Research Article| Volume 7, ISSUE 2, P145-153, March 1998

A sequential study assessing functional outcomes of first-time stroke survivors 1 to 5 years after rehabilitation

      This paper is only available as a PDF. To read, Please Download here.
      The purpose of this study was to assess the functional outcomes of first-time cerebrovascular accident survivors 1 to 5 years after rehabilitation. Subjects (n=68) consisted of individuals discharged from a regional rehabilitation center between 1992 and 1996 with the diagnosis of first-time cerebrovascular accident. The Adult Functional Independence Measure (FIM), an on-site outcomes measurement tool, was used to assess subjects' admittance and discharge total FIM scores. The Adult Functional Independence Measure, a phone interview methodology, was used to assess individuals' functional levels from 1 through 5 years after discharge from rehabilitation. Motor (Rasch Motor) and cognitive (Rasch Cognitive) components of the FIM also were analyzed over time. Data pertaining to differences in function between genders, site of lesion, family support, and whether therapy was received after discharge were collected. Data were analyzed to determine changes in function over time. Significant increases in total FIM and motor and cognitive scores occurred between admittance and discharge and between discharge and 1 year after discharge. Although not significant, slight increases were noted in all three measures up to 3 years after discharge. From 3 to 5 years after discharge, a steady decline was noted. First-time cerebrovascular accident survivors who did not experience additional medical problems continued to improve during the first 3 years after discharge from a rehabilitation center. After this time, however, declines were noted in total FIM, Rasch Motor, and Rasch Cognitive scores
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Journal of Stroke and Cerebrovascular Diseases
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Segal ME
        • Gillard M
        • Schall RR
        Telephone and in-person proxy agreement between stroke patients and caregivers for the functional independence measure.
        Am J Med Rehabil. 1996; 75: 208-212
        • Duncan PW
        Stroke disability.
        Phys Ther. 1994; 74: 399-407
        • Taylor T
        • Davis P
        • Turner J
        • et al.
        Lifetime cost of stroke in the United States.
        Stroke. 1996; 27: 1459-1466
        • Garraway WM
        • Akhta AJ
        • Hockey L
        • et al.
        Management of acute stroke in the elderly: Follow-up of a controlled trial.
        Br Med J. 1980; 281: 827-828
        • Davidoff GN
        • Keren O
        • Ring H
        • et al.
        Acute stroke patients: Long-term effects of rehabilitation and maintenance of gains.
        Arch Phys Med Rehabil. 1991; 72: 869-873
        • Granger CV
        • Hamilton BB
        Measurement of stroke rehabilitation outcome in the 1980's.
        Stroke. 1990; 21: 46-47
      1. Guide for Uniform Data Set for Rehabilitation (Adult FIM) version 4.0, State University of New York at Buffalo, The Center for Functional Assessment Research, copyright© 1993.

        • Shinar D
        • Gross CR
        • Bronstein KS
        • et al.
        Reliability of the activities of daily living scale and its use in telephone interview.
        Arch Phys Med Rehabil. 1987; 68: 723-728
        • Smith P
        • Bennett S
        • Fielder R
        • et al.
        Intermodal agreement of follow-up telephone functional assessment using the functional independence measure in patients with stroke.
        Arch Phys Med Rehabil. 1996; 77: 431-435
        • Dodds TA
        • Martin DP
        • Stolov WC
        • et al.
        A validation of the functional independence measure and its performance among rehabilitation inpatients.
        Arch Phys Med Rehabil. 1993; 74: 531-536
        • Granger CV
        • Hamilton BB
        • Linacre JM
        • et al.
        Performance profiles of the functional independence measure.
        Am J Phys Med Rehabil. 1993; 72: 84-89
        • The FONE FIM
        • NY Buffalo
        Data Management Service of the Uniform Data System for Medical Rehabilitation and the Center for Functional Assessment Research. 1990;
        • Hamilton BB
        • Granger CV
        Disability outcomes following inpatient rehabilitation for stroke.
        Phys Ther. 1994; 74: 494-503
        • Kotila M
        • Waltimo O
        • Miemi M
        • et al.
        The profile of recovery from stroke and factors influencing outcome.
        Stroke. 1984; 15: 1039-1045
        • Bernspang B
        • Vitanen M
        • Ericksson S
        Impairments of perceptual and motor functions: Their influence on self-care ability 4 to 6 years after a stroke.
        The Occupational Therapy Journal of Research. 1989; 9: 27-37
        • Jongblood L
        Problems of methodological heterogeneity in studies predicting disability after stroke. 1990; 21: 32-34
        • Tangeman PT
        • Banaitis DA
        • Williams AK
        Rehabilitation of chronic stroke patients: Changes in functional performance.
        Arch Phys Med Rehabil. 1990; 71: 876-880