일상생활활동 수행능력에 따른 뇌졸중 환자의 신체 및 인지기능의 변화

• Published in: 대한물리치료과학회지 Vol. 31; no. 1; pp. 98 - 109
• Main Authors: 김혜은, 조기훈, Hye Eun Kim, Ki Hun Cho
• Format: Journal Article
• Language: Korean
• Published: 대한물리치료과학회 01.03.2024
• Subjects: 물리치료학; Function; Stroke; Activities of daily living
• ISSN: 2733-6441; 2733-645X

Background: The purpose of this study is to investigate changes in physical and cognitive function according to the level of independence in performing activities of daily living in stroke patients. Design: Retrospective study. Method: This study is a retrospective study analyzing medical records. This study utilized data collected from 123 stroke patients at admission in a local rehabilitation hospital between 2019 and 2022. Stroke patients were classified into 5 groups based on the scores of the Korean Modified Barthel index (K-MBI) evaluated at the time of hospitalization at a rehabilitation hospital, and investigated the change in physical (spasticity (modified Ashworth scale), muscle strength (manual muscle test), gait ability (functional ambulation category), upper extremity function (manual function test), and balance function (berg balance scale)) and cognitive function (Korean mini mental status examination) according to the level of independence in performing activities of daily living. Result:: As a results, significant differences were observed in the physical (muscle strength, gait ability, upper extremity and balance functions) and cognitive functions of stroke patients according to the level of independence in performing activities of daily living (p<0.05). However, there was no significant difference in upper and lower extremities spasticity. Conclusions: Through the results of this study, we found that the physical (muscle strength, gait ability, upper extremity and balance functions) and cognitive function were influenced by the level of independence in performing activities of daily living in stroke patients.