Abstract T P125: Does the Stroke Impact Scale-16 (SIS-16) PositivelyCorrelate with the Functional Independence Measure ( FIM) During AcuteInpatient Rehabilitation Following Stroke?

Abstract

Background and Purpose: For patients who require acute inpatient rehabilitation after stroke, affect and level of motivation are important for successful outcomes. Conversely, patients who have decreased insight into their deficits are more likely to have negative rehabilitation outcomes, including poorer function and longer hospital stay. Previous research has shown a significant correlation between Stroke Impact Scale(SIS) and Functional independence Measure(FIM) scores in patients undergoing rehabilitation 3 to 6 months after stroke. There is no data on whether these scores correlate immediately after stroke. The purpose of this study is to determine if SIS-16 scores positively correlate with FIM scores after stroke, during acute rehabilitation. Methods: Using a self-reported survey methodology, 70 adult patients with a primary medical diagnosis of stroke who were admitted to an inpatient rehabilitation hospital were surveyed using the Stroke Impairment Scale-16 at the time of admission and again at discharge. During the same time intervals, patients were assessed using the Functional Independence Measure. Data of the two assessment tools were analyzed using a Pearson Correlation Coefficient. Results: Based on the data analysis, the data demonstrated good correlation between SIS-16 average and FIM total motor scores on admission(r = .66) and discharge(r = .67). Additionally, The SIS-16 score change, showed good correlation with the total FIM score change(r = .31) and motor FIM change(r = .34). Interestingly, the degree of functional cognitive ability did not correlate to the same level of perceived impairment.(r = .17/.06) Conclusions: As found in previous research involving patients 3-6 months status post stroke, this study found that the SIS-16 and FIM demonstrate a direct correlation in patients within the inpatient rehabilitation hospital setting. Future research into interventions to improve the correlation between SIS-16 and the cognitive FIM scores are warranted.