EVALUATION OF PERFORMANCE BASED IMPAIRMENT OF STROKE PATIENTS

G. Velmurugan, S. Viswanathan, J. Milton, U. Niyamathulla
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Abstract

Background: Stroke is the leading cause of physical dysfunction. It is imperative to identify the current level of physical activities of stroke patients to plan for effective rehabilitation strategies. Aim of the study was to evaluate the severity of performance impairment of stroke patients using Fugl-Meyer Assessment and Total motor score. Methods: Thirty-seven stroke patients were selected. The performance impairment was evaluated by FMA motor score. Both upper limb (UL) and lower limb (LL) motor function was evaluated. The maximum UL score was 66 and LL score was 34. The relationship of age and duration of condition with FMA motor score was studied by Pearson’s correlation coefficients. The difference in the gender and type of stroke with the FMA motor score was analysed by MannWhitney ‘U’ test. Result: The mean FMA total score was 43.81 ± 7.12. The relationship between age and total motor score was not significant with, r = 0.004, p = 0.980. There was no significant relationship between duration of the condition and motor recovery, r = 0.46, p = 0.304 > 0.05. The difference in the gender (z = 0.55, p = 0.579) and type of stroke (z = 0.06, p = 0.956) was not significant with the total motor score. Conclusion: It is concluded that stroke patients have severe performance impairment evaluated by FMA and Total motor score. Motor recovery was not dependent on the age and gender of patients
基于脑卒中患者功能障碍的评估
背景:中风是身体功能障碍的主要原因。确定脑卒中患者当前的身体活动水平是制定有效康复策略的必要条件。本研究旨在用Fugl-Meyer评定和总运动评分评价脑卒中患者运动功能障碍的严重程度。方法:选取脑卒中患者37例。用FMA运动评分评价运动功能障碍。评估上肢(UL)和下肢(LL)的运动功能。UL评分最高为66分,LL评分最高为34分。采用Pearson相关系数分析年龄、病情持续时间与FMA运动评分的关系。用MannWhitney ' U '检验分析脑卒中性别和类型与FMA运动评分的差异。结果:FMA总分平均为43.81±7.12分。年龄与运动总分的关系无统计学意义,r = 0.004, p = 0.980。病程与运动恢复无显著相关,r = 0.46, p = 0.304 > 0.05。性别差异(z = 0.55, p = 0.579)、脑卒中类型差异(z = 0.06, p = 0.956)与运动总分差异无统计学意义。结论:用FMA和总运动评分评价脑卒中患者存在严重的运动功能障碍。运动恢复不依赖于患者的年龄和性别
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