PNF and Movement

Korea Proprioceptive Neuromuscular Facilitation Association (대한고유수용성신경근촉진법학회)
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The Effect of Initial Cognitive Status on the Recovery of Functional Status in Patients with Subacute Stroke

초기 인지상태가 아급성기 뇌졸중 환자의 기능상태 회복에 미치는 영향

  • Hong, Jeong-Min (Department of Physical Therapy, Graduate school of Health Science, Eulji University) ;
  • Kim, Min-Hee (1Department of Physical Therapy, College of Health Science, Eulji University)
  • 홍정민 (을지대학교 보건대학원 물리치료학과) ;
  • 김민희 (을지대학교 보건과학대학 물리치료학과)
  • Received : 2021.11.10
  • Accepted : 2021.12.02
  • Published : 2021.12.31
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Abstract

Purpose: This purpose of this study was to investigate the effects of initial cognitive status on the recovery of functional status in patients with subacute stroke. Methods: The participants were 111 patients with subacute stroke, divided into two groups: mini-mental state examination (MMSE) <20 (n=49) group and MMSE ≥20 (n=62) group. Clinical evaluation scores were collected before and after rehabilitation. The repeated measurements ANOVA was used to confirm the changes in functional status before and after intervention in the two groups. Changes in functional status within the group were examined through a paired test. A Pearson correlation coefficient analysis was performed to identify the correlation between MMSE change amount and functional status score. Results: In each of the two groups, according to the initial cognitive status, the clinical evaluation score increased statistically significantly, but there was no difference between the two groups in the degree of significant increase. When examining the correlation between the MMSE change amount, according to the initial cognitive state and the functional state score change amount, it was found, only in the group with MMSE <20, that the larger the change in the MMSE score, the greater the functional state change of Berg balance scale, Rivermead Mobility Index, and motor assessment scale. This did not apply to the group with MMSE ≥20. Conclusion: Initial cognitive status should be considered when setting the patient's goal, and considering cognitive improvement when constructing a rehabilitation program is thought to have a positive effect on rehabilitation services.

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References

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