지역사회 보행이 가능한 만성 뇌졸중 환자의 일반적 특성, 인지 및 신체 기능 간의 상관관계 연구

• 영문명: A Study on the Correlation Between General Characteristics, Cognitive Function, and Physical Function in Chronic Stroke Patients With Community Ambulation
• 발행기관: 한국인지운동치료협회
• 저자명: 강보라 박성훈 강혜윤 호승희 배영현
• 간행물 정보: 『한국신경인지재활치료학회지』제15권 제2호, 65~71쪽, 전체 7쪽
• 주제분류: 의약학 > 재활의학
• 파일형태: PDF
• 발행일자: 2023.12.31

국문 초록

This study aimed to use basic data to develop a comprehensive intervention program to effectively improve cognitive and physical functions in individuals ≥ 60 years of age who experienced chronic stroke and are capable of independent walking in the community. This study analyzed the general characteristics of and correlations between cognitive and physical functions to develop the program. Subjects included individuals who voluntarily expressed their willingness to participate in the clinical trial from the recruitment notice posted at N institution (Seoul, South Korea) and fulfilled the following selection criteria: age≥60 years and diagnosed with stroke, with an onset of at least 2 years; Modified Barthel Index score≥75, indicating that a mild level of assistance was required and capable of independent mobility in the community; and absence of neglect in the line bisection test and able to follow test instructions. As a result, of the 23 individuals recruited, 16 were ultimately included. The Korean version of the Montreal Cognitive Assessment (i.e., “K-MoCA”) was used to assess cognitive function. Physical function was assessed using static balance tests, including the Romberg, semi-Romberg, and tandem Romberg tests. Dynamic balance tests included a 4 m walking speed test, a 5-time chair stand test, and Timed Up and Go (TUG) test. Data analysis was performed using SPSS version 22.0 (IBM Corporation, Armonk, NY, USA), and Spearman's rank-order correlation was used for correlation analysis. The cognitive function of patients with stroke exhibited a slight correlation with 4 m walking speed (r=-.564), while 4 m walking speed and TUG exhibited a negative correlation (r=-.787) (p<.05). Based on these findings, when presenting a comprehensive cognitive-physical intervention program for community-dwelling stroke patients, it may be inferred that there is a correlation between cognitive function and dynamic balance ability. This can serve as evidence supporting the development of detailed programs for comprehensive intervention(s).

키워드

Chronic stroke Cognitive Community ambulation General characteristic Physical