Open AccessThe correlation between motor and cognitive scores provided by FIM and SF-36 in patients undergoing an adapted post-stroke rehabilitation program
Author(s) -
B.I. Mitoiu,
Adriana Sarah Nica,
Veronica Elena Guşiţă,
Florina Ojoga
Publication year - 2015
Publication title -
romanian medical journal
Language(s) - English
Resource type - Journals
eISSN - 2069-606X
pISSN - 1220-5478
DOI - 10.37897/rmj.2015.1.7
Subject(s) - rehabilitation , physical medicine and rehabilitation , hemiparesis , physical therapy , stroke (engine) , medicine , context (archaeology) , spastic , cognition , spastic hemiplegia , massage , cerebral palsy , psychiatry , lesion , paleontology , alternative medicine , pathology , biology , mechanical engineering , engineering
. Stroke, followed by a suite of various clinical manifestations grouped around spastic hemiparesis characterized by the motor component, represents the third leading cause of mortality and morbidity and the leading cause of long term disability in adults at European level. In this context, the selection of optimal models for assessing functional status is a key element to outline then the real objectives of the rehabilitation program. Methods. A survey was taken in a series of patients with spastic hemiparesis 2 months to 4 years after stroke, with cognitive level and adherence tailored for the rehabilitation program and no history of mental illness or locomotor impairement. Patients were evaluated at admission using FIM and SF-36, followed a personalized therapeutic program consisting of physical therapy, electrotherapy, thermotherapy, massage, orthotics and specific treatment of the underlying disease. The same assessment was done at discharge and 6 months after it. Results and discussion. Biostatistics finds a strong, direct and statistically significant correlation between the motor component of FIM and the same one of the SF-36, and a moderate, direct and statistically significant correlation between the cognitive component of FIM and the same one of the SF-36. Conclusions. SF-36 provides important information about motor and cognitive state of patients with spastic hemiparesis and is a useful alternative for evaluation in a rehabilitation clinic, especially for patients with post stroke sequelae.