급성기 뇌졸중 환자의 기능 향상 평가를 위한 몸통장애척도
Trunk Impairment Scale for Evaluation of Functional Improvement in Acute Stroke Patients
2
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
Objective: To evaluate the change of balance of the trunk using the Trunk Impairment Scale (TIS) in acute stroke patients and to compare it with the improvement in activities in their daily living (ADL) and gait. Method: The mean days from the onset of stroke were 11.3 (6∼17) days, and functional improvement of 24 hemiplegic patients was evaluated using the trunk impairment scale, Berg balance scale, timed up and go test, 6 minutes walk test, and the modified Barthel index every week for 4 weeks’ conventional rehabilitation programs. Correlations between the trunk impairment scale and the other parameters were evaluated. Results: The trunk impairment scale and the modified Barthel index, both which showed significant improvement after 4 weeks, had statistically significant correlation (p＜ 0.05). The Berg balance scale had not improved significantly in 4 weeks. The timed up and go test and the 6 minutes’ walk test could not be evaluated in most of these patients within 4 weeks. Conclusion: The trunk impairment scale could be a useful parameter for evaluating activities in their daily living (ADL) improvement in acute stroke patients who are unable to ambulate independently. And good trunk balance in acute stroke period is positive correlation with ambulation potential. (J Korean Acad Rehab Med 2010; 34: 278-284)
Abstract
Objective: To evaluate the change of balance of the trunk using the Trunk Impairment Scale (TIS) in acute stroke patients and to compare it with the improvement in activities in their daily living (ADL) and gait. Method: The mean days from the onset of stroke were 11.3 (6∼17) days, and functional improvement of 24 hemiplegic patients was evaluated using the trunk impairment scale, Berg balance scale, timed up and go test, 6 minutes walk test, and the modified Barthel index every week for 4 weeks’ conventional rehabilitation programs. Correlations between the trunk impairment scale and the other parameters were evaluated. Results: The trunk impairment scale and the modified Barthel index, both which showed significant improvement after 4 weeks, had statistically significant correlation (p＜ 0.05). The Berg balance scale had not improved significantly in 4 weeks. The timed up and go test and the 6 minutes’ walk test could not be evaluated in most of these patients within 4 weeks. Conclusion: The trunk impairment scale could be a useful parameter for evaluating activities in their daily living (ADL) improvement in acute stroke patients who are unable to ambulate independently. And good trunk balance in acute stroke period is positive correlation with ambulation potential. (J Korean Acad Rehab Med 2010; 34: 278-284)
참고문헌 (19)
- Andersson AG, "How to identify potential fallers in a stroke unit: validity indexes of 4 test methods", J Rehabil Med, 38, pp.186~191 (2006)
- Harley C, "Disruption of sitting balance after stroke: influence of spoken output", J Neurol Neurosurg Psychiatry, 77, pp.674~676 (2006)
- van de Port IG, "Predicting mobility outcome one year after stroke: a prospective cohort study", J Rehabil Med, 38, pp.218~223 (2006)
- Verheyden G, "The Trunk Impairment Scale: a new tool to measure motor impairment of the trunk after stroke", Clin Rehabil, 18, pp.326~334 (2004)
- Ng SS, "The timed up & go test: its reliability and association with lower-limb impairments and locomotor capacities in people with chronic stroke", Arch Phys Med Rehabil, 86, pp.1641~1647 (2005)
- Berg K, "The Balance Scale: reliability assessment with elderly residents and patients with an acute stroke", Scand J Rehabil Med, 27, pp.27~36 (1995)
- Garland SJ, "Recovery of standing balance and functional mobility after stroke", Arch Phys Med Rehabil, 84, pp.1753~1759 (2003)
- 정한영, "뇌졸중 환자에서 Berg 균형검사와 FIM 검사와의 상관관계", Annals of Rehabilitation Medicine, 29(2), pp.167~170 (2005), 대한재활의학회
- Michael KM, "Reduced ambulatory activity after stroke: the role of balance, gait, and cardiovascular fitness", Arch Phys Med Rehabil, 86, pp.1552~1556 (2005)
- Verheyden G, "Time course of trunk, arm, leg, and functional recovery after ischemic stroke", Neurorehabil Neural Repair, 22, pp.173~179 (2008)
- Fujiwara T, "Development of a new measure to assess trunk impairment after stroke (trunk impairment scale): its psychometric properties", Am J Phys Med Rehabil, 83, pp.681~688 (2004)
- Verheyden G, "Discriminant ability of the Trunk Impairment Scale: a comparison between stroke patients and healthy individuals", Disabil Rehabil, 27, pp.1023~1028 (2005)
- Verheyden G, "Clinical tools to measure trunk performance after stroke: a systematic review of the literature", Clin Rehabil, 21, pp.387~394 (2007)
- Verheyden G, "Validity of the trunk impairment scale as a measure of trunk performance in people with Parkinson's disease", Arch Phys Med Rehabil, 88, pp.1304~1308 (2007)
- 서현두, "Reliability of the Korean Version of the Trunk Impairment Scale in Patients With Stroke", 한국전문물리치료학회지, 15(4), pp.87~97 (2008), 한국전문물리치료학회
- Verheyden G, "Trunk performance after stroke and the relationship with balance, gait and functional ability", Clin Rehabil, 20, pp.451~458 (2006)
- Hsieh CL, "Trunk control as an early predictor of comprehensive activities of daily living function in stroke patients", Stroke, 33, pp.2626~2630 (2002)
- Benaim C, "Validation of a standardized assessment of postural control in stroke patients: the Postural Assessment Scale for Stroke Patients (PASS)", Stroke, 30, pp.1862~1868 (1999)
- 이재준, "뇌졸중 환자에서 보행관련 활동평가척도로서의 한글판 버그균형검사", Annals of Rehabilitation Medicine, 31(4), pp.400~403 (2007), 대한재활의학회