ADL Structure of Stroke and Femoral Neck Fracture Elderly Patients with Dementia Analyzed by Degree of Independence in ADL for the Ministry of Health, Labour and Welfare.

Autor: IWAI, NOBUHIKO, AOYAGI, YOICHIRO
Zdroj: Rigakuryoho Kagaku; Mar2014, Vol. 29 Issue 1, p123-129, 7p
Abstrakt: [Purpose] To clarify the effects of cognitive function decline in stroke and femoral neck fracture patients on the structure of their activities of daily living (ADL). [Subjects] Case data of relevant cases were retrieved from the Japanese Association of Rehabilitation Medicine database. [Methods] We divided the cases into 4 groups based on the criterion of independence in ADL, and compared FIM motor scores and degree of ADL difficulty determined by Rasch analysis among the groups. [Results] We retrieved the data of 3,367 cases of stroke and 595 cases of femoral neck fracture. In the 4 groups of cases, FIM scores decreased with the severity of both diseases. As ADL impairment progressed the order of difficulty with ADL items changed. [Conclusion] Difficulty with self-care and sphincter control increases with increasing severity of cognitive impairment, and our results show that it is important to pay early attention to these items of ADL. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index