Recovery of Hand Motor Function in Patients with Subcortical Hemorrhage.

, Yoo, Woo Kyoung; , So, Eun Ha; , Yun, Suk Bong; , Jung, Seung Suk

Original Article

Journal of the Korean Academy of Rehabilitation Medicine 2002;26(6):672-680.

Yoo, Woo Kyoung , So, Eun Ha , Yun, Suk Bong , Jung, Seung Suk

¹Department of Physical Medicine and Rehabilitation, Hallym University Sacred Heart Hospital, Korea. mdwooky@nate.com
²Department of Physical Medicine and Rehabilitation, Presbyterian Medical Center, Korea.

피질하 뇌출혈 환자에서 손의 운동기능 회복

유우경·소은하¹·윤석봉¹·정승석¹

한림대학교 성심병원 재활의학과, ¹전주예수병원 재활의학과

Abstract

Objective
The aim of this study was to find out the factors related to the recovery of hand motor function in patients with subcortical hemorrhage.
Method
We investigated 21 patients with subcortical hemorrhage prospectively. We used their CT and/or MR imaging for the localization and estimation of the size of lesion. The Hand Movement Scale (HMS) was used for evaluation of the hand function. Proprioception, initial shoulder and hand recovery were also measured every month for at least 6 months during the follow up periods.
Results
There are 13 patients with putaminal hemorrhage and 8 patients with thalamic hemorrhage. There is no difference in general characteristics between the two groups. When recovery began within 4 weeks after onset, only thalamic hemorrhage patients showed significantly good recovery. Initial shoulder shrug, especially within 4 weeks after onset, could be one of the prognostic factors of good hand motor recovery. Putaminal hemorrhage patients, who had higher scores on the hand movement scale, showed early recovery of proprioceptive function.
Conclusion
Among many other factors which can be involved in the recovery of hand function in patients with subcortical hemorrhage, the time of initial hand motor recovery, the time of initial shoulder shrug, and proprioceptive function were most important. (J Korean Acad Rehab Med 2002; 26: 672-680

Key Words: Subcortical hemorrhage, Hand motor recovery, Hand Movement Scale, Shoulder shrug