Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
권호 표지
DOI QR코드

DOI QR Code

Cognition and Upper-extremity Function Influence on Performance of Activities of Daily Living in Patients with Chronic Stroke

인지능력과 상지기능이 만성 뇌졸중 환자의 일상생활동작에 미치는 영향

  • Roh, Hyo-Lyun (Department of Physical Therapy, Kangwon National University) ;
  • Kim, Chan-Woo (Department of Physical Therapy, Kangwon National University)
  • 노효련 (강원대학교 물리치료학과) ;
  • 김찬우 (강원대학교 물리치료학과)
  • Received : 2019.07.10
  • Accepted : 2019.08.29
  • Published : 2019.11.30
Download PDF
⟨ Previous Next ⟩

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.

Keywords

References

  1. Eich HJ, Mach H, Werner C, et al. Aerobic treadmill plus Bobath walking training improves walking in subacute stroke: a randomized controlled trial. Clinical rehabilitation. 2004;18(6):640-51. https://doi.org/10.1191/0269215504cr779oa
  2. Radomski MV, Trombly CA. Occupationaltherapy for physical dysfunction (7th). Lippincott Williams & Wilkins. 2013.
  3. Rubio KB, Van Deusen J. Relation of perceptual and body image dysfunction to activities of daily living of persons after stroke. The American Journal of Occupational Therapy. 1995;49(6):551-9. https://doi.org/10.5014/ajot.49.6.551
  4. DeLisa JA, Gans BM. Rehabilitation Medicine: principles and practice (2nd). Philadelphia. Lippincott. 1993.
  5. McDowd JM, Filion DL, Pohl PS. Attentional abilities and functional outcomes following stroke. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences. 2003;58(1):45-53.
  6. Shumway-Cook A, Woollacott MH. Motor control: translating research into clinical practice. Lippincott Williams & Wilkins. 2007.
  7. Kramer AM, Steiner JF, Schlenker RE, et al. Outcomes and costs after hip fracture and stroke: a comparison of rehabilitation settings. Jama. 1997;277(5):396-404. https://doi.org/10.1001/jama.1997.03540290048031
  8. Dromerick AW, Birkenmeier R, Hahn MG, et al. Relationships between upper limb functional limitation and self-reported disability 3 months after stroke. J Rehabil Res Dev. 2006;43(3):401-8. https://doi.org/10.1682/JRRD.2005.04.0075
  9. Langhorne P, Bernhardt J, Kwakkel G. Stroke rehabilitation. Lancet. 2011:1693-702.
  10. Shin MJ, Kim SH, Lee CH, et al. Optimal strategies of upper limb motor rehabilitation after stroke. Brain & Neurorehabilitation. 2014;7(1):21-9. https://doi.org/10.12786/bn.2014.7.1.21
  11. Lee HS, Park YJ. The effect of physical activity program for elderly with dementia on cognitive function: Meta-analysis of studies in Korea. J Korean Soc Phys Med, 2016;11(2):115-21. https://doi.org/10.13066/kspm.2016.11.2.115
  12. Jung CW, Song YH, Lee HM. Feasibility Test of Smartphone Application for Activity Daily Living by Chronic Stroke Patients. Korean Society of Physical Medicine. 2019;14(1):151-61. https://doi.org/10.13066/kspm.2019.14.1.151
  13. Lee HY, Lee AJ. The effects of dual-task action observation physical training on the walking ability and activities of daily living in chronic stroke patients. Korean Society of Physical Medicine. 2016;11(2):83-91.
  14. KIM YH, Han TR, Jung HY, et al. Clinical practice guideline for stroke rehabilitation in Korea. Brain & Neurorehabilitation. 2009;2(1):1-38. https://doi.org/10.12786/bn.2009.2.1.1
  15. Andrews K., Brocklehurst JC, Richards B, & Laycock, et al. The rate of recovery from stroke-and its measurement. International rehabilitation medicine. 1981;3(3):155-61. https://doi.org/10.3109/03790798109166795
  16. Kwon YC, Park JH. A Korean edition for the elderly standardization study of MMSE-K. Korean neurophysiatric association. 1989;28(1):125-35.
