Brain Neurorehabil.  2020 Nov;13(3):e19. 10.12786/bn.2020.13.e19.

Factors Associated with Changes in Functional Independence after Six Months of Ischemic Stroke

• Yun SM
• Lee SY
• Sohn MK
• Lee J
• Kim DY
• Lee SG
• Shin YI
• Lee YS
• Joo MC
• Lee SY
• Han J
• Ahn J
• Oh GJ
• Lee YH
• Chang WH
• Kim YH

• KMID: 2510748
• DOI: http://doi.org/10.12786/bn.2020.13.e19

Abstract

The aim of this study is to investigate the changes in functional independence and their associated factors during the first 6 months to 1 year after stroke onset. This study is the interim results of the Korean Stroke Cohort for Functioning and Rehabilitation. A total of 1,011 participants were included and classified into 3 subgroups according to changes in the Korean version of Modified Barthel Index (K-MBI) scores that occurred between 6 months to 1 year after stroke onset: the improved group (IG), with scores that increased 5 points or more; the stationary group (SG), with the K-MBI score changes ranging from −4 to +4 points; and the declined group (DG), with the K-MBI scores that decreased 5 points or more. Ordinal logistic regression analyses were used to assess the factors influencing changes in the K-MBI score. Among 1,011 patient, 436 patients (43.1%), 398 patients (39.4%) and 117 patients (17.5%) were classified into the IG, SG, and DG, respectively. Obesity and Geriatric Depression Scale score were significant influencing factors for changes in the K-MBI scores. Obesity showed a positive influence on the K-MBI score, while depression showed a negative influence.

Keyword

Activities of daily living; Stroke; Obesity; Depression