Comparison of Functional Recovery Status according to Rehabilitation Therapy in Stroke Patients .

, Kwon, Yong Wook; , Lee, Jongmin; , Jeon, Jaeyong; , Choi, Jongho; , Kwon, Daeyoung; , Lee, Kyungwoo

Original Article

Journal of the Korean Academy of Rehabilitation Medicine 2002;26(4):370-373.

Kwon, Yong Wook , Lee, Jongmin , Jeon, Jaeyong , Choi, Jongho , Kwon, Daeyoung , Lee, Kyungwoo

¹Department of Rehabilitation Medicine, Dongguk University College of Medicine, Korea.
²Department of Rehabilitation Medicine, Dong-A University College of Medicine, Korea.

뇌졸중 환자에서 재활치료 유무에 따른 기능적 회복상태의 비교

권용욱, 이종민, 전재용, 최종호, 권대영, 이경우¹

동국대학교 의과대학 재활의학교실 및 ¹동아대학교 의과대학 재활의학교실

Abstract

Objective
To investigate the effect of rehabilitation therapy on functional recovery in chronic stroke patients.

Method
Brunnstrom stage for neurologic recovery, modified Barthel index (MBI) for functional recovery, and possibility of gait were assessed in 66 chronic stroke patients. MBI and possibility of gait were compared the patients who received rehabilitation therapy (Rehab patients) with the patients who did not receive rehabilitation therapy (non- Rehab patients) in each Brunnsrom stage.

Results
In Brunnstrom stage III, 13 of 15 Rehab patients could walk 10 m or more, but none of 7 non-Rehab patients could walk independently, and this difference was statistically significant. MBI score was also significantly higher in Rehab patients than non-Rehab patients (71.3 vs 18.9, p=0.000) in Brunnstrom stage III. In Brunnstrom stage IV, V, VI, MBI score and possibility of gait were higher in Rehab patients than non-Rehab patients, but not significant.

Conclusion
We can confirm the effect of rehabilitation therapy on functional recovery, and this effect seems to be more decisive in neurologically low recovery status patients. (J Korean Acad Rehab Med 2002; 26: 370-373)

Key Words: Stroke, Rehabilitation, Functional recovery