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年龄、性别以及认知、功能和运动状况对卒中康复功能结局的影响。

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

机构信息

Istanbul Physical Treatment and Rehabilitation Training and Research Hospital, Esenler, Istanbul.

出版信息

NeuroRehabilitation. 2009;25(4):241-9. doi: 10.3233/NRE-2009-0521.

Abstract

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.

摘要

我们的目的是评估年龄、性别、初始功能、认知和运动状况、痉挛、糖尿病与脑卒中患者康复后的功能结果之间的关系。本研究共纳入 88 例脑卒中患者。这些患者均在伊斯坦布尔物理治疗和康复培训与研究医院接受康复治疗。对参与者的功能状况(功能独立性测量(FIM))、痉挛程度(Ashworth 量表)、认知状况(简易精神状态评估(MMSE))、治疗后 FIM 进行了测量。入院时 MMSE 与功能出院测量之间存在显著的正相关关系。Brunnstrom(上下肢评估)评分与功能出院测量之间存在显著的正相关关系。入院时的痉挛程度与功能出院测量之间存在显著的正相关关系。总之,入院时的功能、运动、认知状况、年龄、痉挛程度是出院时总 FIM 和运动 FIM 评分的显著预测因素,但性别和糖尿病不是。

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