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Item Difficulties of the FIM-Motor Subscale in Patients with Ischemic Stroke during Acute Care: An Ordinal Logistic Modeling Study

OBJECTIVE: The aim of the current study was to assess the item difficulties of the motor subscales of the Functional Independence Measure (FIM-motor) in patients with ischemic stroke during acute care. METHODS: FIM scores were assessed for each patient on admission to, and discharge from, acute care...

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Autores principales: Uchida, Kensaku, Uchiyama, Yuki, Domen, Kazuhisa, Koyama, Tetsuo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: JARM 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7516197/
https://www.ncbi.nlm.nih.gov/pubmed/32999943
http://dx.doi.org/10.2490/prm.20200022
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author Uchida, Kensaku
Uchiyama, Yuki
Domen, Kazuhisa
Koyama, Tetsuo
author_facet Uchida, Kensaku
Uchiyama, Yuki
Domen, Kazuhisa
Koyama, Tetsuo
author_sort Uchida, Kensaku
collection PubMed
description OBJECTIVE: The aim of the current study was to assess the item difficulties of the motor subscales of the Functional Independence Measure (FIM-motor) in patients with ischemic stroke during acute care. METHODS: FIM scores were assessed for each patient on admission to, and discharge from, acute care. The relationship between individual FIM-motor items (target variables) and the total FIM-motor score (explanatory variable) was assessed by ordinal logistic modeling. The total FIM-motor scores that corresponded to a 50% probability of independence level 5 (supervision or setup) for each FIM-motor item were assessed. RESULTS: A total of 250 patients (155 men, 95 women) were included in the analytical database. The median age was 74 (interquartile range [IQR], 66–81) years and the median length of hospital stay was 14 (IQR, 10–24) days. Ordinal logistic modeling was successfully performed for all 13 FIM-motor items. The total FIM-motor scores that corresponded to a 50% probability of independence level 5 for individual FIM-motor items were as follows: eating, 34.1; bowel management, 42.2; bladder management, 43.4; grooming, 51.0; toileting, 62.0; dressing the lower body, 64.5; transfer to bed/chair/wheelchair, 65.5; transfer to toilet, 65.9; bathing, 70.3; dressing the upper body, 73.6; locomotion, 74.2; transfer to tub/shower, 80.0; and stair climbing, 89.2. CONCLUSIONS: These results revealed that eating, grooming, and bowel and bladder management were relatively easy, whereas gait-related items such as locomotion and stair climbing were difficult. Items such as transfer to bed/chair/wheelchair and toileting had intermediate difficulty. These results should facilitate efficient rehabilitative treatments during acute care.
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spelling pubmed-75161972020-09-29 Item Difficulties of the FIM-Motor Subscale in Patients with Ischemic Stroke during Acute Care: An Ordinal Logistic Modeling Study Uchida, Kensaku Uchiyama, Yuki Domen, Kazuhisa Koyama, Tetsuo Prog Rehabil Med Original Article OBJECTIVE: The aim of the current study was to assess the item difficulties of the motor subscales of the Functional Independence Measure (FIM-motor) in patients with ischemic stroke during acute care. METHODS: FIM scores were assessed for each patient on admission to, and discharge from, acute care. The relationship between individual FIM-motor items (target variables) and the total FIM-motor score (explanatory variable) was assessed by ordinal logistic modeling. The total FIM-motor scores that corresponded to a 50% probability of independence level 5 (supervision or setup) for each FIM-motor item were assessed. RESULTS: A total of 250 patients (155 men, 95 women) were included in the analytical database. The median age was 74 (interquartile range [IQR], 66–81) years and the median length of hospital stay was 14 (IQR, 10–24) days. Ordinal logistic modeling was successfully performed for all 13 FIM-motor items. The total FIM-motor scores that corresponded to a 50% probability of independence level 5 for individual FIM-motor items were as follows: eating, 34.1; bowel management, 42.2; bladder management, 43.4; grooming, 51.0; toileting, 62.0; dressing the lower body, 64.5; transfer to bed/chair/wheelchair, 65.5; transfer to toilet, 65.9; bathing, 70.3; dressing the upper body, 73.6; locomotion, 74.2; transfer to tub/shower, 80.0; and stair climbing, 89.2. CONCLUSIONS: These results revealed that eating, grooming, and bowel and bladder management were relatively easy, whereas gait-related items such as locomotion and stair climbing were difficult. Items such as transfer to bed/chair/wheelchair and toileting had intermediate difficulty. These results should facilitate efficient rehabilitative treatments during acute care. JARM 2020-09-29 /pmc/articles/PMC7516197/ /pubmed/32999943 http://dx.doi.org/10.2490/prm.20200022 Text en ©2020 The Japanese Association of Rehabilitation Medicine http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (CC BY-NC-ND) 4.0 License.
spellingShingle Original Article
Uchida, Kensaku
Uchiyama, Yuki
Domen, Kazuhisa
Koyama, Tetsuo
Item Difficulties of the FIM-Motor Subscale in Patients with Ischemic Stroke during Acute Care: An Ordinal Logistic Modeling Study
title Item Difficulties of the FIM-Motor Subscale in Patients with Ischemic Stroke during Acute Care: An Ordinal Logistic Modeling Study
title_full Item Difficulties of the FIM-Motor Subscale in Patients with Ischemic Stroke during Acute Care: An Ordinal Logistic Modeling Study
title_fullStr Item Difficulties of the FIM-Motor Subscale in Patients with Ischemic Stroke during Acute Care: An Ordinal Logistic Modeling Study
title_full_unstemmed Item Difficulties of the FIM-Motor Subscale in Patients with Ischemic Stroke during Acute Care: An Ordinal Logistic Modeling Study
title_short Item Difficulties of the FIM-Motor Subscale in Patients with Ischemic Stroke during Acute Care: An Ordinal Logistic Modeling Study
title_sort item difficulties of the fim-motor subscale in patients with ischemic stroke during acute care: an ordinal logistic modeling study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7516197/
https://www.ncbi.nlm.nih.gov/pubmed/32999943
http://dx.doi.org/10.2490/prm.20200022
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