Arai Nobuyuki, Abe Yasumasa, Metani Hiromichi, Hiraoka Takashi, Hanayama Kozo
Department of Rehabilitation Medicine, Kawasaki Medical School, Okayama, Japan.
Jpn J Compr Rehabil Sci. 2023 Apr 24;14:33-38. doi: 10.11336/jjcrs.14.33. eCollection 2023.
Arai N, Abe Y, Metani H, Hiraoka T, Hanayama K. Effect of cranioplasty on FIM in patients with severe cerebral infarction after cerebral decompression. Jpn J Compr Rehabil Sci 2023; 14: 33-38.
The functional effects of cranioplasty were measured in patients with severe cerebral infarction who had undergone cerebral decompression by comparing the functional independence measure (FIM) during convalescent rehabilitation before and after cranioplasty.
The study design was a single-center retrospective cohort study.
Fifty-five patients underwent cerebral decompression after cerebral infarction at our hospital, six of whom were included in this study. Two patients who exhibited cranial depression had no changes in FIM one month prior to cranioplasty. However, the FIM increased one month postoperatively. These patients showed a large increase in the scores for movement and transfer.
Cranioplasty may play a role in improving ability during convalescent rehabilitation in patients with severe cerebral infarction who undergo cerebral decompression, especially in movement and transfer items.
新井N、阿部Y、目谷H、平冈T、花名山K。颅骨成形术对减压术后重症脑梗死患者功能独立性测量（FIM）的影响。《日本综合康复科学杂志》2023年；14：33 - 38。
通过比较颅骨成形术前、后恢复期康复期间的功能独立性测量（FIM），来评估颅骨成形术对接受过减压手术的重症脑梗死患者的功能影响。
本研究设计为单中心回顾性队列研究。
我院55例脑梗死患者接受了减压手术，其中6例纳入本研究。2例出现颅骨凹陷的患者在颅骨成形术前1个月FIM无变化。然而，术后1个月FIM增加。这些患者在运动和转移项目的得分大幅提高。
颅骨成形术可能对接受减压手术的重症脑梗死患者恢复期康复能力的改善有作用，尤其是在运动和转移项目方面。
