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KMID : 1202320200130030019
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Brain & NeuroRehabilitation
2020 Volume.13 No. 3 p.19 ~ p.19
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Factors Associated with Changes in Functional Independence after Six Months of Ischemic Stroke
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Yun Sang-Moon
Lee Seung-Yeol
Sohn Min-Kyun
Lee Jong-Min
Kim Deog-Young
Lee Sam-Gyu
Shin Yong-Il
Lee Yang-Soo
Joo Min-Cheol
Lee So-Young
Han Jun-Hee
Ahn Jeong-Hoon
Oh Gyung-Jae
Lee Young-Hoon
Chang Won-Hyuk
Kim Yun-Hee
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Abstract
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The aim of this study is to investigate the changes in functional independence and their associated factors during the first 6 months to 1 year after stroke onset. This study is the interim results of the Korean Stroke Cohort for Functioning and Rehabilitation. A total of 1,011 participants were included and classified into 3 subgroups according to changes in the Korean version of Modified Barthel Index (K-MBI) scores that occurred between 6 months to 1 year after stroke onset: the improved group (IG), with scores that increased 5 points or more; the stationary group (SG), with the K-MBI score changes ranging from ?4 to +4 points; and the declined group (DG), with the K-MBI scores that decreased 5 points or more. Ordinal logistic regression analyses were used to assess the factors influencing changes in the K-MBI score. Among 1,011 patient, 436 patients (43.1%), 398 patients (39.4%) and 117 patients (17.5%) were classified into the IG, SG, and DG, respectively. Obesity and Geriatric Depression Scale score were significant influencing factors for changes in the K-MBI scores. Obesity showed a positive influence on the K-MBI score, while depression showed a negative influence.
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KEYWORD
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Activities of daily living, Stroke, Obesity, Depression
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