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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
- Title
- 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
- Authors
- Lee, Eun Young; Sohn, Min Kyun; Lee, Jong Min; Kim, Deog Young; Shin, Yong Il; Oh, Gyung Jae; Lee, Yang Soo; Lee, So Young; Song, Min Keun; Han, Jun Hee; Ahn, Jeong Hoon; Lee, Young Hoon; Chang, Won Hyuk; Choi, Soo Mi; Lee, Seon Kui; Joo, Min Cheol; Kim, Yun Hee
- Ewha Authors
- 안정훈
- SCOPUS Author ID
- 안정훈
- Issue Date
- 2022
- Journal Title
- INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
- ISSN
- 1660-4601
- Citation
- INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH vol. 19, no. 15
- Keywords
- functional independence measure; independence; modified Barthel Index; severity; stroke
- Publisher
- MDPI
- Indexed
- SCIE; SSCI; SCOPUS
- Document Type
- Article
- Abstract
- 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.
- DOI
- 10.3390/ijerph19159612
- Appears in Collections:
- 신산업융합대학 > 융합보건학과 > Journal papers
- Files in This Item:
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ijerph-19-09612.pdf(763.52 kB)
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