인지능력과 상지기능이 만성 뇌졸중 환자의 일상생활동작에 미치는 영향
Cognition and Upper-extremity Function Influence on Performance of Activities of Daily Living in Patients with Chronic Stroke
노효련, 김찬우,
소속 상세정보
노효련 ( Ro Hyo-Lyun )
강원대학교 물리치료학과
김찬우 ( Kim Chan-Woo )
강원대학교 물리치료학과
Abstract
PURPOSE: This study compared the scores of the Mini- Mental State Examination-Korean version (MMSE-K) and Korean version Montreal Cognitive Assessment (K-MOCA), which assess cognitive function, the Fugl- Meyer Upper-Extremity Assessment (FMA), which assess the upper extremity function; and Modified Barthel Index (MBI), which that assesses activities of daily living among patients receiving inpatient treatment following a diagnosis of stroke to determine the correlations among MMSE-K, K-MOCA, FMA, and MBI.
METHODS: The study assessed the cognitive function using the MMSE-K and K-MOCA, upper extremity function using FMA, and activities of daily living using MBI. The data were analyzed using Pearson’s correlation analysis and multiple regression analysis.
RESULTS: An analysis of the differences in the MMSE-K, K-MOCA, MBI, and FMA scores according to the affected side, revealed differences in the, K-MOCA scores according to the affected side, where patients with right hemiplegia showed better cognitive function (p <.05). Correlation analysis among MMSE-K, K-MOCA, FMA, and MBI Showed significant correlations (p <.05). The results indicate that those with higher cognitive and upper extremity functions had higher performance of activities of daily living.
CONCLUSION: The cognitive and upper extremity functions were correlated with the activities of daily living in stroke patients. Accordingly, applying physical therapy with a focus on improving the cognitive function and training activities of daily living could assist in the functional recovery of stroke patients significantly.
키워드
MMSE-K; K-MOCA; MBI; FMA; ADL
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