Study on function evaluation tools for stroke patients

뇌졸중(腦卒中) 환자(患者)의 기능평가방법(機能評價方法)에 대(對)한 연구(硏究)

  • Ko, Seong-Gyu (Department of Oriental Internal Medicine, Kyung Hee University, College of Oriental Medicine) ;
  • Ko, Chang-Nam (Department of Oriental Internal Medicine, Kyung Hee University, College of Oriental Medicine) ;
  • Chox, Ki-Ho (Department of Oriental Internal Medicine, Kyung Hee University, College of Oriental Medicine) ;
  • Kim, Young-Suk (Department of Oriental Internal Medicine, Kyung Hee University, College of Oriental Medicine) ;
  • Bae, Hyung-Sup (Department of Oriental Internal Medicine, Kyung Hee University, College of Oriental Medicine) ;
  • Lee, Kyung-Sup (Department of Oriental Internal Medicine, Kyung Hee University, College of Oriental Medicine)
  • 고성규 (경희대학교 한의과대학 심계내과학교실) ;
  • 고창남 (경희대학교 한의과대학 심계내과학교실) ;
  • 조기호 (경희대학교 한의과대학 심계내과학교실) ;
  • 김영석 (경희대학교 한의과대학 심계내과학교실) ;
  • 배형섭 (경희대학교 한의과대학 심계내과학교실) ;
  • 이경섭 (경희대학교 한의과대학 심계내과학교실)
  • Published : 1996.04.30

Abstract

Our conclusions for function evaluation tools of Stroke patients are as follows. 1. Evaluating tools of Activities of Daily Living, Katz Index, Barthel Index, Modified Barthel Index have high validity and reliability because of ease of measuring, high accuracy, consistency, sensitivity and sufficient stastistics, but they mainly measure motor function except sense, mentation, language, and social conception. Therefore cerebrovascular disease and brain injury in trauma patients with lacked acknowledgement and sensation, we are not able to apply these tools. 2. PULSES Profile is a useful scale for measuring the patient's over-all status, upper and lower limb functions, sensory components, excretary functions, and intellectual and emotional adaptabilities. It is recognized as a good, useful tool to evaluate patient's whole function. 3. Motor Assessment Scale was designed to measure the progress of stroke patients. The scale was supplemented with upper arm function items. We believe that the Motor Assessment Scale could be a useful evaluation tool with inter-rater reliability ,test-retest reliability. 4. The existing evaluation tools, Katz Index, Barthel Index, Modified Barthel Index, PULSES Profile, Motor Assessment Scale, mainly measured the rehabilitational motor function of sequela of cerebrovascular patients. On the other hand CNS & INH stroke scale can measure cerebrovascular disease patient's neurologic deficits and over-all stautus, which are recognition ability, speech status, motor function, sensory function, activities of daily living. Those scales have been recognized as useful tools to measure function of cerebrovascular disease patients and have increased in use. 5. Every function evaluation tool was recognized to have some validity and inter-rater, test-retest reliability in items of each evaluation tool and total scores of each evaluation tools, but it is thought that none of these scales have been fully validated and proved reliable. Therefore afterward, the development of a highly reliable rating system may best be accomplished by a careful comparison of several tools, using the same patients and the same observers in order to choose the most reliable items from each. 6. Ideal evaluation tools must have the following conditions; (1) It should show the objective functional statues at the same time. (2) It should be repeated consecutively to know changed function status. (3) It should be easy to observe the treatment program. (4) It should have the same result with another rater to help rater exchange information with treatment team members. (5) It should be practical and simple. (6) The patient should not suffer from the observer.

