F-3-17-09
CULTURALLY RELEVANCE OF USING FUNCTIONAL INDEPENDENCE MEASURE (FIM) IN HONG KONG
Chetwyn C.H. Chan (Hong Kong Polytechnic University, Hong Kong), Leonard Li (Tung Wah Hospital, Hong Kong), and Steven Chong (Wong Tai Sin Hospital, Hong Kong)
This study is conducted to gather evidence on the cultural relevance of using Functional Independence Measure in Hong Kong. Sixty-four rehabilitation practitioners were recruited and assigned to five different panels (n=10 to 17). Panel members were asked to complete questionnaires and/or participate in focus group discussion. Nine out of the 18 motor and cognitive items were rated as "Excellent", four as "Very Good", three as "Good" and two as "Fair". "Chopsticks and spoon" and "congee and macaroni" were suggested to replace "fork and knife" and "butter bread" of the Eating item. "200 feet or 67 meter" and "at least 20 stairs" substitute "150 feet or 50 meter" and "at least one flight of stairs" of the mobility items. Items which were found as culturally irrelevant would lead to inaccurate clinical decision making. Modification of the content and rating criteria of the items identified is indicated.
F-3-18-01
CT INDICATORS OF MOTOR RECOVERY AFTER ISCHAEMIC STROKE
Marjeta Clemenz, Tine S. Prevec, Tomaz Pogacnik, Tomaz Zgur (University Medical Center, Ljubljana, Slovenia)
Forty patients with unilateral cerebral stroke due to cortical and/or subcortical ischaemic lesion were included in the study. They were selected according to motor affection of the hand. All degrees of motor deficit were randomly represented in the group. Patients had minute neurological examination early after admission and six months later, including Wade and Barthel tests. With CT, cortical and subcortical lesions were identified and the volume measured. The poststroke motor recovery in the cortical infarcts was better than in the subcortical ones. In subcortical lesions a substantial motor recovery was also present, depending on the location of the capsular ischaemic lesion (anterior or/and posterior limb of the internal capsule). The volume of the infarct did not correlate with the motor recovery.
Considering the location of the ischaemic cerebral lesion makes it possible to predict the quality of the poststroke motor recovery already in the early phase of the illness.
