Changes in Long-Term Functional Independence in Patients with Moderate and Severe Ischemic Stroke: Comparison of the Responsiveness of the Modified Barthel Index and the Functional Independence Measure

Eun Young Lee, Min Kyun Sohn, Jong Min Lee, Deog Young Kim, Yong Il Shin, Gyung Jae Oh, Yang Soo Lee, So Young Lee, Min Keun Song, Jun Hee Han, Jeong Hoon Ahn, Young Hoon Lee, Won Hyuk Chang, Soo Mi Choi, Seon Kui Lee, Min Cheol Joo, Yun Hee Kim

Research output: Contribution to journalArticlepeer-review

Abstract

This study investigated the long-term functional changes in patients with moderate-to-severe ischemic stroke. In addition, we investigated whether there was a difference between the modified Barthel Index (MBI) and Functional Independence Measure (FIM) according to severity. To evaluate the changes in the long-term functional independence of the subjects, six evaluations were conducted over 2 years, and the evaluation was performed using MBI and FIM. A total of 798 participants participated in this study, of which 673 were classified as moderate and 125 as severe. During the first 3 months, the moderate group showed greater recovery than the severe group. The period of significant change in the National Institutes of Health Stroke Scale (NIHSS) score was up to 6 months after onset in the moderate group, and up to 3 months after onset in the severe group. In the severe group, MBI evaluation showed significant changes up to 6 months after onset, whereas FIM showed significant changes up to 18–24 months. Our results showed that functional recovery of patients with ischemic stroke in the 3 months after onset was greater in the moderate group than in the severe group. FIM is more appropriate than MBI for evaluating the functional status of patients with severe stroke.

Original languageEnglish
Article number9612
JournalInternational Journal of Environmental Research and Public Health
Volume19
Issue number15
DOIs
StatePublished - Aug 2022

Keywords

  • functional independence measure
  • independence
  • modified Barthel Index
  • severity
  • stroke

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