Chumney Douglas, Nollinger Kristen, Shesko Kristina, Skop Karen, Spencer Madeleine, Newton Roberta A
Department of Veterans Affairs Tennessee Valley Healthcare System, Alvin C. York Campus, 3400 Lebanon Pike, Murfreesboro, TN 37129, USA.
J Rehabil Res Dev. 2010;47(1):17-29. doi: 10.1682/jrrd.2009.08.0140.
Stroke is a leading cause of functional impairments. The ability to quantify the functional ability of poststroke patients engaged in a rehabilitation program may assist in prediction of their functional outcome. The Functional Independence Measure (FIM) is widely used and accepted as a functional-level assessment tool that evaluates the functional status of patients throughout the rehabilitation process. From February to March 2009, we searched MEDLINE, Ovid, CINAHL, and EBSCO for full-text articles written in English. Article inclusion criteria consisted of civilian and veteran patients posthemorrhagic and ischemic stroke with an average age of 50 years or older who participated in an inpatient rehabilitation program. Articles rated 5 or higher on the PEDro (Physiotherapy Evidence Database) scale were analyzed, including one cluster randomized trial and five cohort studies. Descriptive and psychometric data were outlined for each study. Key findings, clinical usefulness of the FIM, potential biases, and suggestions for further research were summarized. Although limited, evidence exists that FIM scores can be used as an accurate predictor of outcomes in poststroke patients.
中风是导致功能障碍的主要原因。量化参与康复计划的中风后患者的功能能力，可能有助于预测其功能结局。功能独立性测量量表（FIM）作为一种功能水平评估工具被广泛使用和认可，该量表在整个康复过程中评估患者的功能状态。2009年2月至3月，我们在MEDLINE、Ovid、CINAHL和EBSCO数据库中检索了英文全文文章。文章纳入标准包括平均年龄50岁及以上的出血性和缺血性中风的平民和退伍军人患者，这些患者参与了住院康复计划。对PEDro（物理治疗证据数据库）量表评分5分及以上的文章进行了分析，包括一项整群随机试验和五项队列研究。为每项研究概述了描述性和心理测量学数据。总结了关键发现、FIM的临床实用性、潜在偏差以及进一步研究的建议。尽管证据有限，但有证据表明FIM评分可作为中风后患者结局的准确预测指标。
