A Study to Examine the Relationship of the Assessment of Motor and Process Skills (AMPS) to other Tests of Cognition and Function

1996 ◽  
Vol 59 (6) ◽  
pp. 260-263 ◽  
Author(s):  
Susanna E Robinson ◽  
Anne G Fisher
Keyword(s):  
Functional Independence Measure ◽  
The Elderly ◽  
Functional Independence ◽  
Process Skills ◽  
Observational Assessment ◽  
Cognitive Component ◽  
Significant Relationships ◽  
Physical Scale ◽  
And Function ◽  
Relationship Of

In this study, the Assessment of Motor and Process Skills (AMPS), an observational assessment of functional ability, was compared with other tests of function and cognition, namely the Functional Independence Measure (RM), the CAMCOG (the cognitive component of the CAMDEX [Cambridge Examination for Mental Status in the Elderly]) and the Mini-Mental State Examination (MMSE). The subjects were people with diagnosed dementia or mild memory impairment. The results were as expected, revealing significant relationships between AMPS process ability and the CAMCOG, the MMSE and the FIM social/cognition scale, and between AMPS motor ability and the RM physical scale. This supported the validity of the AMPS as an evaluation of the interaction between cognitive impairments and disability in complex activities of daily living.

scholarly journals Prevalência, desempenho cognitivo e funcionalidade de idosos com Doença de Alzheimer em instituições de longa permanência de Bento Gonçalves

2017 ◽  
Vol 5 (1) ◽  
pp. 23 ◽  
Author(s):  
Daniela Fernandes Tonholi ◽  
Gisele Oltramari
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Cognitive Performance ◽  
Junior High School ◽  
Functional Independence Measure ◽  
The Elderly ◽  
Functional Independence ◽  
Cross Sectional Study ◽  
Functional Evaluation ◽  
Cross Sectional

Aims: To determine the prevalence, cognitive performance and functionality of elderly people with Alzheimer's disease in long-stay institutions for the elderlyin the city of Bento Gonçalves. Methods: Cross-sectional study including 24 elderly residents in long-stay institutions for the elderly, sociodemographic datawere obtained, and the elderly were subjected to functional evaluation by the Functional Independence Measure and evaluation of cognitive performancethrough the mental state the Mini (MMSE). Results: Most of the residents were female (83%), as 54.2% schooling had completed junior high school, mostof the elderly (70.8%) was admitted by the will of the family, 100% of the elderly showed cognitive performance bad, and the smaller the more dependentcognitive performance was the individual. Conclusion: institutionalized elderly with Alzheimer's disease had negative results on cognitive performance,as well as deficits in their ability to perform activities of daily living, thus altering their functionality.Keywords: aging; functionality; cognition; Alzheimer Disease; long-stay institutions.

Validité de la Mesure de l'Indépendance Fonctionnelle (MIF) pour les personnes âgées suivies en réadapation

1997 ◽  
Vol 16 (4) ◽  
pp. 626-646
Author(s):  
Louise Demers ◽  
Francine Giroux
Keyword(s):  
Internal Consistency ◽  
Cognitive Skills ◽  
Functional Independence Measure ◽  
The Elderly ◽  
Functional Independence ◽  
Factorial Structure ◽  
Burden Of Care ◽  
Discharge Data ◽  
Rehabilitation Outcomes ◽  
Components Analysis

ABSTRACTThe Functional Independence Measure (FIM) was developed to assess the burden of care of persons receiving rehabilitation services in regard to self-care activities and social and cognitive skills. Until now, no study has evaluated the validity of the FIM with the elderly without distinction of diagnosis. The purpose of this study was to examine the MIF's factorial structure using a principal components analysis. As a secondary goal, the predictive validity and the internal consistency of the instrument were also examined. Data collected from 120 subjects generated a solution consisting of three factors accounting for 67.6 per cent of the total variance. The first factor (46.6%) represents the handicap concept, the second factor (14.7%) measures disability and the third factor (6.3%) represents disability with a major component of physical involvement of lower extremities. The results of this analysis confirm the multidimensional structure of the FIM and reveal the possibility of a third factor for the elderly. With this population, internal consistency of the instrument, obtained from admission and discharge data, is estimated at 0.92 and 0.96 with Cronbach's alpha. Total FIM score at discharge as well as items related to the handicap factor as measured on admission allow us to correctly predict place of discharge in a proportion of 72.9 per cent of the cases. These results indicate that the FIM bears an interesting potential for measuring rehabilitation outcomes for the elderly.

