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Rehabilitation Practice and Science

Translated Title

急性與亞急性中風患者的上肢痙攣問題與功能性表現之相關性探討

Abstract

Objective: This study attempted to investigate the correlation between severity of spasticity and functional recovery in acute and subacute stroke patients. Methods: A total of 22 acute and subacute stroke patients were analyzed. Methods used to evaluate outcomes included Modified Ashworth Scale (MAS) for assessing upper limbs spasticity; Fugl-Meyer Assessment (FMA-UE), Box and Block Test (BBT) for assessing the motor ability of upper limbs; Functional Independence Measure (FIM) for assessing independent of daily life, and Stoke Impact Scale (SIS) for evaluating the quality of life. Results: Correlation was found between MAS and FMA-UE (p=.01), BBT (p=.02) and two subtests of SIS (strength and hand function, p=.035 and p=.013). The subgroup of no spasticity~mild spasticity had better motor performance than the subgroup of moderate~severe spasticity. There was no signifficant coorelation between MAS and FIM. Conclusion: spasticity of upper limbs in acute and subacute stroke patients could influence their upper motor ability and their quality of life. It is necessary to consider the spasticity problem in the rehabilitation progroms.

Language

Traditional Chinese

First Page

19

Last Page

25

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