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Functional Outcome of Multidisciplinary Rehabilitation in Chronic Stroke

Department of Neurology, Toneyama National Hospital, Osaka, Japan

Tsunehiko Suzuki

Director, Bobath Memorial Hospital, Osaka, Japan

Katsumasa Kii

Department of Physical Therapy, Bobath Memorial Hospital, Osaka Japan

Jin Kang

Department of Neurology, Toneyama National Hospital, Osaka, Japan

Ichiro Kajiura

Former Director, Bobath Memorial Hospital, Osaka Japan

Background and Purpose: To test whether multidisciplinary rehabilitation (MDR) is effective in improving functional outcome in chronic stroke.

Methods: Retrospective review of functional outcome of MDR in 136 consecu tive patients with first single stroke. Patients were divided into early group (E: days after stroke ( 90, n = 47) and late group (L: > 90, n = 89). Outcome was assessed by using the Functional Independence Measure (FIM) and the Stroke Impairment As sessment Set (SIAS).

Results: Both groups were comparable in terms of age, gender, type of stroke, and side of stroke. The mean length of stay was significantly longer (p < 0.05) in E (138 days) than in L (114 days). The mean FIM (admission/discharge) was 88/103 in E and 88/97 in L. The mean SIAS was 11/14 in E and 10/13 in L. There was no signif icant difference in gain of FIM and SIAS score between the groups. There was also no difference in gain of FIM between E and L in three subgroups based on admission FIM score (severe disability: 18-53, moderate: 54-89, mild: 90-126).

Conclusions: MDR is effective in improving functional outcome of stroke patients regardless of starting point of MDR or initial severity of disability. Key Words: Stroke—Rehabilitation—Functional Independence Measure (FIM)—Stroke Impair ment Assessment Set (SIAS).

Neurorehabilitation and Neural Repair, Vol. 12, No. 3, 95-99 (1998)
DOI: 10.1177/154596839801200303


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