Keywords

References

  1. 대한한의학회지 v.14 중풍환자의 반신마비 회복도에 대한 임상적 관찰 고성규;조기호;김영석;배형섭;이경섭
  2. 대한신경과학회지 v.10 급성 뇌경색 환자의 기능회복에 관한 예비적 연구 김진국;하정상;변영주
  3. 대한재활의학회지 v.19 뇌졸중후 운동기능 회복에 대한 연구 김창환;김세주
  4. 대한재활의학회지 v.15 재활치료를 받은 뇌졸중 환자의 일상생활 동작 평가 남명호;김봉옥;윤승호
  5. 대한신경과학회지 v.7 no.2 최근 국내 뇌졸중의 역학적 동향에 관한 연구 명호진;이상복;노재규(外 8人)
  6. 재활의학분야에서 사용중인 기능평가 체계의 비교 박현
  7. 보건사회부 통계연보 no.36 보건사회부
  8. 대한신경과학회지 v.10 Barthel Index, Canadian Neurologic Scale, NIH Stroke Scale과 Graded Neurologic Scale의 검사자간의 신뢰도검사 홍승봉;서대원;이일근;나덕렬;윤병우;노재규
  9. 대한재활의학회지 v.19 뇌졸중 환자에서의 Functional Independence Measure (FIM)와 Modified Barthel Index(MBI)의 비교 이종하;황치문;김희상;안경희
  10. 대한물리치료사학회지 v.4 no.1 뇌졸중 환자의 기능 평가도구에 대한 연구 안중국;임혜원;안소윤
  11. 대한재활의학회지 v.15 뇌졸중 환자의 재활치료 시점에서의 평가와 기능적 회복에 관한 연구 정한영;권희규;오정희
  12. 동의보감 허준
  13. Stroke : pathophsiology, diagnosis, and management Barnett, H.J.M.;Mohr, J.P.;Stein, B.M.;Yatsu, F.M.
  14. Stroke v.2 Survival and prevalence Baum, H.M.;Robin, M.
  15. Neurology v.37 Prognosis of acute stroke Chamber, B.R.;Norris, J.W.;Shurvell, B.L.;Hachinski, V.C.
  16. The Canadian Neurologic Scale ; Neurology v.39 Vilidation and Reliability Assessment Cote, R.;Battista, R.N.;Wolfson, C.;Boucher, J.;Adams, J.
  17. The Canadian Neurological Scale ; Stroke v.17 A Preliminary Study in Acute Stroke Cote, R.;Hachinski, V.C.;Shurvell, B.L.;Norris, J.W.;Wolfson, C.
  18. J. Neurosurg. Psychiatry v.40 Mood disorder as a specific complication Folstein, M.F.;Mailberger, F.;McHugh, R.R.
  19. TINS v.11 Motor neuron recovery after lesion Goldberge, M.E.
  20. Arch. Neurol. v.46 Interrater Reability of NIH Stroke Scale Goldstein, L.B.;Bertels, C.;Davis, J.N.
  21. Arch. Phys. Med. Rehabil. v.60 Outcome of comrehensive medical rehabilitation Measurement by PULSES profile and the Barthel Index Granger, C.V.;Albrecht, G.L.;Hamilton, B.B.
  22. Am. J. Phys. Med. Rehabil. v.72 Performance profiles of the Functional Independence measure Granger, C.V.;Hamilton, B.B.(外 2人)
  23. Bull WHO v.54 Experience from multicentre stroke register a preliminary report Hanato, S.
  24. Is neurological disability and handicap measurable? : More dilemmas in the management of the neurological patient Hewer, R.L.;Warlow, C.(ed.);Garfield, J.(ed.)
  25. Physical Medicine v.65 Investigation of a new motor asessment scale for stroke patients Janet, H.Carr(et al.)
  26. JAMA v.185 Studies of illness in the Age Katz, S.(外 2人)
  27. Arch. Phys. Med. Rehabil. v.53 Longterm follow up of the post stroke patient Moskowitz, E.;Lightbody, F.E.H.;Freitag, N.S.
  28. Arch. Phys. Med. Rehabil. v.69 Motor Assessment Scale for Stroke Patients concurrent Validity and Interater Reability Poole, J.L.;Whitney, S.L.
  29. Stroke v.13 Predicting functional outcome following acute stroke using a standard clinical examination Prescott, F.J.;Garraway, W.M.;Akhtar, A.J.
  30. Brain Research v.50 A quantitative investigation of the development of collateral reinnervation of the septal nuclei Raisman, G.;Filed, P.M.
  31. Arch. Phys. Med. Rehabil. v.46 Numerical Scorring of self-care status of patients Schoening, H.A.(外 2人)
  32. J. Neurol. Neurosurg. Psychiatry v.47 Recovery after stroke Skillbeck, C.E.;Wade, D.T.;Hewer, R.L.;Wood,. V.A.
  33. Arch. Phys. Med. Rehabil. v.64 Preceding Barthel ADL Score at 6 months after an acute stroke Wade, D.T.;Skillberk, C.E.;Hewer, R.L.
  34. J. Neurol. Neurosurg. Psychiatry v.48 Recovery after stroke-The frst 3 months Wade, D.T.;Victorine, A.W.;Hewer, R.L.
  35. Public Health Rep. v.82 Measuring end of results of rehabilitation patients with stroke Wylie, C.M.;
  36. Arch. Environ. Health v.8 A measure of disability Wylie, C.M.;White, B.K.