabil Med, Inst Brain Sci Res, Iksan 54538, South Korea; [Sohn, Min Kyun] Chungnam Natl Univ, Coll Med, Dept Rehabil Med, Daejeon 35015, South Korea; [Lee, Jong Min] Konkuk Univ, Sch Med, Dept Rehabil Med, Seoul 05030, South Korea; [Kim, Deog Young] Yonsei Univ, Coll Med, Dept & Res Inst Rehabil Med, Seoul 03722, South Korea; [Shin, Yong Il] Pusan Natl Univ, Sch Med, Yangsan Hosp, Dept Rehabil Med, Yangsan 50612, South Korea; [Oh, Gyung Jae] Wonkwang Univ, Sch Med, Dept Prevent Med, Iksan 54538, South Korea; [Lee, Yang Soo; Lee, Young Hoon] Kyungpook Natl Univ, Sch Med, Kyungpook Natl Univ Hosp, Dept Rehabil Med, Daegu 41566, South Korea; [Lee, So Young] Jeju Natl Univ, Sch Med, Jeju Natl Univ Hosp, Dept Rehabil Med, Jeju 63241, South Korea; [Song, Min Keun] Chunnam Natl Univ, Med Sch, Dept Phys & Rehabil Med, Kwangju 61469, South Korea; [Han, Jun Hee] Hallym Univ, Dept Stat, Chunchon 24252, South Korea; [Ahn, Jeong Hoon] Ewha Womans Univ, Dept Hlth Convergence, Seoul 03760, South Korea; [Chang, Won Hyuk; Kim, Yun Hee] Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Ctr Prevent & Rehabil,Dept Phys & Rehabil Med, Seoul 06351, South Korea; [Choi, Soo Mi; Lee, Seon Kui] Korea Ctr Dis Control & Prevent, Ctr Dis, Div Chron Dis Prevent, Cheongju 28159, South Korea; [Joo, Min Cheol] Wonkwang Univ, Sch Med, Inst Wonkwang Med Sci, Dept Rehabil Med, Iksan 54538, South Korea; [Kim, Yun Hee] Sungkyunkwan Univ, SAIHST, Dept Hlth Sci & Technol, Seoul 06351, South Korea
- 등재 SCIE, SSCI, SCOPUS
- OA유형 Green Published, gold
- 발행기관 MDPI
- 발행년도 2022
- URI http://www.dcollection.net/handler/ewha/000000194474
- 본문언어 영어
- Published As https://doi.org/10.3390/ijerph19159612
- PubMed https://pubmed.ncbi.nlm.nih.gov/35954971
초록/요약
This study investigated the long-term functional changes in patients with moderate-to-severe ischemic stroke. In addition, we investigated whether there was a difference between the modified Barthel Index (MBI) and Functional Independence Measure (FIM) according to severity. To evaluate the changes in the long-term functional independence of the subjects, six evaluations were conducted over 2 years, and the evaluation was performed using MBI and FIM. A total of 798 participants participated in this study, of which 673 were classified as moderate and 125 as severe. During the first 3 months, the moderate group showed greater recovery than the severe group. The period of significant change in the National Institutes of Health Stroke Scale (NIHSS) score was up to 6 months after onset in the moderate group, and up to 3 months after onset in the severe group. In the severe group, MBI evaluation showed significant changes up to 6 months after onset, whereas FIM showed significant changes up to 18-24 months. Our results showed that functional recovery of patients with ischemic stroke in the 3 months after onset was greater in the moderate group than in the severe group. FIM is more appropriate than MBI for evaluating the functional status of patients with severe stroke.
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