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KMID : 0357220010130030799
Journal of Korean Society Physical Therapy
2001 Volume.13 No. 3 p.799 ~ p.814
The study of clinical pictures and received rehabilitation service patterns of stroke patients


Abstract
This study was performed to investigate the clinical pictures and rehabilitation service patterns of stroke patients in cities of kimchon(kumi), jinju, pohwang, jeonju and jeju from January I, 2001 to march. Authors developed structured questionnaire, and distributed it to each physical therapist. Total number of distributed questionnaire was 400, and 301 questionnaire were collected and analysed finally.
L The occurrence rate of hemorrhagic stroke(60.5%) was higher than that of ischemic stroke(39.5%). The highest incidence of the stroke was noted in the group of 50 years and ratio of male to female 1.3 : 1.
2. The several warning sign is motor deficit(42.5%), headache, dizziness, vomitting(31.9%) and difficulty speaking or understanding(10.6%).
3. The most important contributing factor of stroke was hypertension both hemorrhagic(50.0%) and ischemic stroke(40.3%).
4. In the painful stroke patients(53.2%), the major problems were shoulder pain(51.3%) and shoulder-hand syndrom(31.3%).
5. In hemorrhagic stroke, the seasonal preference was autumn and summer. In ischemic stroke, the seasonal preference was autumn and winter.
6. In the surgery, hemorrhagic stroke(44.5%) was higher than that of ischemic stroke(20.2%).
7. The major impairment were motor deficit(95.3%), psychological deficits(24.4%), hearing and speech deficit(23.4%), vision deficit( 14.7%)¢¥ and perception deficit( 12.7%).
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8. The rehabilitation services for stroke patients were physical therapy(98.0%), occupational therapy(41.5%), oriental therapy(35.I%), speech therapy(17.5%) and psychological therapy(7.4%).
9. The start of rehabilitation service was different according to surgery. 36.5% of patients started physical therapy in 4 week and 32.0% of patients started in 8 week later in surgery and 53.1% of patients started physical therapy in 2 week in not surgery(P<0.05).
10. The highest frequency of rehabilitation service was six times per week.
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