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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
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Article info
Publication history
Accepted:
September 30,
1997
Received:
July 30,
1997
Footnotes
+Supported in part by the Montana Chapter of the American Physical Therapy Association, Missoula, MT and The M.J. Murdock Charitable Trust Foundation, Vancouver, WA.
Identification
Copyright
© 1998 National Stroke Association. Published by Elsevier Inc.
