Interaction between Locomotion and Self-Care for Patients with Stroke in Severity Classification Based on the Motor Functional Independence Measure upon Admission to the Recovery Ward

• 作者: Takashi Kimura
• 来源期刊: 康复医学(英文)
• 学科: 数学
• 关键词: INTERACTION STROKE Gait SELF-CARE Recovery Rehabilitation
• 年，卷（期）: 2020,（4）
• 页码范围: 164-182
• 页数: 19页
• 分类号: O17

摘要

<strong><span style="font-family:Verdana;">Background</span></strong><span style="font-family:Verdana;"><span style="font-family:Verdana;"><b><span style="font-family:Verdana;">:</span></b></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;"> A correlation between self-care and gait in stroke patients has been shown. However, there are few reports suggesting an interaction between self-care and gait. </span><b><span style="font-family:Verdana;">Purpose</span></b></span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><b><span style="font-family:Verdana;">:</span></b></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;"> To investigate the interaction between locomotion and improvements in self-care. </span><b><span style="font-family:Verdana;">Participants and Methods</span></b></span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><b><span style="font-family:Verdana;">:</span></b></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;"> We retrospectively analyzed 3034 stroke patients who were registered in the Japanese Rehabilitation Database. Using their data, patients were classified into three groups (severe, moderate, slight) based on the motor functional inde</span><span style="font-family:Verdana;">pendence measure upon admission, and data were modified as mean-centered </span><span style="font-family:Verdana;">values. We performed a correlation analysis to evaluate the relationship among all the collected data. Subsequently, a hierarchical multiple regression analysis was performed to evaluate interaction using the self-care motor score from the Functional Independent Measure (FIM) as the dependent variable. Model 1 used two independent variables (National Institutes of Health Stroke Scale and cognitive FIM score), model 2 used two independent variables (locomotion gain and gain of an item with the strongest correlation coefficient t