scholarly journals Accidental falls in the elderly and their relation with functional capacity

2012 ◽  
Vol 20 (5) ◽  
pp. 927-934 ◽  
Author(s):  
Jack Roberto Silva Fhon ◽  
Suzele Cristina Coelho Fabrício-Wehbe ◽  
Thais Ramos Pereira Vendruscolo ◽  
Renata Stackfleth ◽  
Sueli Marques ◽  
...  
Keyword(s):  
Functional Capacity ◽  
Functional Independence Measure ◽  
Prevalence Ratio ◽  
Female Gender ◽  
The Elderly ◽  
Functional Independence ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Gender And Age ◽  
Elderly Health

AIM: This study aimed to determinate the prevalence of falls in the elderly and its relationship with the functional capacity. METHOD: This is an epidemiological and cross-sectional study; a two-stage cluster sample of 240 male and female subjects aged over 60 years was used. Data were collected from November 2010 to February 2011. The following questionnaires were used: socio-demographic profile, assessment of falls, Functional Independence Measure, Lawton and Brody Scale. Significance was set at 0.05. To identify the occurrence of falls and their relation with functional capacity, the prevalence ratio and prevalence odds ratios were used, as well as multiple logistic regression. RESULTS: Average age was 73.5 years (±8.4); 25% 80 years or more, with preponderance of female gender; 48.8% attended school between 1-4 years. The average was 1.33 falls (±0.472), with prevalence in women and elderly between 60 and 79 years old; the most frequently sites were the backyard and bathroom. Strong correlation between the level of functional independence and instrumental activities and age was found, but no relation between elderly victims of falls and the gender and age variables. CONCLUSION: Women who suffered falls related to functional independence were predominant, which can be prevented through elderly health promotion strategies, a policy that serves to offer living conditions to people in the aging process.

scholarly journals Correlation of cardiovascular and respiratory comorbidities with motor functional independence in the elderly after hip fracture

2021 ◽  
Vol 74 (1-2) ◽  
pp. 20-24
Author(s):  
Natasa Radosavljevic ◽  
Dejan Nikolic ◽  
Sofija Radosavljevic ◽  
Mirko Grajic ◽  
Ksenija Boskovic
Keyword(s):  
Hip Fracture ◽  
Rating Scale ◽  
Functional Independence Measure ◽  
Severity Index ◽  
The Elderly ◽  
Functional Independence ◽  
Rehabilitation Program ◽  
Significant Difference ◽  
Different Levels

Introduction. The aim of the study was to evaluate the correlation between different levels of examined comorbidities using the Cumulative Illness Rating Scale for Geriatrics and motor Functional Independence Measure test in the elderly after hip fracture. Material and Methods. The study included 203 geriatric patients, 65 years of age and older, who were referred to a rehabilitation program at the Institute for Rehabilitation after hip fracture. The following comorbidities were analyzed: cardiac, vascular, and respiratory. The motor component of Functional Independence Measure was used to assess functional recovery. The Cumulative Illness Rating Scale for Geriatrics was used to calculate the comorbidity index. The patients were assessed on 4 different occasions: on admission, on discharge, 3 months after discharge, and 6 months after discharge. The short-term and long-term efficiency of rehabilitation treatment was measured. Results. There is a significant difference in motor Functional Independence Measure scores between different levels of vascular (p = 0.010) and respiratory (p = 0.047) comorbidities only on admission, while at other times of observation no significant difference (p > 0.05) was found. The highest level of correlation was found in level 3 comorbidity severity index for cardiac comorbidity (discharge/3 months) (Pearson?s correlation - R = 0.938) and vascular comorbidity (discharge/3 months) (R = 0.912), and level 2 comorbidity severity index for respiratory comorbidity (discharge/3 months) (R = 0.941). Conclusion. Rehabilitation treatment of the elderly after hip fracture plays a significant role both in short-term and long-term recovery, particularly in the functional domains even in persons with significant comorbidities. Early inclusion and an individually designed rehabilitation program with continuous monitoring of the elderly after hip fractures results in functional improvement and better quality of life.

scholarly journals Gait speed as an indicator of prosthetic walking potential following lower limb amputation

