Assessment for resumed driving in stroke patients via Functional Independence Measure1

Autor:	Itaru Takehara, Shu Watanabe, Hideki Ooba, Masahito Hirano, Masahito Hitosugi, Takuya Inoue
Rok vydání:	2018
Předmět:	Adult Male Automobile Driving 030506 rehabilitation medicine.medical_specialty Stroke patient Risk Assessment 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Japan Activities of Daily Living Hospital discharge medicine Humans Stroke Aged Retrospective Studies Aged 80 and over business.industry Rehabilitation Stroke Rehabilitation Public Health Environmental and Occupational Health Cognition Retrospective cohort study Middle Aged After discharge medicine.disease Functional Independence Measure Functional independence Female 0305 other medical science business human activities 030217 neurology & neurosurgery
Zdroj:	Work. 60:393-399
ISSN:	1875-9270 1051-9815
DOI:	10.3233/wor-182747
Popis:	Background Some stroke survivors hope to resume driving after hospital discharge. For those who had driven frequently before their stroke, a normal daily life depends on being able to drive. Objective Our objective was to determine whether Functional Independence Measure (FIM) scores predict patient driving ability, which would make them a suitable index for determining if a stroke patient can resume driving. Methods This was a retrospective study of 71 patients who suffered from stroke. We divided them into three groups based on their driving status after discharge: (1) resumed driving (Driver), (2) wish to resume driving (Wisher), and (3) no wish to resume driving (Non-wisher). We compared total FIM scores and subcategories of FIM scores across groups. Results Scores on the Motor-FIM and Cognitive-FIM were highest in the Driver group, followed by the Wisher and Non-wisher groups. Moreover, scores on the 'problem solving' and 'memory' subcategories of the Cognitive-FIM were significantly higher in the Driver group than in the Wisher group. Conclusions The FIM could be a useful assessment tool for determining whether or not stroke patients can resume driving. Moreover, among the Cognitive-FIM sub-categories, problem solving and memory ability might be the scores most relevant for this decision.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f34b388640edc32c8db48a5c5ba05ed6 https://doi.org/10.3233/wor-182747 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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