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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >A Sequential Study Assessing Functional Outcomes of First-Time Stroke Survivors 1 to 5 Years After Rehabilitation
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A Sequential Study Assessing Functional Outcomes of First-Time Stroke Survivors 1 to 5 Years After Rehabilitation

机译：评估康复后1至5年内首次卒中幸存者的功能结局的序贯研究

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摘要

The purpose of this study was to assess the functional outcomes of first-time cerebrovascular accident survivors 1 to 5 years after rehabilitation. Subjects (n = 68) consisted of individuals discharged from a regional rehabilitation center between 1992 and 1996 with the diagnosis of first-time cerebrovascular accident. The Adult Functional Independence Measure (FIM), an on-site outcomes measurement tool, was used to assess subjects' admittance and discharge total FIM scores. The Adult Functional Independence Measure, a phone interview methodology, was used to assess individuals' functional levels from 1 through 5 years after discharge from rehabilitation. Motor (Rasch Motor) and cognitive (Rasch Cognitive) components of the FIM also were analyzed over time. Data pertaining to differences in function between genders, site of lesion, family support, and whether therapy was received after discharge were collected. Data were analyzed to determine changes in function over time. Significant increases in-total FIM and motor and cognitive scores occurred between admittance and discharge and between discharge and 1 year after discharge. Although not significant, slight increases were noted in all three measures up to 3 years after discharge. From 3 to 5 years after discharge, a steady decline was noted. First-time cerebrovascular accident survivors who did not experience additional medical problems continued to improve during'the first 3 years after discharge from a rehabilitation center. After this time, however, declines were noted in total FIM, Rasch Motor, and Rasch Cognitive scores.
机译：这项研究的目的是评估康复后1至5年内首次脑血管意外幸存者的功能结局。受试者（n = 68）由1992年至1996年间从区域康复中心出院并诊断为首次脑血管意外的个体组成。成人功能独立性测量（FIM）是一种现场结果测量工具，用于评估受试者的入院率和出院总FIM分数。通过电话采访方法，《成人功能独立性评估》，用于评估康复出院后1至5年内的个人功能水平。随着时间的推移，还分析了FIM的运动（Rasch Motor）和认知（Rasch Cognitive）组件。收集有关性别，病变部位，家庭支持以及出院后是否接受治疗的功能差异的数据。分析数据以确定功能随时间的变化。在入院与出院之间以及出院与出院后1年之间，FIM总数以及运动和认知得分均显着增加。尽管不显着，但在出院后3年内，所有三种措施均出现了轻微的增加。出院后3至5年，病情持续下降。从康复中心出院后的头三年内，没有遇到其他医疗问题的初次脑血管意外幸存者继续得到改善。但是，此时间过后，FIM，Rasch Motor和Rasch Cognitive总得分下降。

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