J Korean Geriatr Soc.  2011 Mar;15(1):29-36.

The Relationship between Hemiplegic Upper Extremity Function and Activities of Daily Living According to Age in Stroke Patients

Affiliations
  • 1Department of Physical and Rehabilitation Medicine, Chonnam National University Medical School, Chonnam University Research Institute of Medical Sciences, Gwangju, Korea. LEE9299@hitel.net

Abstract

BACKGROUND
Age is one of the many factors that can influence functional improvement and activities of daily living (ADL) after a stroke. We looked at the effects of functional improvement of hemiplegic upper extremity (HUE) on ADL according to age in stroke patients.
METHODS
We recruited 46 stroke patients beginning acute or subacute rehabilitation. They were classified into two groups according to age, the elderly group (> or =65 years, n=18) and the young group (<65 years, n=28). We performed the Pedretti clinical test for sensory evaluation of the upper extremity, the manual function test (MFT) to exam the motor function, and the functional independence measure (FIM) to assess ADL.
RESULTS
Sensory changes to HUE correlated significantly with eating, dressing-lower body, and toileting (self-care sub-item) (p<0.05). Motor changes to HUE correlated significantly with dressing-upper body and toileting (self-care sub-item) (p<0.05). Prior to beginning rehabilitation, there were significant differences in sensory and motor functions of HUE between the two groups (p<0.05) but no significant difference in FIM (p>0.05). There were no significant differences in the changes to Pedretti clinical test, MFT, and FIM between the two groups before and after rehabilitation (p>0.05). In the young group, the motor improvement of HUE correlated significantly with FIM (p<0.05). In the elderly group, however, the sensory improvement and motor improvement of HUE were not correlated with FIM (p>0.05).
CONCLUSION
In our study, elderly stroke patients showed improvement in function and ADL similar to young stroke patients. This potential should be maximized and elderly stroke patients should receive active rehabilitation.

Keyword

Stroke; Elderly; Activities of daily living; Upper extremity

MeSH Terms

Activities of Daily Living
Aged
Eating
Humans
Stroke
Upper Extremity
Full Text Links
  • JKGS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2022 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr