Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2016 Oct 7;15(4):202-208.

Evaluation of complete functional status of patients with stroke by Functional Independence Measure scale on admission, discharge, and six months poststroke

Seyed Mansoor Rayegani  1 , Seyed Ahmad Raeissadat  1 , Ebrahim Alikhani  1 , Masume Bayat  1 , Mohammad Hasan Bahrami  1 , Afshin Karimzadeh  1
Affiliations

Evaluation of complete functional status of patients with stroke by Functional Independence Measure scale on admission, discharge, and six months poststroke

Seyed Mansoor Rayegani et al. Iran J Neurol. .

Abstract

Background: To evaluate the patients with stroke by Functional Independence Measure (FIM) scale, at the times of admission to hospital, discharge, and six-month poststroke, and to determine the level of improvement in patients after rehabilitative procedures. Methods: A total number of 108 patients with stroke entered the study who were admitted to neurology ward. They all received rehabilitation consultation, and occupational and physical therapies were prescribed for them. Finally, their functional status was evaluated by FIM scale. Results: The median (and range) of FIM scores were 86 (15-119), 102 (16-123) and 119 (17-126) at admission, discharge, and after six-month follow-up, respectively. Our observations showed a significant improvement in FIM scores (P < 0.001). About 13, 30, and 76 percent of the patients in individual functional tasks of motor domain and 61, 75, and 86 percent in cognitive domain got the score of 6 or 7 (complete or partial independence) on admission, discharge, and after six months, respectively. There was a reverse correlation between age and FIM improvement and also duration of hospitalization (P = 0.002). Conclusion: The study showed that the FIM is a valid tool for evaluation of patients with stroke, their follow-up and tracking the disease course. Moreover, we concluded that patients with stroke make a significant improvement in their functional status overtime. The exact effect of rehabilitative procedures and comparison with no treatment, must be assessed in separate studies.

Keywords: Disability Evaluation; Function; Stroke.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Death frequency among different age groups
Figure ‎2
Figure ‎2
Total Functional Independence Measure (FIM) score distribution at the time of admission, discharge, and six-month follow-up
See this image and copyright information in PMC

References

    1. Circulation . Heart and stroke statistical update. Dallas, TX: American Heart Association; 2012.
    1. Robinson RG, Jorge RE. Neuropsychiatry aspects of cerebrovascular disorders. In: Sadock BJ, Sadock VA, Kaplan HI, editors. Kaplan & Sadock's comprehensive textbook of psychiatry. Philadelphia, PA: Lippincott Williams & Wilkins; 2005. pp. 349–54.
    1. Dalvandi A, Ekman SL, Maddah SB, Khankeh HR, Heikkila K. Post stroke life in Iranian people: used and recommended strategies. Iran Rehabil J. 2009;7(9):17–24. [In Persian]
    1. Chumney D, Nollinger K, Shesko K, Skop K, Spencer M, Newton RA. Ability of Functional Independence Measure to accurately predict functional outcome of stroke-specific population: systematic review. J Rehabil Res Dev. 2010;47(1):17–29. - PubMed
    1. Kim JH, Park EY. Balance self-efficacy in relation to balance and activities of daily living in community residents with stroke. Disabil Rehabil. 2014;36(4):295–9. - PubMed

LinkOut - more resources