2018 ◽  
Vol 43 (2) ◽  
pp. 196-203 ◽  
Author(s):  
Heather R Batten ◽  
Steven M McPhail ◽  
Allison M Mandrusiak ◽  
Paulose N Varghese ◽  
Suzanne S Kuys
Keyword(s):  
Lower Limb ◽  
Gait Speed ◽  
Functional Independence Measure ◽  
Inpatient Rehabilitation ◽  
Functional Independence ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Transtibial Amputation ◽  
And Function ◽  
The Relationship

Background: The relationship between gait speed and prosthetic potential (K-level classifications) and function has not been explored among people transitioning from hospital rehabilitation to the community. Objectives: To examine gait speed at discharge from inpatient rehabilitation among people prescribed a prosthetic leg after unilateral lower limb amputation, and associations between gait speed, prosthetic potential and functional ability. Study design: Cohort. Methods: Gait speed (10-m walk test), K-level (Amputee Mobility Predictor) and Functional Independence Measure motor were compared for 110 people (mean (standard deviation) age: 63 (13) years, 77% male, 71% transtibial amputation, 70% dysvascular causes). Results: Median (interquartile range) gait speed and Functional Independence Measure motor were 0.52 (0.37–0.67) m/s and 84 (81, 85), respectively. Median (IQR) gait speed scores for each K-level were as follows: K1 = 0.17 (0.15–0.19) m/s, K2 = 0.38 (0.25–0.54) m/s, K3 = 0.63 (0.50–0.71) m/s and K4 = 1.06 (0.95–1.18) m/s. Median (IQR) FIM-Motor scores for each K-level were as follows: K1 = 82 (69–84), K2 = 83 (79–84), K3 = 85 (83–87) and K4 = 87 (86–89). Faster gait speed was associated with higher K-level, higher FIM-Motor, being younger, male and having transtibial amputation with nonvascular aetiology. Conclusion: Gait speed was faster among each higher K-level classification. However, gait speeds observed across all K-levels were slower than healthy populations, consistent with values indicating high risk of morbidity and mortality. Clinical relevance Factors associated with faster gait speed are useful for clinical teams considering walking potential of people with lower limb prostheses and those seeking to refine prosthetic rehabilitation programmes.

Comparing the Responsiveness of the Assessment of Motor and Process Skills and the Functional Independence Measure

2012 ◽  
Vol 79 (3) ◽  
pp. 167-174 ◽  
Author(s):  
Andrea M. Fioravanti ◽  
Candace M. Bordignon ◽  
Susan M. Pettit ◽  
Linda J. Woodhouse ◽  
Barbara J. Ansley
Keyword(s):  
Functional Independence Measure ◽  
Functional Independence ◽  
Process Skills

scholarly journals Deverá a idade ser um fator decisivo de seleção para internação num Centro de Reabilitação após um AVC?

2019 ◽  
Vol 7 (1) ◽  
pp. 31608
Author(s):  
Pedro Francisco dos Santos Caetano ◽  
José Vilaça ◽  
Inês Campos ◽  
Anabela Pereira ◽  
Jorge Laíns
Keyword(s):  
Elderly Patients ◽  
Stroke Rehabilitation ◽  
Elderly Population ◽  
Functional Independence Measure ◽  
The Elderly ◽  
Rehabilitation Medicine ◽  
Functional Independence ◽  
Discharge Destination ◽  
Post Discharge ◽  
Mean Values

Aims: Stroke represents one of the main causes of mobility and mortality, occurring in three-quarters of the elderly. Rehabilitation aims at improving deficits, function and social integration of patients with stroke sequelae. We characterized an elderly population admitted for post-stroke rehabilitation and evaluated the differences in the functional evolution between elderly and non-elderly patients.Methods: We analyzed retrospectively all the patients suffering a stroke admitted in a Centre of Rehabilitation Medicine between June 1, 2014, and May 31, 2016. Patients were divided into 2 groups: elderly (65 years) and non-elderly (<65 years). The following variables were analyzed: sex, age, days of admission, post-discharge destination and Functional Independence Measure (FIM) at admission and discharge.Results: We analyzed 134 patients with stroke. The majority were elderly with a mean age of 72.07±6.50. 51.3% were men and the number of days of admission was 107.4±59.5 (vs 109.50±55.7 days in the non-elderly group). 86.4% of these patients were discharged home. Comparing FIM mean values at admission and discharge, we found differences between these two groups, the elderly patients having lower FIM values at admission (75.75 vs 82.96 non-elderly; p=0.005) and at discharge (88.93 vs 99.12 non-elderly; p=0.005). There was also some difference in the FIM increase between admission and discharge in these groups. Despite not being statistically significant.Conclusions: Most patients hospitalized were over 65 years old. FIM values at admission of the elderly patients are lower than of the non-elderly, probably because the latter present specific characteristics associated with the ageing process. Although FIM increases were lower in the elderly patients’ group, this difference was not significant whereby they appeared to have functionally benefited as much as the non-elderly. Therefore, age on its own does not appear to be a decision criteria for admission.

