Effects of age, gender, and cognitive, functional and motor status on functional outcomes of stroke rehabilitation

被引:35
作者
Ones, Kadriye [1 ]
Yalcinkaya, Ebru Yilmaz [1 ]
Toklu, Banu Cetinkaya [1 ]
Caglar, Nil [2 ]
机构
[1] Istanbul Phys Treatment & Rehabil Training & Res, Istanbul, Turkey
[2] Istanbul Training & Res Hosp, Istanbul, Turkey
关键词
Stroke; rehabilitation; functional outcomes; cognitive condition; age; gender; spasticity; diabetes mellitus; INPATIENT REHABILITATION; IMPAIRMENT; DISABILITY; RECOVERY; PATIENT; PREDICTION; PROGNOSIS; OLD;
D O I
10.3233/NRE-2009-0521
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Our objective was to evaluate the relation between age, gender, initial functional, cognitive and motor condition, spasticity, diabetes mellitus, and functional outcome after rehabilitation of stroke patients. Eighty-eight patients who had suffered stroke were administered in this study. Participants were stroke patients undergoing rehabilitation in Istanbul Physical Treatment and Rehabilitation Training and Research Hospital. Functional condition (Functional Independence Measurement (FIM)), spasticity (Ashworth Scale), cognitive condition (Mini Mental State Evaluation (MMSE)), post-treatment FIM were measured. A significant positive association between MMSE at admission and the functional discharge measures was observed. A significant positive association Brunnstrom (upper lower extremity assessment) scores and the functional discharge measures was observed. A significant positive association between spasticity at admission and the functional discharge measures was observed. In conclusions, the admission functional, motor, cognition condition, age, spasticity were a significant predictors of total and motor FIM score at discharge, but not gender and diabetes mellitus.
引用
收藏
页码:241 / 249
页数:9
相关论文
共 48 条
[1]   Clock drawing task, mini-mental state examination and cognitive-functional independence measure: relation to functional outcome of stroke patients [J].
Adunsky, A ;
Fleissig, Y ;
Levenkrohn, S ;
Arad, M ;
Noy, S .
ARCHIVES OF GERONTOLOGY AND GERIATRICS, 2002, 35 (02) :153-160
[2]   Effect of age on functional outcomes after stroke rehabilitation [J].
Bagg, S ;
Pombo, AP ;
Hopman, W .
STROKE, 2002, 33 (01) :179-185
[3]   CONTINENCE AFTER STROKE - USEFUL PREDICTOR OR GOAL OF THERAPY [J].
BARER, DH .
AGE AND AGEING, 1989, 18 (03) :183-191
[4]  
Black-Scheffer RM, 1999, ARCH PHYS MED REHAB, V80, P8, DOI [10.1016/ S0003-9993(99)90096-5, DOI 10.1016/S0003-9993(99)90096-5]
[5]   ELEMENTS OF COGNITIVE REHABILITATION AFTER RIGHT-HEMISPHERE STROKE [J].
CALVANIO, R ;
LEVINE, D ;
PETRONE, P .
NEUROLOGIC CLINICS, 1993, 11 (01) :25-57
[6]   Recovery of functional status after right hemisphere stroke: Relationship with unilateral neglect [J].
Cherney, LR ;
Halper, AS ;
Kwasnica, CM ;
Harvey, RL ;
Zhang, M .
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 2001, 82 (03) :322-328
[7]   Factors affecting functional outcome after stroke: A critical review of rehabilitation interventions [J].
Cifu, DX ;
Stewart, DG .
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 1999, 80 (05) :S35-S39
[8]  
DEWALD JPA, 1987, STROKE REHABILITATIO, P109
[9]   Effect of cognitive impairment on rehabilitation outcome [J].
Diamond, PT ;
Felsenthal, G ;
Macciocchi, SN ;
Butler, DH ;
LallyCassady, D .
AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION, 1996, 75 (01) :40-43
[10]   Rehabilitation of the older stroke patient - Functional outcome and comparison with younger patients [J].
Ergeletzis, D ;
Kevorkian, CG ;
Rintala, D .
AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION, 2002, 81 (12) :881-889