PMID: 9526750Apr 4, 1998Paper

An evaluation of multidisciplinary intervention governed by functional independence measure (FIMSM) in incontinent stroke patients

Scandinavian Journal of Rehabilitation Medicine
B WikanderI Milsom

Abstract

Patients with acute hemispheric stroke and ensuring urinary incontinence were randomly allocated to a ward using conventional methods of rehabilitation (n = 13) or to a ward practicing rehabilitation governed by Functional Independence Measure (FIM) (n = 21). All patients were assessed on admission and on discharge using the Katz activities of daily living (ADL) index, the psychological general well-being index, item G of the FIM index (FIM-G), and a mobility score. Patients admitted to the ward utilizing FIM were additionally evaluated using the total FIM on admission, repeatedly during the rehabilitation period and on discharge. An individual rehabilitation programme based on the latest FIM score was used throughout rehabilitation. There were no differences on admission between groups regarding clinical and demographic characteristics, ADL, mobility and mood. Twenty patients in the intervention group regained continence before discharge compared to 3 (p < 0.01) in the control group. There was also a greater improvement in well-being in the intervention group compared to the control group (p < 0.01). This study has indicated that rehabilitation governed by the use of FIM reduced urinary incontinence and enhanced well-being bet...Continue Reading

Citations

Jul 19, 2005·Journal of Rehabilitation Medicine·Joost DekkerGustaaf J Lankhorst
Jul 28, 2012·Current Urology Reports·Patrick McKenzie, Gopal H Badlani
Oct 6, 2009·Disability and Rehabilitation·Alena ScurrahPetra Buttner
Dec 15, 2010·Rehabilitation Nursing : the Official Journal of the Association of Rehabilitation Nurses·Isabella S Herr-WilbertDirk Michael Wilbert
Jul 10, 2013·International Journal of Clinical Practice·Z MehdiA Bhalla
Sep 13, 2003·Topics in Stroke Rehabilitation·Sanjit K BhogalMark R Speechley
Aug 31, 2006·Topics in Stroke Rehabilitation·UNKNOWN Ottawa PanelJoanna Sarnecka
Dec 30, 2014·Trials·Lois H ThomasUNKNOWN ICONS Project Team and the ICONS Patient, Public and Carer Involvement Groups
Sep 25, 2012·Annals of Physical and Rehabilitation Medicine·J-C DavietA Yelnik
Mar 5, 2016·Qualitative Health Research·Beverley FrenchUNKNOWN ICONS project team and the ICONS Patient, Public and Carer Involvement Groups
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Nov 1, 2011·Neurourology and Urodynamics·Sigrid Tibaek, Christian Dehlendorff
Aug 4, 1998·Clinical Rehabilitation·D T Wade
Sep 13, 2003·Topics in Stroke Rehabilitation·Robert W TeasellMark R Speechley
Jan 26, 2020·Annals of Physical and Rehabilitation Medicine·Louis Jacob, Karel Kostev

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