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KMID : 0377219990240020139
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Medical Journal of Chosun Univercity
1999 Volume.24 No. 2 p.139 ~ p.145
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Factors influencing the ambulatory status in patients with stroke after rehabilitation
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Kim Chan-Kyu
Kim Kweon-Young
Jung Won-Young
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Abstract
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Background and Objectives: Little is known about the recovery of walking function and related factors of outcome. The purpose of this study was to evaluate the factors influencing the ambulatory status in patients with stroke after rehabilitation.
Materials and Methods: Thirty patients with stroke who were admitted to Chosun University Hospital, between January 1st’ 1998 and December 31st’ 1998, were included in this study. The following variables as potential predictors of ambulation were evaluated within 24 hours of the stroke onset; 1) general characteristics including age and sex, and 2) clinical characteristics including etiology, frequency and onset time of the stroke, affected sites, duration of the treatment, time interval between onset and rehabilitation, manual muscle test of paretic limb, sitting and standing balance, proprioception, perception, and cognitive functions. We compared and analyzed these variables to the two types of ambulatory status at the time of the discharge with the modified Barthel Index: independent(walk with cane or without assistance) or dependent (walk with walker or wheelchair). The data were analyzed by the student t-test, Fisher-exact test, Mann Whitney-U test, correlation analysis and multiple logistic regression analysis.
Results: Male sex (p＜0.05), cognitive function and proprioception (p＜0.05), muscle strength of the lower limb, frequency of the stroke and standing balance (p＜0.01), perception and sitting balance (p＜0.001) significantly influenced independent ambulatory status. Multiple logistic regression analysis revealed that the ambulatory status depended only on cognitive function (p＜0.01).
Conclusion: The cognitive function is significantly related to the ambulatory status after rehabilitation.
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KEYWORD
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Related factors, Ambulatory status, Stroke, Rehabilitation
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