Internationale Zeitschrift für Physikalische Medizin und Rehabilitation
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Abstrakt

ADL Restored Independently by Rehabilitation in the Patients with Femoral Bone Fracture

Talukdar Muhammad Waliullah, Hirofumi Kambara, Naoya Seki, Daisuke Miyashita, Yuichiro Kushida, Takaaki Hanada, Tomoaki Kyokuta and Tomoaki Hoshino

Objective: Rehabilitation achievement can assist recovery from acute fracture to the level of routine activities of daily living.

Design: The study designed to analyse existing indicators of Functional Independence Measure (FIM) for rehabilitation effectiveness and efficiency by gaining functional activity in patients with femoral bone (HIP) fracture.

Setting: Optimum level (more than two hours per day including morning and afternoon session) of physical exercises, advancement health care nursing services, and motivation, keeping up satisfied environmental conditions of rehabilitation.

Participants: Among 483 patients who were admitted with HIP fracture between January, 2017 and January 2019, 309 patients who had rehabilitation between 20-90 days without other exclusive comorbidities to hamper the exercise were analysed.

Interventions: Not applicable.

Results: The average motor FIM (mFIM) score on admission was 41.8 ± 0.7 that indicated the 13 individual mFIM average score were 3.2. The individual mFIM score required 6 for performing daily activity independently.

Main outcomes measures: Achievement of the average mFIM score were 74.1±1.0 which implied the individual mFIM score average was 5.7 at discharge. The rehabilitation effectiveness of mFIM was 68.9 ± 1.4, cFIM was 39.6 ± 2.3 and tFIM was 66.2 ± 1.5. Circadian functional efficiency of rehabilitation was 0.51 ± 0.01 for mFIM, 0.07 ± 0.00 for cFIM and 0.58 ± 0.02 for tFIM.

Conclusion: The rehabilitation data implies that the motor function of FIM improved satisfactory and equally well even the senior group of patients (>70 y/o) as well as the cognitive function of FIM during the hospitalization, and that most of the patients were able to perform daily activities independently at home. Furthermost important factor was that 72% of patients were able to return to their home.