International Journal of Physical Medicine & Rehabilitation
Open Access

Makoto Tokunaga

Publications

• Mini Review
  Methods for Comparing Functional Independence Measure Improvement Degree for Stroke Patients between Rehabilitation Hospitals
  Author(s): Makoto Tokunaga, Shuji Mita, Keiichi Tashiro, Makio Yamaga, Yoichiro Hashimoto, Rhoji Nakanishi and Hiroaki YamanagaMakoto Tokunaga, Shuji Mita, Keiichi Tashiro, Makio Yamaga, Yoichiro Hashimoto, Rhoji Nakanishi and Hiroaki Yamanaga
  
  When assessing the extent of improvement in Functional Independence Measure (FIM) scores for stroke patients between rehabilitation hospitals-such as Japan's Kaifukuki Rehabilitation Wards—one must note with caution that ceiling effects are present in FIM gain, defined as FIM at discharge minus FIM at admission. In cases where significant differences are present in FIM scores at admission, a variety of techniques may be used, including stratification by FIM scores at admission, FIM effectiveness, and multiple linear regression analysis. Alternative indicators of FIM improvement, which are less sensitive to FIM scores at admission than FIM effectiveness, include corrected FIM effectiveness and the deviation value of FIM gain. When comparing the FIM improvement degree among different hospitals, these methods are augmented by additional techniques, including limiting patients based.. View More»
  DOI: 10.4172/2329-9096.1000394

  Abstract PDF

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