  17. PARK JH. Standardization of Korean version of the Mini-Mental State Examination (MMSE-K) for use in the elderly. Part II. Diagnostic validity. J Korean Neuropsychiatr Assoc. 1989;28:508-13.
  18. Song CS. A reliability the Montreal Cognitive Assesment on Cognitive impairment Following Stroke. Journal of the korea Academia-Industrial cooperation Society. 2013;14(3):1228-33. https://doi.org/10.5762/KAIS.2013.14.3.1228
  19. Jung YK. Influences on the Cognitive Views of Learning from the Color Preference of Web Interfaces Based on E-Learning. Korean Digital Design Association. 2010; 10(3):267-76.
  20. Van Merrienboer JJ, Ayres P. Research on cognitive load theory and its design implication for E-learning. Edu Technol Res Dev. 2005;53(3):5-13. https://doi.org/10.1007/BF02504793
  21. Jung HY, Park BK, Shin HS, et al. Development of the Korean Version of Modified Barthel Index (K-MBI): Multi-center Study for Subjects with Stroke. Journal of the Korean Academy of Rehabilitation Medicine. 2007;31(3):283-97.
  22. Fugl-Meyer AR, Jaasko L, Leyman I, et al. The post-stroke hemiplegic patient. 1. a method for evaluation of physical performance. Scandinavian journal of rehabilitation medicine. 1975;7(1):13-31.
  23. Sanford J, Moreland J, Swanson LR, et al. Reliability of the Fugl-Meyer assessment for testing motor performance in patients following stroke. Physical therapy. 1993;73(7):447-54. https://doi.org/10.1093/ptj/73.7.447
  24. Won TY, Jeong SW. Statistical Survey Analysis. SPSS academy, Seoul: Data solution, 2002.
  25. York CD, Cermak SA. Visual perception and praxis in adults after stroke. The American Journal of Occupational Therapy. 1995;49(6): 543-50. https://doi.org/10.5014/ajot.49.6.543
  26. Van Merrienboer JJ, Ayres P. Research on cognitive load theory and its design implication for E-learning. Edu Technol Res Dev. 2005;53(3):5-13. https://doi.org/10.1007/BF02504793
  27. Lee HS, Park YJ. The effect of physical activity program for elderly with dementia on cognitive function: meta-analysis of studies in Korea. Korean Society of Physical Medicine. 2016;11(2):115-21.
  28. Kim BR. The Relationship of Cognitive Status to Activities of Daily Living in Acute Stroke Paitents. Master's Degree Dae-gu University. 2006.
  29. Han TR, Kim JH, Seong DH, et al. The Correlation of the Mini-Mental State Examnination(MMSE) and Functional Outcome in the Stroke Patients. J Korean Acad Rehabil Med. 1992;16(2):118-22.
  30. Katz DI, Ashley MJ, O'Shanick GJ. Cognitive rehabilitation: the evidence, funding and case for advocacy in brain injury. McLean, VA: Brain Injury Association of America. 2006:1-16.
  31. Oh MK, Lim JY, Paik NJ. Recovery of Post-stroke Cognitive Function during Subacute Stage. Brain & NeuroRehabilitation. 2009;2(1):71-7. https://doi.org/10.12786/bn.2009.2.1.71
  32. DeLisa JA, BM Gans. Rehabilitation Medicine: principles and practice. 2nd. 1993.
  33. Lee TY, Kim JH. Factor analysis of element affecting activities of daily living in stroke patients. J Korean Soc Occu Ther. 2001;9(1):25-36.

Cited by

  1. Development of Assessment Tool for Ego-Integrity in Nursing Home Residents vol.22, pp.2, 2019, https://doi.org/10.17079/jkgn.2020.22.2.140
  2. 가상현실(Virtual Reality) 콘텐츠를 활용한 인지재활프로그램이 노인의 인지기능, 우울감, 상지기능 및 일상생활능력에 미치는 영향 vol.10, pp.8, 2019, https://doi.org/10.22156/cs4smb.2020.10.08.203
  3. Additional Effects of Xbox Kinect Training on Upper Limb Function in Chronic Stroke Patients: A Randomized Control Trial vol.9, pp.3, 2019, https://doi.org/10.3390/healthcare9030242
  4. Multiple relationships between cognition-motor impairment and activity-based clinical outcome measures in 218 hemiplegic stroke patients vol.49, pp.4, 2019, https://doi.org/10.3233/nre-210195