We provide the book entitled Functional Independence Measure Fim Manual developed by. Steffen Beich Study le scale di valutazione – fisiokinesiterapia. dell’utilizzo della scala • Ricerca • Inferenze prognostiche •. Definizione delle aree di intervento riabilitativo •. Valutazione dei risultati. In addition, baseline functional independence measure (FIM) scores at All items are scored using a seven-point ordinal scale based on the.

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In addition, baseline functional independence measure FIM scores at baseline and during three months of follow-up were also compared. However, there were significant vakutazione in baseline FIM motor and cognitive scores and valutaziome follow-up scores as well as average FIM total baseline scaal between groups. In addition, month-to-month analysis of changes in Ci values between the two groups also revealed significant differences. Stroke is one of the three most common causes of death, along with malignant tumors and cardiovascular diseases.

Advances in medical technologies have increased stroke survivorship, resulting in an increasing number of disabled persons who experience strokes 1. Early stroke case fatality has decreased in high- low- and middle-income countries.

Despite increased stroke incidence, reduced mortality rates have led to an increase in people living with disabilities. Therefore, stroke constitutes the leading cause of serious, complex, and long-term adult disability.

According to the World Health Organization, 15 million people suffer stroke worldwide annually. Of these, five million die and another five million are permanently disabled 234. Patients with chronic stroke are hospitalized during the acute or sub-acute phase, and then receive rehabilitation treatment.

However, after their discharge, they often do not receive continuous rehabilitation treatment in their community. The number of stroke survivors using community-based public health rehabilitation services is also low 56.

This study followed up hemiplegia patients from Istanbul Metropolitan Municipality who received care from the Home Care Service program. Hemiplegia patients were enrolled in the rehabilitation program in Bezm-i Alem Foundation University. Rehabilitation of chronic stroke cases was reviewed patients residing in Istanbul.

Our purpose was to create awareness regarding social rehabilitation at the scalw and local governments, to identify gaps in social rehabilitation, and to increase the effectiveness of social rehabilitation. These forms collected data on patient demographics, FIM scores, concomitant diseases, tobacco and alcohol use, disease duration, and stroke etiology. In addition to their demographic characteristics age, gender, weight, height, and body mass index [BMI]the patients were also questioned regarding their occupations, main symptoms, and time to diagnosis.

In addition, FIM scores were compared during three months of follow-up. The FIM was designed to quantity physical and cognitive disability and focuses on care take reliability 7. The main objective for its incident was to create a generic measure that could be administered by clinicians and non-clinicians to assess patients in all age groups with a wide variety of diagnoses 7.

La Scala FIM – Strumento di misura della disabilità

The FIM contains a total of 18 items. Vwlutazione motor and cognitive subscales comprise 13 and five items, respectively 8. The motor subscale collects knowledge regarding valuttazione, sphincter control, transfer, and locomotion, while the cognitive subscale focuses on communication and social cognition. All items are scored using a seven-point ordinal scale based on the number of assistance required for the patient to perform each activity 8.


Higher FIM scores indicate patients that have a higher level of independence and require a small amount of assistance 8.

The total of all 18 items constitutes the total score, which ranges from 18— 8. The team performing follow-up for the home-based rehabilitation group consisted of a specialist doctor of physical valutzione and rehabilitation, a medical doctor, and 12 physical therapists. The team responsible for follow-up of the hospital-based rehabilitation group consisted of a specialist doctor of physical medicine and rehabilitation, one medical doctor, and six physical therapists.

In this rehabilitation program, patients met with a physiotherapist two days a week for three months. The neurological rehabilitation included balance-coordination training, hand rehabilitation, stretching and relaxation exercises, walking exercises, and posture exercises.

Indice di Barthel

All recruited subjects signed informed consent forms before participating in the study after approval was obtained from the local ethics committee.

All subjects gave their consent to the random assignment to the groups. The Kolmogorov-Smirnov test was used to confirm that the data were within the ranges of normal distribution in both groups. A non-parametric test was employed for variables outside the normal distribution. Independent-samples t tests were used to compare data between groups. A total of stroke patients were included in this study Table 1 Fig.

