A study on the creation and validation of clinical pathway for ADL training of stroke patients

• Project/Area Number: 22790505
• Research Category: Grant-in-Aid for Young Scientists (B)
• Allocation Type: Single-year Grants
• Research Field: Medical sociology
• Research Institution: Kinjo University
• Principal Investigator: NAGAI Shota 金城大学, 医療健康学部, 准教授 (30387675)
• Project Period (FY): 2010 – 2012
• Project Status: Completed (Fiscal Year 2012)
• Budget Amount: ¥3,900,000 (Direct Cost: ¥3,000,000、Indirect Cost: ¥900,000); Fiscal Year 2012: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000); Fiscal Year 2011: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000); Fiscal Year 2010: ¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000)
• Keywords: 脳卒中 / ADL / クリニカルパス / FIM / 回復期

Research Abstract

In this study, in order to establish the clinical path for Activities of Daily Living (ADL) training, and utilizing Functional Independence Measure (FIM) we estimated the predictable goals (independence levels) of individual items of ADL and the time it would take to achieve them. The subjects were 1,479 hospitalized stroke patients admitted to a rehabilitation ward in the recovery period. Based on the totals of the FIM motor item scores on admission (FIMM), the patients were divided into 6 groups, and for each group, for each of the individual items of FIMM, we calculated the percentage of patients achieving independence, and analyzed the times needed to achieve independence. The degree of disability in ADL on admission shows characteristics of achievement of independence and time to achieve independence These results suggest that knowing a combination of these could serve as an index for ADL training of hospitalized hemiplegic stroke patients in rehabilitation wards in the recovery period.

Research Products

• [Journal Article] Relationship between the intensity of stroke rehabilitation and outcome:A survey conducted by the Kaifukuki Rehabilitation Ward Association in Japan(second report). (2012)
  • Author(s): Nagai S, Sonoda S, Miyai I, Kakehi A, Goto S, Takayama Y, Ota T,Itoh I, Yamamoto S, Takizawa Y,Kaku K, Inoue Y, Ishikawa M
  • Journal Title: Jpn J Compr Rehabil Sci 2 Pages: 71-76
  • Peer Reviewed
• [Journal Article] Relationship between the intensity of stroke rehabilitation and outcome : A survey conducted by the Kaifukuki Rehabilitation Ward Association in Japan (second report) (2011)
  • Author(s): Shota Nagai
  • Journal Title: Japanese Journal of Comprehensive Rehabilitation Science Volume: Vol.2 Pages: 77-81
  • NAID: 130004565134
  • Peer Reviewed
• [Journal Article] Preliminary trial to increase gait velocity with high speed treadmill training for patients with hemiplegia. (2010)
  • Author(s): Wada Y, Kondo I, Sonoda S, Miyasaka H, Teranishi T, Nagai S, Saitoh E.
  • Journal Title: Am J Phys Med Rehabil Volume: 89(8) Pages: 683-687
  • Peer Reviewed