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 and Yun Hee Kim
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Eun Young Lee: Department of Rehabilitation Medicine, Institute of Brain Science Research, Wonkwang University School of Medicine, Iksan 54538, Korea
Min Kyun Sohn: Department of Rehabilitation Medicine, College of Medicine, Chungnam National University, Daejeon 35015, Korea
Jong Min Lee: Department of Rehabilitation Medicine, Konkuk University School of Medicine, Seoul 05030, Korea
Deog Young Kim: Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul 03722, Korea
Yong Il Shin: Department of Rehabilitation Medicine, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan 50612, Korea
Gyung Jae Oh: Department of Preventive Medicine, Wonkwang University, School of Medicine, Iksan 54538, Korea
Yang Soo Lee: Department of Rehabilitation Medicine, Kyungpook National University Hospital, Kyungpook National University School of Medicine, Daegu 41566, Korea
So Young Lee: Department of Rehabilitation Medicine, Jeju National University Hospital, Jeju National University School of Medicine, Jeju 63241, Korea
Min Keun Song: Department of Physical and Rehabilitation Medicine, Chunnam National University Medical School, Kwangju 61469, Korea
Jun Hee Han: Department of Statistics, Hallym University, Chuncheon 24252, Korea
Jeong Hoon Ahn: Department of Health Convergence, Ewha Womans University, Seoul 03760, Korea
Young Hoon Lee: Department of Rehabilitation Medicine, Kyungpook National University Hospital, Kyungpook National University School of Medicine, Daegu 41566, Korea
Won Hyuk Chang: Department of Physical and Rehabilitation Medicine, Center for Prevention and Rehabilitation, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, Korea
Soo Mi Choi: Division of Chronic Disease Prevention, Korea Centers for Disease Control and Prevention, Center for Disease, Cheongju 28159, Korea
Seon Kui Lee: Division of Chronic Disease Prevention, Korea Centers for Disease Control and Prevention, Center for Disease, Cheongju 28159, Korea
Min Cheol Joo: Department of Rehabilitation Medicine, Institute of Wonkwang Medical Science, Wonkwang University School of Medicine, Iksan 54538, Korea
Yun Hee Kim: Department of Physical and Rehabilitation Medicine, Center for Prevention and Rehabilitation, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, Korea

IJERPH, 2022, vol. 19, issue 15, 1-10

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.

Keywords: functional independence measure; independence; modified Barthel Index; severity; stroke (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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