뇌졸중 환자에서 연령에 따른 환측 상지 기능과 일상생활동작 수행과의 연관성 (The Relationship between Hemiplegic Upper Extremity Function and Activities of Daily Living According to Age in Stroke Patients)

서지정보

· 발행기관 : 대한노인병학회
· 수록지 정보 : Annals of geriatric medicine and research / 15권 / 1호 / 29 ~ 36페이지
· 저자명 : 선형석, 박경아, 손석준, 김정국, 윤현식, 선효정, 한재영, 최인성, 이삼규

초록

Background: Age is one of the many factors that can influence functional improvement and activities of daily living (ADL) after a stroke. We looked at the effects of functional improvement of hemiplegic upper extremity (HUE) on ADL according to age in stroke patients.
Methods: We recruited 46 stroke patients beginning acute or subacute rehabilitation. They were classified into two groups according to age, the elderly group (≥65 years, n=18) and the young group (<65 years, n=28). We performed the Pedretti clinical test for sensory evaluation of the upper extremity, the manual function test (MFT) to exam the motor function, and the functional independence measure (FIM) to assess ADL.
Results: Sensory changes to HUE correlated significantly with eating, dressing-lower body, and toileting (self-care subitem) (p<0.05). Motor changes to HUE correlated significantly with dressing-upper body and toileting (self-care sub-item)(p<0.05). Prior to beginning rehabilitation, there were significant differences in sensory and motor functions of HUE between the two groups (p<0.05) but no significant difference in FIM (p>0.05). There were no significant differences in the changes to Pedretti clinical test, MFT, and FIM between the two groups before and after rehabilitation (p>0.05). In the young group, the motor improvement of HUE correlated significantly with FIM (p<0.05). In the elderly group, however, the sensory improvement and motor improvement of HUE were not correlated with FIM (p>0.05).
Conclusion: In our study, elderly stroke patients showed improvement in function and ADL similar to young stroke patients. This potential should be maximized and elderly stroke patients should receive active rehabilitation.

영어초록

Background: Age is one of the many factors that can influence functional improvement and activities of daily living (ADL) after a stroke. We looked at the effects of functional improvement of hemiplegic upper extremity (HUE) on ADL according to age in stroke patients.
Methods: We recruited 46 stroke patients beginning acute or subacute rehabilitation. They were classified into two groups according to age, the elderly group (≥65 years, n=18) and the young group (<65 years, n=28). We performed the Pedretti clinical test for sensory evaluation of the upper extremity, the manual function test (MFT) to exam the motor function, and the functional independence measure (FIM) to assess ADL.
Results: Sensory changes to HUE correlated significantly with eating, dressing-lower body, and toileting (self-care subitem) (p<0.05). Motor changes to HUE correlated significantly with dressing-upper body and toileting (self-care sub-item)(p<0.05). Prior to beginning rehabilitation, there were significant differences in sensory and motor functions of HUE between the two groups (p<0.05) but no significant difference in FIM (p>0.05). There were no significant differences in the changes to Pedretti clinical test, MFT, and FIM between the two groups before and after rehabilitation (p>0.05). In the young group, the motor improvement of HUE correlated significantly with FIM (p<0.05). In the elderly group, however, the sensory improvement and motor improvement of HUE were not correlated with FIM (p>0.05).
Conclusion: In our study, elderly stroke patients showed improvement in function and ADL similar to young stroke patients. This potential should be maximized and elderly stroke patients should receive active rehabilitation.

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