Effects of Full-Time Integrated Self Upper-Extremity Training Program on Functional Recovery and Length of Stay in Stroke Patients.

, Kim, Kyung Ho; , Nam, Kyung Wan; , Lee, Ji Sun; , Choi, Geun Young; , Im, Hyun Sook; , Lim, Jong Youb; , Shin, Hyung Ik; , Paik, Nam Jong

Original Article

Journal of the Korean Academy of Rehabilitation Medicine 2010;34(4):417-423.

Kim, Kyung Ho , Nam, Kyung Wan , Lee, Ji Sun , Choi, Geun Young , Im, Hyun Sook , Lim, Jong Youb , Shin, Hyung Ik , Paik, Nam Jong

Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Korea. njpaik@snu.ac.kr

뇌졸중 환자의 자가 훈련 프로그램이 기능 회복 및 재원 기간에 미치는 효과

김경호, 남경완, 이지선, 최근영, 임현숙, 임종엽, 신형익, 백남종

서울대학교 의과대학 분당서울대학교병원 재활의학교실

Abstract

Objective
To investigate the effects of full-time integrated self upper-extremity training program (FISUTP) on functional recovery and length of stay in stroke patients.
Method
Fifty-nine patients were enrolled and divided into FISUTP and control groups. The FISUTP group (n=29) underwent conventional physical and occupational therapy and FISUTP daily during their hospital stay, whereas control group (n=30) received only daily conventional therapy (physical and occupational therapy). The outcome was measured by Korean version of modified Barthel index (K-MBI), Fugl-Meyer motor assessment (FMA), and length of stay (LOS).
Results
FISUTP group showed significantly shorter LOS and higher improvement in functional status changes (K-MBI changes and FMA changes) during hospital day than control group (p＜0.05).
Conclusion
The results showed FISUTP is an effective treatment for the improvement of functional outcome and reduction of hospital stay in stroke patients. (J Korean Acad Rehab Med 2010; 34: 417-423)

Key Words: Stroke, Training, Length of stay, Upper extremity