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KMID : 1034520110050010047
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Journal of Occupational Therapy for the Aged and Dementia
2011 Volume.5 No. 1 p.47 ~ p.54
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A Study of Correlation between Cognitive Functions and Activities of Daily Living in Stroke Patients
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Song Eun-Kyoung
Lee Ji-Eun
Han Jeong-Hwa
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Abstract
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Objective : This work was designed to make comparison between the scores from Mini-Mental State Examination-Korean version (MMSE-K) for cognitive ability assessment and the scores from Modified Barthel Index (MBI) for functional independence assessment by age, gender, and brain injury region for those hospitalized with stroke diagnosis and to prove the correlation between these two, MMSE-K and MBI.
Method : Recording was performed on stroke patients by their age, gender, height, weight, diagnostic code, paralyzed region, treatment duration, and spastic and non-spastic condition based on the clinical chart at the time of treatment initiation and then the MMSE-K test was taken for cognitive assessment. Lastly, the MBI examination was followed up for Activities of Daily Living analysis.
Result : The analytic results turned out as follows. Firstly, there was statistically a significant difference between MMSE-K and MBI by the age and the brain injury region. Secondly, there was no significant difference between MMSE-K and MBI by the age and the paralyzed type as to the score correlation. Thirdly, taking a look at the analytic correlation between MMSE-K and MBI, there was a significant correlation with the significance level of p＜.05 with r＝.426. This means the functioning level in daily life activity becomes high as the cognitive function increases.
Conclusion : The findings in the study showed the significant difference statistically in the categories of age and brain injury only according to the score review over the cognitive function and the activities of daily living in stroke patients by their age, brain injury region, and paralyzed type. It was found also that there was some correlative relation of stroke patients’ cognitive function with daily activities, and thanks to this, the occupational therapy intervention can oriented. With a focus on the cognitive function enhancement and the activities of daily living training for occupational therapy, this would help the stroke patients with their functional recovery a great deal.
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KEYWORD
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stroke, cognitive function, activities of daily Living, MMSE-K, MBI
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