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Rehabilitation Practice and Science

Translated Title

中風患者之上肢動作功能對其日常生活功能與生活品質的影響

Abstract

Objective: This study attempted to investigate the influence of upper limb motor function on activities of daily living(ADLs) and quality of life(QoL) in stroke patients. We also wanted to reveal whether a disparity exists in ADLs and QoL for patients with different upper limbs impairment. Methods: A total of 57 stroke patients (mean age=55.55±13.11 years old, onset time= 1.57±1.87 years) were analyzed in the study. Methods used to evaluate outcomes included Fugl-Meyer assessment (FMA) for assessing the motor function of upper limbs; functional independence measure (FIM) for assessing the independent of ADLs, and stoke impact scale (SIS) for evaluating the QoL. Results: Correlations were found between FMA and FIM (p=.012), and two subtests of FIM (self-care and mobility, p=.007 and p=.004). Except for memory and communication, there was also a positive correlation between FMA and the other 6 domains of SIS (p＜0.05). Conclusion: As the degree of upper limb injury get worse, the ADLs and QoL of stroke patients would be negatively affected; patients with mild upper limbs impairment would have better ADL function and QoL than those of moderate and severe injuries. However, because the QoL covers a wide range of aspects, in order to improve the QoL performance of patients effectively, we should consider more comprehensively in the rehabilitation programs. Further studies to clarify this actual correlation are also required.

Language

Traditional Chinese

First Page

39

Last Page

45

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