Ability of Functional Independence Measure to accurately predict functional outcome of stroke-specific population: Systematic review
Ability of Functional Independence Measure to accurately predict functional outcome of stroke-specific population: Systematic review
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DOI：
10.1682/jrrd.2009.08.0140
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发表时间：
2010-01-01
影响因子：
--
通讯作者：
Newton, Roberta A.
中科院分区：
文献类型：
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作者：
Chumney, Douglas;Nollinger, Kristen;Newton, Roberta A.
中风是导致功能障碍的主要原因。对参与康复计划的中风后患者的功能能力进行量化的能力可能有助于预测他们的功能结果。功能独立性测量(FIM)被广泛使用和接受，作为一种功能水平评估工具，评估患者在整个康复过程中的功能状态。从2009年2月到3月，我们在MEDLINE、Ovid、CINAHL和EBSCO上检索了英文全文文章。文章纳入标准包括平均年龄在50岁或以上的出血性和缺血性卒中后的平民和参加住院康复计划的退伍军人。对PEDRO(物理治疗证据数据库)评分为5或更高的文章进行了分析，包括一项整群随机试验和五项队列研究。每项研究都概述了描述性和心理测量学数据。总结了FIM的主要发现、临床应用、潜在的偏向以及对进一步研究的建议。尽管有限，但有证据表明，FIM评分可以作为中风后患者预后的准确预测指标。
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.