Optimization and outcome verification of the high efficiency stroke rehabilitation program, the FIT program.
| Project/Area Number |
17500378
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Single-year Grants |
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| Section | 一般 |
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| Research Field |
Rehabilitation science/Welfare engineering
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| Research Institution | FUJITA HEALTH UNIVERSITY |
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Principal Investigator |
SONODA Shigeru Fujita Health University, School of Medicine, Professor, 医学部, 教授 (10197022)
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| Co-Investigator(Kenkyū-buntansha) |
SUZUKI Toru Fujita Health University, School of Medicine, Associate Professor, 医学部, 助教授 (60387719)
NAGAI Shota Fujita Health University, School of Medicine, Assistant Professor, 衛生学部, 講師 (30387675)
SAITOH Eiichi Fujita Health University, School of Medicine, Professor, 医学部, 教授 (50162186)
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| Project Period (FY) |
2005 – 2006
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| Project Status |
Completed (Fiscal Year 2006)
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| Budget Amount *help |
¥2,900,000 (Direct Cost: ¥2,900,000)
Fiscal Year 2006: ¥1,300,000 (Direct Cost: ¥1,300,000)
Fiscal Year 2005: ¥1,600,000 (Direct Cost: ¥1,600,000)
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| Keywords | Rehabilitation / Brain Disorders / Clinical Study / Activities of Daily Living |
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| Research Abstract |
To clarify the relationship between methods of rehabilitation and outcome would aid in the development of effective means of stroke rehabilitation. We have accumulated data on the Full-time Integrated Treatment (FIT) program and investigated the factors that contributed to its superiority in comparison with conventional programs.
Since 2001,there have been 2293 stroke inpatients in our post-acute rehabilitation ward, and 1893 patients were administered the FIT program. Of those, the number of patients who were admitted between 8 and 90 days after stroke onset and stayed 8 days or more was 1109. We have two wards (environments) for the FIT program. One is the second floor ward (2F) where a 6-meter wide corridor lies between the patients' rooms and the gym, which should be called the "enriched environment". The other is the third floor ward (3F) where patients have to go to the gym on the second floor for physical therapy, which is some distance from their rooms. This latter is designated as the "ordinary environment". Training was provided to 684 patients on 2F and to 425 patients on 3F.
Mean length of stay was 66.1 days for 2F and 66.3 days for 3F. The gain in the motor subscore of the FIM was 19.2 for 2F and 16.1 for 3F. The FIM efficiency that was calculated by the division of the FIM gain by length of stay was 0.31 for 2F and 0.25 for 3F. The differences for both gain and efficiency were significant. The "enriched" environment seems to have an impact on the gain in FIM, which indicates the final outcome in performing activities of daily living.
We tried to choose the best method to reduce by several percent the largest and smallest data and found that shaping by FIM efficiency resulted in good distribution of the data.
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Report
(3 results)
Research Products
(4 results)
