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Ann Geriatr Med Res > Volume 15(1); 2011 > Article
Journal of the Korean Geriatrics Society 2011;15(1):29-36.
DOI: https://doi.org/10.4235/jkgs.2011.15.1.29    Published online March 31, 2011.
The Relationship between Hemiplegic Upper Extremity Function and Activities of Daily Living According to Age in Stroke Patients
Hyung Seok Sun, Jung Kook Kim, Hyun Sik Yun, Hyo Jeong Sun, Jae Young Han, In Sung Choi, Sam Gyu Lee
1Department of Physical & Rehabilitation Medicine, Center for Aging and Geriatrics, Chonnam National University
2Medical School, Research Institute of Medical Sciences, Chonnam National University, Gwangju, 3Department of Preventive Medicine, Chonnam National University Medical School, Gwangju, Korea
뇌졸중 환자에서 연령에 따른 환측 상지 기능과 일상생활동작 수행과의 연관성
선형석1,2*,박경아1,2*,손석준3,김정국1,2,윤현식1,2,선효정1,2,한재영1,2,최인성1,2,이삼규1,2
전남대학교 의과대학 재활의학교실 및 노인의학센터1,
전남대학교 의과학연구소2,
전남대학교 의과대학 예방의학교실3
Abstract
BACKGROUND
Age is one of the many factors that can influence functional improvement and activities of daily living (ADL) after a stroke. We looked at the effects of functional improvement of hemiplegic upper extremity (HUE) on ADL according to age in stroke patients.
METHODS
We recruited 46 stroke patients beginning acute or subacute rehabilitation. They were classified into two groups according to age, the elderly group (> or =65 years, n=18) and the young group (<65 years, n=28). We performed the Pedretti clinical test for sensory evaluation of the upper extremity, the manual function test (MFT) to exam the motor function, and the functional independence measure (FIM) to assess ADL.
RESULTS
Sensory changes to HUE correlated significantly with eating, dressing-lower body, and toileting (self-care sub-item) (p<0.05). Motor changes to HUE correlated significantly with dressing-upper body and toileting (self-care sub-item) (p<0.05). Prior to beginning rehabilitation, there were significant differences in sensory and motor functions of HUE between the two groups (p<0.05) but no significant difference in FIM (p>0.05). There were no significant differences in the changes to Pedretti clinical test, MFT, and FIM between the two groups before and after rehabilitation (p>0.05). In the young group, the motor improvement of HUE correlated significantly with FIM (p<0.05). In the elderly group, however, the sensory improvement and motor improvement of HUE were not correlated with FIM (p>0.05).
CONCLUSION
In our study, elderly stroke patients showed improvement in function and ADL similar to young stroke patients. This potential should be maximized and elderly stroke patients should receive active rehabilitation.
Key Words: Stroke, Elderly, Activities of daily living, Upper extremity


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