Department of Rehabilitation Medicine, Institute of Brain Science Research, Wonkwang University School of Medicine, Iksan 54538, Korea.
Department of Rehabilitation Medicine, College of Medicine, Chungnam National University, Daejeon 35015, Korea.
Int J Environ Res Public Health. 2022 Aug 4;19(15):9612. doi: 10.3390/ijerph19159612.
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.
本研究调查了中重度缺血性脑卒中患者的长期功能变化。此外，我们还根据严重程度调查了改良巴氏指数（MBI）和功能独立性测量（FIM）之间是否存在差异。为了评估受试者长期功能独立性的变化，在 2 年内进行了 6 次评估，使用 MBI 和 FIM 进行评估。共有 798 名参与者参与了这项研究，其中 673 名被归类为中度，125 名被归类为重度。在最初的 3 个月中，中度组的恢复程度大于重度组。在中度组中，NIHSS 评分的显著变化期持续到发病后 6 个月，而在重度组中则持续到发病后 3 个月。在重度组中，MBI 评估显示发病后 6 个月时出现显著变化，而 FIM 则显示发病后 18-24 个月时出现显著变化。我们的研究结果表明，发病后 3 个月内缺血性脑卒中患者的功能恢复在中度组比在重度组更为显著。与 MBI 相比，FIM 更适合评估重度脑卒中患者的功能状态。
