Toshiyuki FUJIWARA, Shigeru SONODA, Shizuko MITA, Yasutomo OKAJIMA, Akio KIMURA, Naoichi CHINO

Keio University Tsukigase Rehabilitation Center

(Received 23 August 2000; accepted 23 February 2001)

Abstract: We analyzed the ADL structure for patients with traumatic brain injury at admission and discharge based on the Functional Assessment Measure (FAM). The subjects were 21 traumatic brain injuries (TBI) (mean age 46.1y.o). We analyzed the relationships of FAM with Disability Rating Scale, Mini-Mental State Examination (MMSE) and Short Behavior Scale. We calculated the percentage of the patients with the score of 6 and 7 at each item from the FAM scores at admission and discharge. We defined this percentage as the independence of the FAM items. We also calculated the independence of the FAM items among 20 stroke patients (their mean age was 49.0y.o). The score of FAM for TBI patients was correlated with the score of DRS, MMSE and SBS. The rate of independence of problem solving, memory, orientation, attention and safety judgement were low among the TBI group in comparison with the stroke group. The FAM score had reflected the cognitive and behavioral disturbances in ADL. It was supposed that FAM was useful tool for functional assessment for TBI patients.

Key words: traumatic brain injury, ADL: activities of daily living), FAM (functional assessment measure)