2025 Volume 40 Issue 1 Pages 20-26
[Purpose] To examine the impact of admission home-visit guidance on activities of daily living (ADL) in motor disorders. [Participants and Methods] A total of 124 patients with motor disorders transferred to post-acute care (PAC) wards and discharged to home were examined. For analysis, they were stratified into 2 tiers according to their total motor Functional Independence Measure (FIM) scores at PAC transfer: those scoring below 52 (lower tier) and those scoring 52 or higher (upper tier). They were further divided into those who received admission home-visit guidance (guidance group) and those who did not (non-guidance group). Additionally, a questionnaire survey of rehabilitation staff on the admission home-visit guidance was conducted. [Results] Compared with the non-guidance group, the guidance group showed significantly higher values for FIM effectiveness, bathing/showering, and ascending/descending stairs in the lower tier, and for motor FIM effectiveness, bathing/showering, and bathtub transfers in the upper tier. Rehabilitation staff’s rate of answering “The guidance facilitated goal setting and daily training” was 93.9%. [Conclusion] The results suggest that admission home-visit guidance contributes to the improvement of FIM scores.
