The level of functional recovery was evaluated in a group of 60 patients (48 females and 12 males, mean age 74 ± 9 years), treated in a Rehabilitation Centre after hip or knee replacement, or internal fixation of the proximal femur (time interval between surgery and admission to the Centre was 52 ± 33 days, range 9-121). The degree of functional recovery was determined by means of the Functional Independence Measure (FIM), at admission and discharge (mean lenght of stay 30 days, S.D. 10). At discharge, a mean improvement in total FIM scores of 23% was observed, while that for the motor function domain was 34%. In the four subscales, the ascending order of improvement in the independence level (registered both at admission and at discharge) was the following: locomotion, mobility, self-care and sphincter control. Comparison of our data with those provided by the UDS National Annual Report 1993 reveals analogies and differences which fit in with the policies of the two diverse health care systems. The FIM emerges as a reliable measure also of disability following orthopaedic impairment. The FIM seems to be capable of providing valid indications for the management of in-patient rehabilitation.
|Titolo:||Il recupero dell'indipendenza funzionale dell'anziano durante degenza riabilitativa dopo intervento ortopedico all'anca e al ginocchio|
TESIO, LUIGI (Ultimo)
|Parole Chiave:||disability; elderly orthopaedic patient; FIM; functional assessment; rehabilitation|
|Settore Scientifico Disciplinare:||Settore MED/34 - Medicina Fisica e Riabilitativa|
|Data di pubblicazione:||1995|
|Appare nelle tipologie:||01 - Articolo su periodico|