scholarly journals Correlation between demographic characteristics, cognitive functioning and functional independence in stroke patients

2016 ◽  
Vol 144 (1-2) ◽  
pp. 31-37 ◽  
Author(s):  
Sladjana Arsic ◽  
Ljubica Konstantinovic ◽  
Fadilj Eminovic ◽  
Dragan Pavlovic
Keyword(s):  
Risk Factors ◽  
Cognitive Impairment ◽  
Functional Independence Measure ◽  
The Elderly ◽  
Functional Independence ◽  
Demographic Characteristics ◽  
Stroke Patients ◽  
Diabetes Mellitus Type Ii ◽  
Significant Difference ◽  
And Gender

Introduction. It has been assumed that there is causality of the achieved level of functional independence with the degree of preservation of cognitive function in stroke patients. Demographic characteristics may be important for monitoring the achieved level of functional independence. Objective. The aim of this study was to examine the relationship of demographic characteristics and functional independence in regard to the level of cognitive impairment in stroke patients. Methods. The study included 50 stroke patients after rehabilitation, as well as age- and gender-matched 50 subjects selected randomly, according to the demographic characteristics of the studied sample, who in their medical history had no neurological disorders. For the assessment of functional independence, the Functional Independence Measure (FIM) test was used. The general cognition was estimated by the Mini-Mental State Examination (MMSE) test. The statistical analyses included the Mann-Whitney test, for two independent samples, measures of canonical correlation, and ?2 test. Results. There was a statistically significant difference between the groups in relation to risk factors, hypertension and diabetes mellitus type II (p<0.001); There was a statistically significant difference within the groups in relation to the cognitive impairment in all the examined demographic characteristics (p<0.001); the differences within the groups in relation to the cognitive impairment are present on all subscales of the FIM test (p<0.05); the differences within the groups in relation to handedness, hemiparesis, show that mild cognitive impairment is more common among left hemiparesis, while a more severe one is more common among right-sided hemiparesis (p<0.05); More severe cognitive impairment is common among women, the elderly and in persons with lower education (p<0.05). Conclusion. By prevention of risk factors, and prevention of possible cognitive impairment, consequences of stroke can be reduced, the recovery can be made more successful, and quality of life can be improved.

scholarly journals Effect of Improvement in Sarcopenia on Functional and Discharge Outcomes in Stroke Rehabilitation Patients

Nutrients ◽  
2021 ◽  
Vol 13 (7) ◽  
pp. 2192
Author(s):  
Tatsuya Matsushita ◽  
Shinta Nishioka ◽  
Shiori Taguchi ◽  
Anna Yamanouchi ◽  
Yuka Okazaki ◽  
...  
Keyword(s):  
Stroke Rehabilitation ◽  
Regression Coefficient ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Partial Regression Coefficient ◽  
Discharge Outcomes ◽  
And Function ◽  
The Relationship

This cross-sectional study investigated the proportion of patients’ recovery from sarcopenia status and the relationship between improvement in sarcopenia (IS) and function and discharge outcome in hospitalized patients with stroke. This study included patients with stroke, aged 65 years or more, with a diagnosis of sarcopenia, who were admitted to a convalescent rehabilitation ward. Sarcopenia was diagnosed according to the Asian Working Group for Sarcopenia 2019 criteria. Patients were divided according to the presence or absence of sarcopenia at discharge: IS group and non-improvement in sarcopenia (NIS) group. Among the 227 participants (mean age: 80.5 years; 125 females), 30% (69/227) of the patients were in the IS group, while 70% (158/227) were in the NIS group. The IS group showed a higher Functional Independence Measure (FIM) than the NIS group (median 112 vs. 101, p = 0.003). The results demonstrated that IS was independently associated with higher FIM (partial regression coefficient, 5.378; 95% confidence interval (CI), 0.709–10.047). The IS group had higher odds of home discharge than the NIS group (odds ratio, 2.560; 95% CI, 0.912–7.170). In conclusion, recovery from sarcopenia may be associated with better function in patients with stroke.

Sign in / Sign up

Export Citation Format

Share Document