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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 (≥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 subitem) (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.

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기사명 저자명 페이지 원문 목차
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(The)impact of chronic cigarette smoking on arterial stiffness in Korea Jong Bum Kim ,Won Yu Kang ,Seung Ju Kim ,Myoung Ju Hong ,Chan Young Park ,Hyoung Min No ,Kyoung Hui Hong ,Sun Ho Hwang ,Wan Kim pp.47-52

고령에서 장침범을 동반한 베체트 증후군 1예 박정민 ,이창석 ,김민성 ,김도영 ,김철영 ,임영배 ,김경엽 ,김윤정 ,서지영 ,이용규 pp.53-56

장중첩증을 유발한 공장의 위장관 기질 종양 1예 박진우 ,최선규 ,박승욱 ,전승진 ,조경욱 ,지황룡 ,구철 ,정종길 pp.57-61

참고문헌 (27건) : 자료제공( 네이버학술정보 )

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번호 참고문헌 국회도서관 소장유무
1 Statistics Korea, Korean Statistical Information Service. 2008 Annual report on the cause of death statistics in Korea [Internet]. Daejeon: Statistics Korea; c1996 [cited 2010 Apr 28]. Available from: http://kosis.kr. 미소장
2 Quality of Life after Stroke : A Two - Month Follow - Up 소장
3 Woodson AM. Stroke. In: Trombly CA, Radomski MV, editors. Occupational therapy for physical dysfunction. 5th ed. Philadelphia: Lippincott Williams & Wilkins; 2002. p.817-53. 미소장
4 Palmer ML, Toms JE, Edelstein JE. Manual for functional training. 3rd ed. Philadelphia: F.A. Davis; 1992. 미소장
5 Kim SH, Chang MY, Kwon HC. The effect of involved upper extremity's motor function recovery on activities of daily living in patients with hemiplegia. J Korean Acad Occup Ther 2003;11:65-75. 미소장
6 Influence of the Initial Readings of Blood Pressure Components on Functional Outcome in Acute Ischemic Stroke Patients 소장
7 Shumway-Cook A, Woollacott MH. Motor control: theory and practical applications. Baltimore: Williams & Wilkins; 1995. 미소장
8 Chang KY. Relationships between sensory-perception and activities of daily living in stroke patients. J Korean Acad Occup Ther 1996;4:35-44. 미소장
9 Lee JA. Social gerontology. In: The Korean Geriatrics Society, editors. Geriatrics. Seoul: Medical Publisher; 2002. p.57-88. 미소장
10 Cooper C, Abrams MP. Evaluation of sensation and intervention for sensory dysfunction. In: Pedretti LW, Pendleton HM, Schultz-Krohn W, editors. Pedretti's occupational therapy: practice skills for physical dysfunction. 6th ed. St. Louis: Mosby/Elsevier; 2006. p.513-31. 미소장
11 Kim MY. A study of manual functional test for C.V.A. J Korean Acad Occup Ther 1994;2:19-26. 미소장
12 The functional independence measure: Tests of scaling assumptions, structure, and reliability across 20 diverse impairment categories 네이버 미소장
13 The Stroke Data Bank: design, methods, and baseline characteristics. 네이버 미소장
14 Evaluation 네이버 미소장
15 Factors influencing stroke rehabilitation. 네이버 미소장
16 A functional MRI study of subjects recovered from hemiparetic stroke. 네이버 미소장
17 RECOVERY OF VOLUNTARY MOTION IN UPPER EXTREMITY FOLLOWING HEMIPLEGIA. 네이버 미소장
18 Woodson AM. Stroke. In: Radomski MV, Trombly Latham CA, editors. Occupational therapy for physical dysfunction. 6th ed. Philadelphia: Lippincott Williams & Wilkins; 2008. p.1002-41. 미소장
19 Compensation in recovery of upper extremity function after stroke: the Copenhagen Stroke Study. 네이버 미소장
20 Normative data on intermanual differences on three tests of motor performance 네이버 미소장
21 Harvey RL, Roth EJ, Yu D. Rehabilitation in stroke syndromes. In: Braddom RL, Buschbacher RM, editor. Physical medicine & rehabilitation. 3rd ed. Philadelphia: Saunders Elsevier; 2007. p.1175-212. 미소장
22 Roth EJ, Harvey RL. Rehabilitation of stroke syndromes. In: Braddom RL, Buschbacher RM, editors. Physical medicine & rehabilitation. 2nd ed. Philadelphia: W.B. Saunders Company; 2000. p.1117-60. 미소장
23 Kwon HC, Jeong DH. A study of influence of asymmetrical weight-bearing on the LOS of independent ambulatory hemiparetic patients on standing. J Korean Acad Univ Trained Phys Ther 2000;7:1-19. 미소장
24 Neuromuscular stimulation for upper extremity motor and functional recovery in acute hemiplegia. 네이버 미소장
25 Kim CH, Kim SJ. Motor recovery after stroke. J Korean Acad Rehabil Med 1995;19:55-61. 미소장
26 Prediction of function after stroke: a critical review. 네이버 미소장
27 Cellular and molecular mechanisms underlying neurorehabilitation after stroke in aged subjects. 네이버 미소장

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