Indice di Barthel – Wikipedia

The majority were men 90 patients, Their mean age was The mean disease duration was 2. The mean BMI was Patient demographic information by group is presented in Table 2. These results confirm previous reports that the level of disability at admission is the strongest prognostic balutazione associated with both cognitive and motor outcomes 9 Admission motor FIM scores also strongly influence final motor outcome 9 Age is another important prognostic factor, with younger patients having generally better outcomes The average age of the patients in the current study was As ofthe estimated average age in Turkey was Many studies have reported strokes to occur more frequently in women than in men In our study, Total FIM scores at the time of hospital admission were the best predictor of Valuyazione total scores at the time of discharge.

However, the nature of the stroke, gender, length of hospital stay, valutazinoe OAI were not correlated with total FIM scores at the time of discharge. Because the total scores at admittance and discharge were highly correlated, the scores at admittance can be used valutazoine found a rehabilitation program, inform the patient and family about the possibility of improvement, and assess the amount and quality of care given in the home or discharge placement They reported significant differences in patient motor and cognitive FIM scores.

Likewise, a positive association was observed between the increase of functional and cognitive FIM scores. Better rehabilitation outcomes were observed in patients with higher admission cognitive status after adjusting for the effects of age, gender, OAI, length of stay, and severity of stroke Statically significant changes in FIM values were observed.


The degree of disability at admittance xi confirmed as the strongest prognostic factor associated with both cognitive and motor outcomes. There is forceful evidence to support the advantages of measuring functional recovery by means of normalized changes valutazlone FIM score. Following a rehabilitation sscala, functional recovery should be evaluated separately for motor and cognitive domains.

Rehabilitation programs should begin as soon as possible. Progressed assessment of calutazione outcome leads to advanced achievement and favourable treatment outcomes Our study and similar studies have shown that stroke patients participating in rehabilitation programs have improved functional and cognitive capacity. Istanbul Metropolitan Municipality in his study at home under the care reveals the name of the stroke patients can be monitored without the need for a hospital.

This positive concept should be made more widely. He received physical therapy and rehabilitation at the hospital after being left to their fate of stroke patients new hope to break this vicious cycle. In this context, this project can be extended by making it. National Center for Biotechnology InformationU. J Phys Ther Sci. Published online Feb Author information Article notes Copyright and License information Disclaimer.

Received Aug 28; Accepted Nov Abstract [Purpose] Our purpose was to create awareness among of social rehabilitation at the university and in local governments, to identify gaps in social rehabilitation, and to increase the effectiveness of social rehabilitation.

Open in a separate window. FIM values at baseline and three months. Change in FIM values at baseline and three months according to group.

This positive concept should be made more widely He received valutaziobe therapy and rehabilitation at the hospital after being left flm their fate of stroke patients new hope to break this vicious cycle. Correlation between the activities of daily living of stroke patients in a community setting and their quality of life.

J Phys Ther Sci, Do of patients treated by rehabilitation service after establishing of an acute stroke unit in a Brazilian hospital. Changes in activity levels in the first month after stroke. The Internet Stroke Center: Participation in leisure activity and exercise of chronic stroke survivors using community-based rehabilitation services in seongnam city.

Ann Rehabil Med, Factors related to gait function in post-stroke patients.

Advances in functional assessment in medical rehabilitation. Top Geriatr Rehabil, 1: Clin Manage Phys Ther, 6: The effect of poststroke cognitive impairment on rehabilitation process and functional outcome. Arch Phys Fi Rehabil, A predictor model for discharge destination in inpatient rehabilitation patients. Am J Phys Med Rehabil, Is health-related-quality of life of stroke patients influenced by neurological impairments at one year after stroke? Eur J Phys Rehabil Med, Yaslanan dunya ve geriatri egitimi.

Geriatri, 2: Risk factors and outcomes for ischemic stroke. Neurology, Prediction of functional outcome after stroke rehabilitation.