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
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...
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| Veröffentlicht in: | International journal of environmental research and public health 2022-08, Vol.19 (15), p.9612 |
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| creator | 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 |
| description | 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_str_mv | 10.3390/ijerph19159612 |
| format | Article |
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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.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph19159612</identifier><identifier>PMID: 35954971</identifier><language>eng</language><publisher>Basel: MDPI AG</publisher><subject>Evaluation ; Ischemia ; Patients ; Quality of life ; Recovery of function ; Rehabilitation ; Statistical analysis ; Stroke</subject><ispartof>International journal of environmental research and public health, 2022-08, Vol.19 (15), p.9612</ispartof><rights>2022 by the authors. Licensee MDPI, Basel, Switzerland. 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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. 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FIM is more appropriate than MBI for evaluating the functional status of patients with severe stroke.</description><subject>Evaluation</subject><subject>Ischemia</subject><subject>Patients</subject><subject>Quality of life</subject><subject>Recovery of function</subject><subject>Rehabilitation</subject><subject>Statistical analysis</subject><subject>Stroke</subject><issn>1660-4601</issn><issn>1661-7827</issn><issn>1660-4601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp1kktvEzEUhS0EoiWwZW2JDZspfsSOzQIJIloipQLRsh459p2Mw4w92DMBfiL_qk5TEEVi49f9dO7R8UXoOSVnnGvyyu8gDS3VVGhJ2QN0SqUk1VwS-vCv8wl6kvOOEK7mUj9GJ1xoMdcLeop-LVsTtpCxD3gdw7a6htTj8ynY0cdgOrwKDgYoS7BwgD6Z0UMYM_7uxxZfRgfJjIBNcPgK9pAAr7JtofcWX40pfoXXeBn7wSSfY8CxwWML-DPkIYbs9xAg59-vRcw3Hhx-Z1K5H3v_uJU-lP9n6hJMnhI8RY8a02V4drfP0Jfz99fLD9X648Vq-XZdWa7FWCnTCOWssI4pVeJYKO0YUZoB2TANRog5B-OIbJhVaqOoE05qxall3DoOfIbeHHWHadODsyWMZLp6SL436Wcdja_vV4Jv623c15rLhS5KM_TyTiDFbxPkse59ttB1JkCccs0WhNFiTbGCvvgH3cUplQRuKSK5Lr9eqLMjZVPMOUHzxwwl9WFK6vtTwm8AB3a0Fg</recordid><startdate>20220804</startdate><enddate>20220804</enddate><creator>Lee, Eun Young</creator><creator>Sohn, Min Kyun</creator><creator>Lee, Jong Min</creator><creator>Kim, Deog Young</creator><creator>Shin, Yong Il</creator><creator>Oh, Gyung Jae</creator><creator>Lee, Yang Soo</creator><creator>Lee, So Young</creator><creator>Song, Min Keun</creator><creator>Han, Jun Hee</creator><creator>Ahn, Jeong Hoon</creator><creator>Lee, Young Hoon</creator><creator>Chang, Won Hyuk</creator><creator>Choi, Soo Mi</creator><creator>Lee, Seon Kui</creator><creator>Joo, Min Cheol</creator><creator>Kim, Yun Hee</creator><general>MDPI AG</general><general>MDPI</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-8718-0099</orcidid><orcidid>https://orcid.org/0000-0001-8186-5345</orcidid><orcidid>https://orcid.org/0000-0002-0177-0192</orcidid><orcidid>https://orcid.org/0000-0001-7622-6311</orcidid><orcidid>https://orcid.org/0000-0002-8855-1231</orcidid><orcidid>https://orcid.org/0000-0003-2778-4194</orcidid><orcidid>https://orcid.org/0000-0002-2548-545X</orcidid><orcidid>https://orcid.org/0000-0001-6101-8851</orcidid></search><sort><creationdate>20220804</creationdate><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</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c395t-8af58dc5cd288846789d20892e0b29ea5543ead06f2c88b81d5d69831c23cd3e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Evaluation</topic><topic>Ischemia</topic><topic>Patients</topic><topic>Quality of life</topic><topic>Recovery of function</topic><topic>Rehabilitation</topic><topic>Statistical analysis</topic><topic>Stroke</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Eun Young</creatorcontrib><creatorcontrib>Sohn, Min Kyun</creatorcontrib><creatorcontrib>Lee, Jong Min</creatorcontrib><creatorcontrib>Kim, Deog Young</creatorcontrib><creatorcontrib>Shin, Yong Il</creatorcontrib><creatorcontrib>Oh, Gyung Jae</creatorcontrib><creatorcontrib>Lee, Yang Soo</creatorcontrib><creatorcontrib>Lee, So Young</creatorcontrib><creatorcontrib>Song, Min Keun</creatorcontrib><creatorcontrib>Han, Jun Hee</creatorcontrib><creatorcontrib>Ahn, Jeong Hoon</creatorcontrib><creatorcontrib>Lee, Young Hoon</creatorcontrib><creatorcontrib>Chang, Won Hyuk</creatorcontrib><creatorcontrib>Choi, Soo Mi</creatorcontrib><creatorcontrib>Lee, Seon Kui</creatorcontrib><creatorcontrib>Joo, Min Cheol</creatorcontrib><creatorcontrib>Kim, Yun Hee</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of environmental research and public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Eun Young</au><au>Sohn, Min Kyun</au><au>Lee, Jong Min</au><au>Kim, Deog Young</au><au>Shin, Yong Il</au><au>Oh, Gyung Jae</au><au>Lee, Yang Soo</au><au>Lee, So Young</au><au>Song, Min Keun</au><au>Han, Jun Hee</au><au>Ahn, Jeong Hoon</au><au>Lee, Young Hoon</au><au>Chang, Won Hyuk</au><au>Choi, Soo Mi</au><au>Lee, Seon Kui</au><au>Joo, Min Cheol</au><au>Kim, Yun Hee</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>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</atitle><jtitle>International journal of environmental research and public health</jtitle><date>2022-08-04</date><risdate>2022</risdate><volume>19</volume><issue>15</issue><spage>9612</spage><pages>9612-</pages><issn>1660-4601</issn><issn>1661-7827</issn><eissn>1660-4601</eissn><abstract>This study investigated the long-term functional changes in patients with moderate-to-severe ischemic stroke. 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| source | PubMed Central Open Access; MDPI - Multidisciplinary Digital Publishing Institute; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Evaluation Ischemia Patients Quality of life Recovery of function Rehabilitation Statistical analysis Stroke |
| 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 |
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