Table 2.
Comparison of rehabilitation outcomes before and after introduction of goal attainment scaling
| Assessments (range) | 2014–2015 (n=121) |
2016–2018 (n=141) |
p-value (between groups) | |||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Baseline | Follow-up | Change | p-value (within groups) | Baseline | Follow-up | Change | p-value (within groups) | |||
| MMSE score (0–30) | 15.2±8.9 | 21.1±8.2 | 5.9±5.1 | <0.01 | 15.6±8.6 | 21.2±7.9 | 5.6±4.4 | <0.01 | 0.55 | |
| FMA score (0–66) | 30.8±25.2 | 38.4±25.3 | 7.6±11.1 | <0.01 | 31.0±24.1 | 38.3±25.4 | 7.3±10.3 | <0.01 | 0.63 | |
| MFT score (0–100) | 35.3±35.2 | 47.7±37.2 | 12.4±13.5 | <0.01 | 36.3±34.1 | 49.1±38.1 | 12.8±15.3 | <0.01 | 0.84 | |
| MBI score (0–100) | 34.2±23.9 | 53.5±27.2 | 19.3±13.3 | <0.01 | 35.9±23.8 | 55.2±27.6 | 19.3±13.4 | <0.01 | 0.73 | |
| FIM score | ||||||||||
| Cognition (0–35) | 16.9±8.6a) | 20.9±9.0a) | 4.0±4.0a) | <0.01 | 18.8±8.4 | 22.5±8.3 | 3.7±3.7 | <0.01 | 0.54 | |
| Motor (0–91) | 32.4±15.6a) | 46.2±22.9a) | 13.8±10.6a) | <0.01 | 36.5±17.4 | 50.5±21.1 | 14.0±10.2 | <0.01 | 0.40 | |
| MMT score (0–30) | 12.0±6.1 | 14.4±6.1 | 2.4±2.8 | <0.01 | 12.2±5.3 | 14.6±5.8 | 2.4±2.5 | <0.01 | 0.39 | |
| BBS score (0–56) | 16.7±17.8 | 30.3±20.4 | 13.6±12.8 | <0.01 | 17.7±18.2 | 31.4±20.5 | 13.7±11.6 | <0.01 | 0.82 | |
| TIS score (0–23) | 8.22±6.02 | 12.47±6.32 | 4.25±3.56 | <0.01 | 8.35±6.61 | 12.84±6.77 | 4.49±3.82 | <0.01 | 0.48 | |
| FAC (0–5) | 1.20±1.27 | 2.31±1.57 | 1.11± 0.92 | <0.01 | 1.27±1.27 | 2.42±1.60 | 1.15±0.94 | <0.01 | 0.65 | |
Values are presented as mean±standard deviation.
The study hospital began the Wee-FIM assessment from 2015 and included only the results for 58 patients. The sum of the manual muscle test by Medical Research Council score was divided into 6 muscle groups including shoulder abductor of the weaker side, elbow flexor, wrist extensor, hip flexor, knee extensor, and ankle dorsiflexor. It ranges from 0 (totally hemiplegic) to 30 (normal strength).
MMSE, Mini-Mental State Examination; FMA, Fugl-Meyer Assessment; MFT, Manual Function Test; MBI, Modified Barthel Index; FIM, Functional Independence Measurement; MMT, Manual Muscle Test; BBS, Berg Balance Scale; TIS, Trunk Impairment Scale; FAC, Functional Ambulatory Category.
Each score of baseline and follow-up within same group was compared by paired t-test. The independent t-test was used to compare changes in each score (score at follow-up minus score at admission) between both periods. There was no significant difference in all assessments between both periods.
n=58.