대한물리의학회지 (Journal of the Korean Society of Physical Medicine)

  • 제14권4호
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  • Pages.115-123
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  • 2019
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  • 1975-311X(pISSN)
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  • 2287-7215(eISSN)
대한물리의학회 (The Korean Society of Physical Medicine)
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인지능력과 상지기능이 만성 뇌졸중 환자의 일상생활동작에 미치는 영향

Cognition and Upper-extremity Function Influence on Performance of Activities of Daily Living in Patients with Chronic Stroke

  • 노효련 (강원대학교 물리치료학과) ;
  • 김찬우 (강원대학교 물리치료학과)
  • Roh, Hyo-Lyun (Department of Physical Therapy, Kangwon National University) ;
  • Kim, Chan-Woo (Department of Physical Therapy, Kangwon National University)
  • 투고 : 2019.07.10
  • 심사 : 2019.08.29
  • 발행 : 2019.11.30
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초록

PURPOSE: This study compared the scores of the Mini-Mental State Examination-Korean version (MMSE-K) and Korean version Montreal Cognitive Assessment (K-MOCA), which assess cognitive function, the Fugl- Meyer Upper-Extremity Assessment (FMA), which assess the upper extremity function; and Modified Barthel Index (MBI), which that assesses activities of daily living among patients receiving inpatient treatment following a diagnosis of stroke to determine the correlations among MMSE-K, K-MOCA, FMA, and MBI. METHODS: The study assessed the cognitive function using the MMSE-K and K-MOCA, upper extremity function using FMA, and activities of daily living using MBI. The data were analyzed using Pearson's correlation analysis and multiple regression analysis. RESULTS: An analysis of the differences in the MMSE-K, K-MOCA, MBI, and FMA scores according to the affected side, revealed differences in the, K-MOCA scores according to the affected side, where patients with right hemiplegia showed better cognitive function (p <.05). Correlation analysis among MMSE-K, K-MOCA, FMA, and MBI Showed significant correlations (p <.05). The results indicate that those with higher cognitive and upper extremity functions had higher performance of activities of daily living. CONCLUSION: The cognitive and upper extremity functions were correlated with the activities of daily living in stroke patients. Accordingly, applying physical therapy with a focus on improving the cognitive function and training activities of daily living could assist in the functional recovery of stroke patients significantly.

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참고문헌

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