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Functional Disability Level in Patients with Stroke in Early Stage: The Relationship with Functional Gain

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Author(s): Altınay GÖKSEL KARATEPE | Rezzan GÜNAYDIN | Aylin DEMİRHAN | Taciser KAYA | Muhteşem GEDİZLİOĞLU

Journal: Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi
ISSN 1302-0234

Volume: 54;
Issue: 4;
Start page: 133;
Date: 2008;
Original page

Keywords: Functional gain | functional independence measure | stroke

ABSTRACT
Objective: This study was designed to establish the determinants of functional disability level and to investigate the relationship between functional disability level at the baseline and functional gain in patients with stroke at early period.Materials and Methods: Eighty patients who had their first stroke were enrolled in the study. Age, sex, location and type of the lesion were documented for each patient. The disease severity was assessed by the Canadian Neurological Scale. Functional disability levels of patients were determined by Functional Independence Measure (FIM) at the baseline and after a four weeks home exercise program. Functional gain was calculated by substracting the baseline FIM scores from the control FIM scores. Patients were divided into three groups according to baseline functional independence measure scores as patients with scores of ≤36, scores of 37–72 and scores of ≥73. Results: Significant improvement was observed in FIM scores of patients at the control examination (83.89±33.98) compared to baseline (53.18±29.31) (p
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