Full-Time Integrated Treatment Program, a New System for Stroke Rehabilitation in Japan
- 1 February 2004
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in American Journal of Physical Medicine & Rehabilitation
- Vol. 83 (2), 88-93
- https://doi.org/10.1097/01.phm.0000107481.69424.e1
Abstract
To validate the effectiveness of the Full-time Integrated Treatment (FIT) program that is characterized by rehabilitation 7 days/wk, encouragement of daytime activity, and enhanced communication between staff in stroke rehabilitation.Since our facility changed from the conventional rehabilitation system of 5 days of treatment to the FIT program in December 2000, we compared the conventional rehabilitation program with the FIT program at our hospital. The conventional treatment group and the FIT group consisted of 48 and 58 first-stroke hemiplegics, respectively.The motor subscore of the FIM instrument at admission and at discharge was 64.3 and 77.0 in the conventional group and 60.6 and 80.9 in the FIT group, respectively. The length of stay and efficiency of the FIM instrument were 80.0 days and 0.16 in the conventional group and 69.8 days and 0.30 in the FIT group, respectively. These differences between groups were statistically significant, with the exception of admission FIM data.Because the FIT program attained a higher discharge FIM level with a shorter length of stay, the FIT program was concluded to be an efficient and effective method of stroke rehabilitation.Keywords
This publication has 11 references indexed in Scilit:
- A randomised controlled trial to determine the effect of intensity of therapy upon length of stay in a neurological rehabilitation settingJournal of Rehabilitation Medicine, 2002
- The Uniform Data System for Medical Rehabilitation Report of Patients Discharged from Comprehensive Medical Rehabilitation Programs in 1999American Journal of Physical Medicine & Rehabilitation, 2002
- Intensity of leg and arm training after primary middle-cerebral-artery stroke: a randomised trialThe Lancet, 1999
- ARE STROKE PATIENTS DISCHARGED SOONER IF IN-PATIENT REHABILITATION SERVICES ARE PROVIDED SEVEN V SIX DAYS PER WEEK?1American Journal of Physical Medicine & Rehabilitation, 1999
- The long-term outcome of arm function after stroke: results of a follow-up studyDisability and Rehabilitation, 1999
- Effects of Intensity of Rehabilitation After StrokeStroke, 1997
- Comorbidity measures for stroke outcome research: A preliminary studyArchives of Physical Medicine and Rehabilitation, 1997
- Physiotherapy after stroke: More is better?Physiotherapy Research International, 1996
- Measurement of motor recovery after stroke. Outcome assessment and sample size requirements.Stroke, 1992
- Motor loss and swallowing difficulty after stroke: frequency, recovery, and prognosis.Acta Neurologica Scandinavica, 1987