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Rehabilitation Practice and Science

Translated Title

慢性中風患者手部痙攣嚴重度與功能性恢復的相關性探討

Abstract

Objective: This study is a secondary analysis of data from a previous project that attempts to analyze the correlation between severity of hand spasticity and functional recovery in chronic stroke patients. Methods: A total of 21 chronic stroke patients who received hand-stretching device or functional training were analyzed. The evaluation of outcomes included the Modified Ashworth Scale (MAS) for assessing hand spasticity; Fugl-Meyer Assessment (FMA), the Action Research Arm Test (ARAT), the Functional Independence Measure (FIM), and Stoke Impact Scale (SIS) for evaluating functional recovery. Results: Correlation was found between MAS and FIM scores (p=.029), but due to bias on age and severity of spasticity, we could not confirm that hand MAS correlated with activity of daily living (ADL). We also found a limited relationship between change in severity of hand spasticity and functional recovery, even in subjects with lower MAS scores who showed greater improvement in the post-test. Conclusion: Although subjects with low hand spasticity benefited more from the intervention, we found limited correlation between hand spasticity and functional recovery. Further studies to clarify this actual correlation are required.

Language

English

First Page

181

Last Page

189

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