ID 76612
著者
中尾, 成孝 Department of Orthopedic Surgery, Institute of Health Biosciences, the University of Tokushima Graduate School|Division of Rehabilitation, Tokushima University Hospital
髙田, 信二郎 Department of Orthopedic Surgery, Institute of Health Biosciences, the University of Tokushima Graduate School
上村, 浩一 Department of Preventive Medicine, Institute of Health Biosciences, the University of Tokushima Graduate School 徳島大学 教育研究者総覧 KAKEN研究者をさがす
樫原, 道治 Department of Orthopedic Surgery, Institute of Health Biosciences, the University of Tokushima Graduate School
大澤, 俊文 Division of Rehabilitation, Tokushima University Hospital
小松, 宏慈 Division of Rehabilitation, Tokushima University Hospital
増田, 有紀 Division of Rehabilitation, Tokushima University Hospital
岡久, 哲也 Division of Rehabilitation, Tokushima University Hospital
西川, 幸治 Division of Rehabilitation, Tokushima University Hospital
近藤, 心 Division of Rehabilitation, Tokushima University Hospital
山田, めぐみ Division of Rehabilitation, Tokushima University Hospital
高原, 莉沙 Division of Rehabilitation, Tokushima University Hospital
尾形, 芳美 Division of Rehabilitation, Tokushima University Hospital
中村, 友香 Division of Rehabilitation, Tokushima University Hospital
永廣, 信治 Department of Neurosurgery, Institute of Health Biosciences, the University of Tokushima Graduate School 徳島大学 教育研究者総覧 KAKEN研究者をさがす
梶, 龍兒 Department of Neurology, Tokushima University Hospital 徳島大学 教育研究者総覧 KAKEN研究者をさがす
安井, 夏生 Department of Orthopedic Surgery, Institute of Health Biosciences, the University of Tokushima Graduate School 徳島大学 教育研究者総覧 KAKEN研究者をさがす
キーワード
Barthel Index
stroke
acute rehabilitation
ADL
資料タイプ
学術雑誌論文
抄録
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.
掲載誌名
The journal of medical investigation : JMI
ISSN
13431420
cat書誌ID
AA11166929
57
1-2
開始ページ
81
終了ページ
88
並び順
81
発行日
2010-02
備考
The journal of medical investigation : http://medical.med.tokushima-u.ac.jp/jmi/index.html
EDB ID
出版社版DOI
出版社版URL
フルテキストファイル
言語
eng
部局
医学系
病院