ID 76612
Author
Nakao, Shigetaka Department of Orthopedic Surgery, Institute of Health Biosciences, the University of Tokushima Graduate School|Division of Rehabilitation, Tokushima University Hospital
Takata, Shinjiro Department of Orthopedic Surgery, Institute of Health Biosciences, the University of Tokushima Graduate School
Uemura, Hirokazu Department of Preventive Medicine, Institute of Health Biosciences, the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Kashihara, Michiharu Department of Orthopedic Surgery, Institute of Health Biosciences, the University of Tokushima Graduate School
Osawa, Toshifumi Division of Rehabilitation, Tokushima University Hospital
Komatsu, Koji Division of Rehabilitation, Tokushima University Hospital
Masuda, Yuki Division of Rehabilitation, Tokushima University Hospital
Okahisa, Tetsuya Division of Rehabilitation, Tokushima University Hospital
Nishikawa, Koji Division of Rehabilitation, Tokushima University Hospital
Kondo, Shin Division of Rehabilitation, Tokushima University Hospital
Yamada, Megumi Division of Rehabilitation, Tokushima University Hospital
Takahara, Risa Division of Rehabilitation, Tokushima University Hospital
Ogata, Yoshimi Division of Rehabilitation, Tokushima University Hospital
Nakamura, Yuka Division of Rehabilitation, Tokushima University Hospital
Nagahiro, Shinji Department of Neurosurgery, Institute of Health Biosciences, the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Yasui, Natsuo Department of Orthopedic Surgery, Institute of Health Biosciences, the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Keywords
Barthel Index
stroke
acute rehabilitation
ADL
Content Type
Journal Article
Description
The Barthel Index (BI) cannot be used to measure initial stroke severity or by extension, to stratify patients by severity in acute stroke trials because most patients are bedbound in the first few hours after stroke, either by their deficit or by medical directive. Our objectives were to clarify the threshold of acute BI for use in the prediction of subsequent independence in activities of daily living (ADL) and to assist in the definition of acute stroke rehabilitation goals. Subjects comprised 78 patients out of 191 inpatients admitted with acute stroke at our hospital during 2006-2007. The BI ADL score was divided into 2 ranges (BI≧60 and≦40), in a process similar to previous studies. During the acute period (from onset to approximately 3 weeks), all patients with a BI≧40 could improve their ADL in 6 months. Patients with a BI≦40 exhibited two ADL recovery outcomes (improved and no change) at 6 months. We also found that the skill level of basic activities related to standing was significant indicator of BI improvement (P<0.001). BI scores determined at approximately 3 weeks were reliable predictors of ADL disabilities at 6 months.
Journal Title
The journal of medical investigation : JMI
ISSN
13431420
NCID
AA11166929
Volume
57
Issue
1-2
Start Page
81
End Page
88
Sort Key
81
Published Date
2010-02
Remark
The journal of medical investigation : http://medical.med.tokushima-u.ac.jp/jmi/index.html
EDB ID
DOI (Published Version)
URL ( Publisher's Version )
FullText File
language
eng
departments
Medical Sciences
University Hospital