Ruchinskas R A, Singer H K, Repetz N K
Department of Physical Medicine and Rehabilitation, Temple University Hospital, Philadelphia, PA, USA.
Arch Phys Med Rehabil. 2000 Sep;81(9):1224-8. doi: 10.1053/apmr.2000.6976.
To assess the relation between cognitive and ambulatory abilities in geriatric rehabilitation inpatients.
Survey study of geriatric cohorts.
Inpatient university hospital rehabilitation unit.
One hundred fifty urban geriatric rehabilitation patients with orthopedic, neurologic, or medical diagnoses.
Functional Independence Measure (FIM), Mattis Dementia Rating Scale, Neurobehavioral Cognitive Status Examination.
Both cognitive measures predicted admission and discharge total FIM scores, continence status, and activities of daily living (ADL) scores. Neither measure could predict admission or discharge FIM ambulation scores better than demographic variables.
While cognitive status affects the overall rehabilitation course and ultimate functional status of the geriatric patient, it does not predict walking or stair climbing ability.
评估老年康复住院患者认知能力与活动能力之间的关系。
老年队列调查研究。
大学附属医院住院康复科。
150名患有骨科、神经科或内科疾病的城市老年康复患者。
功能独立性评定量表（FIM）、马蒂斯痴呆评定量表、神经行为认知状态检查。
两项认知测量指标均能预测入院和出院时的FIM总分、排尿控制状态及日常生活活动（ADL）评分。但这两项指标在预测入院或出院时的FIM行走评分方面，并不比人口统计学变量更具优势。
虽然认知状态会影响老年患者的整体康复进程及最终功能状态，但无法预测其行走或爬楼梯能力。
