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KMID : 0361419920160040443
Journal of Korean Academy of Rehabilitation Medicine
1992 Volume.16 No. 4 p.443 ~ p.451
Prognostic Factors of Ambulation in Stroke Patients
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Abstract
If ambulatory prognosis of stroke patients can be predicted more accurately through certain objective evaluations at the beginning of rehabilitation treatment, goal setting and treatment planning for individual patient can be facilitated and much
easily
specified, With relatively accurate ambulatory expectations, rehabilitation training may have a better focus and improve the general outlook of patients. In that perspective, the authors studied and analyzed the possible prognostic factors that
can
be
evaluated at the beginning of the rehabilitation treatment to provide accurate expectations of achievable ambulatory status, Forty five stroke patients were evaluated and the following results were obtained:
1) Sitting balance, muscle strength of the paretic lower limb and perception level were found to be significant factors in ambulation.
2) Above three factors together contribute 64% to ambulation, 48.5% by the sitting balance. 11.1% by the muscle strength and 4.4% by the perception level respectively.
3) Patient's age, time interval between the stroke onset and the beginning of the rehabilitation treatment(77.8% started rehabilitation treatment within 12 weeks of stroke onset), ambulation training duration, and proprioception did not show
significant relevance to achieved ambulatory status.
KEYWORD
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