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A descriptive study of function in acute motor stroke.

J L Hinkle1

  • 1Villanova University, College of Nursing, USA.

Western Journal of Nursing Research
|April 9, 2001
PubMed
Summary

This study describes the functional independence measure (FIM) scores for acute stroke patients within 24 hours of admission. It provides crucial baseline data for motor and cognitive function in this population.

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Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Clinical Assessment

Background:

  • The Functional Independence Measure (FIM) is a widely used tool for assessing disability across various patient groups.
  • While FIM data is abundant for stroke patients in inpatient rehabilitation, there's a significant lack of data for acute stroke care.
  • Understanding baseline function in acute stroke is critical for effective treatment planning and outcome prediction.

Purpose of the Study:

  • To characterize the functional status of acute stroke patients within the first 24 hours of hospital admission.
  • To establish baseline Functional Independence Measure (FIM) scores, including total scores, motor and cognitive domain subscores, and clinical subscales.
  • To identify potential demographic and clinical factors influencing these initial functional levels.

Main Methods:

  • A cohort of 100 acute stroke patients was assessed within 24 hours of admission.
  • The Functional Independence Measure (FIM) instrument was administered to evaluate functional independence.
  • Data analysis included descriptive statistics for total and subscores, and inferential statistics to identify group differences based on age, gender, and disposition.

Main Results:

  • The mean total FIM score was 94.05 (SD ± 19.31), with motor and cognitive subscores of 61 (SD ± 17.8) and 33.4 (SD ± 3.3), respectively.
  • Significant differences in total and domain FIM scores were observed based on patient age, gender, and disposition.
  • Analysis of clinical subscales also revealed significant variations related to age, gender, employment status, and disposition.

Conclusions:

  • This study provides essential baseline Functional Independence Measure (FIM) data for patients with primary motor stroke in the acute care setting.
  • The findings highlight the influence of demographic factors and disposition on initial functional status in acute stroke.
  • This research addresses a critical knowledge gap, offering valuable insights for early intervention and rehabilitation strategies in stroke care.

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