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[Purpose] To clarify the effects of cognitive function decline in stroke and femoral neck fracture patients on the structure of their activities of daily living (ADL). [Subjects] Case data of relevant cases were retrieved from the Japanese Association of Rehabilitation Medicine database. [Methods] We divided the cases into 4 groups based on the criterion of independence in ADL, and compared FIM motor scores and degree of ADL difficulty determined by Rasch analysis among the groups. [Results] We retrieved the data of 3,367 cases of stroke and 595 cases of femoral neck fracture. In the 4 groups of cases, FIM scores decreased with the severity of both diseases. As ADL impairment progressed the order of difficulty with ADL items changed. [Conclusion] Difficulty with selfcare and sphincter control increases with increasing severity of cognitive impairment, and our results show that it is important to pay early attention to these items of ADL.

rigaku ryōhō kagaku/rigaku ryoho kagaku

ADL Structure of Stroke and Femoral Neck Fracture Elderly Patients with Dementia Analyzed by Degree of Independence in ADL for the Ministry of Health, Labour and Welfare