| 제목 |
Association between recovery of motor function and neuropsychological test in stroke patients |
| 소속 |
Daegu Fatima Hospital, Department of Rehabilitation Medicine1, Ulsan University Hospital, Department of Rehabilitation Medicine2 |
| 저자 |
ByungJoo Lee1†, Sungwon Park1*, Donghwi Park2, Hyoshin Eo1 |
Introduction : Impaired motor function is frequently observed in stroke patients. It is closely associated with patient’s quality of life and independency. Neuropsychological dysfunction is also frequent in stoke patients. Relationship between motor dysfunction and neuropsychological dysfunction would be helpful in applying therapies more effectively and elucidating more appropriate therapeutic goals.
Methods : The ischemic stroke patient’s motor function and psychosocial status were initially evaluated 1 month after the cerebral infarction onset. The evaluations were repeated 3 months after the onset. The evaluation of motor function was assessed with Modified Barthel Index (MBI). The psychosocial evaluation was assessed using Mini-Mental State Examination (MMSE), Global Deterioration Scale (GDS), digit span test, Korean-Boston Naming Test (KBNT), Vineland Social Maturity Scale (VSMS), Neuropsychiatric Inventory (NPI), Beck’s Depression Inventory (BDI), and Beck Anxiety Inventory (BAI).
Results : Initial social age (SMSSA) and social quotient (SMSSQ) categories of SMS, and MMSE scores were significantly correlated with MBI improvement (p<0.05). The amount of score change in SMSSA and SMSSQ were significantly correlated with MBI improvement (p<0.05). In multivariate regression analysis, only the initial SMSSQ score and the amount of score change in SMSSQ showed significant correlation with MBI improvement (p<0.05).
Conclusion : Social function and interaction is important in motor recovery of ischemic stroke patients. More comprehensive studies with larger participant group are needed to confirm the relationship. |
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Table 1.Clinical and demographic characteristics of included patients with cerebral infarction
Table 2. Changes in motor function and neuropsychological status
Table 3. Relationship between functional improvement (change of MBI; △MBI) and initial neuropsychological assessments
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