Journal of Rehabilitation Research & Development (JRRD)

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Volume 47 Number 1, 2010
   Pages 17 — 30

Abstract — Ability of Functional Independence Measure to accurately predict functional outcome of stroke-specific population: Systematic review

Douglas Chumney, DPT, PT;1* Kristen Nollinger, DPT, PT;2 Kristina Shesko, DPT, PT;3 Karen Skop, DPT, PT;4 Madeleine Spencer, DPT, PT;5 Roberta A. Newton, PT, PhD6

1Department of Veterans Affairs (VA) Tennessee Valley Healthcare System, Murfreesboro, TN; 2Penn-Ohio Rehabilitation, Physical Therapy, Hermitage, PA; 3Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc, Physical Therapy, Johnstown, PA; 4James A. Haley Veterans' Hospital, Physical Medicine and Rehabilitation Services, Tampa, FL; 5Philadelphia VA Medical Center, Philadelphia, PA; 6Temple University, Physical Therapy, Philadelphia, PA

Abstract — 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.

Key words: civilian, CVA, discharge disposition, FIM, length of stay, outcomes, predictability, rehabilitation, stroke, veterans.


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