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KMID : 0361420130370010082
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Journal of Korean Academy of Rehabilitation Medicine
2013 Volume.37 No. 1 p.82 ~ p.87
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Activity of Daily Living and Motor Evoked Potentials in the Subacute Stroke Patients
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Lim Kil-Byung
Kim Jeong-Ah
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Abstract
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Objective : To investigate the effectiveness of the daily living activity and motor evoked potential (MEP) in the subacute stroke patients. Methods : Nineteen subjects with subacute ischaemic/hemorrhagic stroke developed in the last three months were enrolled, and MEP was measured with transcranial magnetic stimulation. Functional Independence Measure (FIM) score were evaluated in both groups before and 4 weeks after comprehensive rehabilitative management. According to the presence of MEP response in the affected hemisphere, subjects were divided into MEP positive and negative group. Results : There was no significant difference between the two groups in age, sex, and post-onset duration. Four weeks later, the change in total FIM and self-care score improved significantly in the MEP-positive group, when compared to the MEP-negative group (p<0.05). However, cognitive improvement had no relationship with MEP responsiveness. Conclusion : We concluded that initial measurement of MEP is a useful assessment tool in predicting functional outcome of subacute stroke patients.
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KEYWORD
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Stroke, Hemiplegia, Motor evoked potentials, Activities of daily living
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