뇌졸중 환자의 편마비측 상지운동 회복과 SEP, MEP와의 상관관계
2
조회
0
다운로드
6
인용
0
참고문헌
키워드
초록
Objective: To investigate whether combined somatosensory evoked potential (SEP) and motor evoked potential (MEP) would provide more reliable data in predicting hemiplegic upper limb function in subjects with an acute stroke. Method: We enrolled 59 subjects (34 males; mean age, 56.7 years) with stroke involving the middle cerebral artery (MCA) territory. The SEP and MEP were recorded within a month from the onset time of the stroke. Simultaneously, the manual function test (MFT) and the self-care in functional independence measure (Fsc) were selected for evaluation (MFT-Initial and Fsc-Initial). The MFT and Fsc were assessed every other week until improvement was no longer observed (MFT-Final and Fsc-Final). The subjects were divided into two groups according to SEP and MEP results. With the results from the two methods combined, the subjects were divided into three groups: responses in both, responses in only one, and responses in none. Data were analyzed to find the correlation of MFT or Fsc with the results of SEP and MEP combined and individually.Results: Both SEP and MEP had a correlation with MFT- Initial and MFT-Final, but not with Fsc-Initial and Fsc-Final (p＜0.05), whether combined or not. However, combining the SEP and MEP resulted in a stronger correlation with MFT-Initial and MFT-Final.Conclusion: Combining SEP and MEP is a more effective means to detect the recovery of motor weakness for hemiplegic upper limb in stroke subjects, although SEP or MEP alone has a correlation with recovery as well.
Abstract
Objective: To investigate whether combined somatosensory evoked potential (SEP) and motor evoked potential (MEP) would provide more reliable data in predicting hemiplegic upper limb function in subjects with an acute stroke. Method: We enrolled 59 subjects (34 males; mean age, 56.7 years) with stroke involving the middle cerebral artery (MCA) territory. The SEP and MEP were recorded within a month from the onset time of the stroke. Simultaneously, the manual function test (MFT) and the self-care in functional independence measure (Fsc) were selected for evaluation (MFT-Initial and Fsc-Initial). The MFT and Fsc were assessed every other week until improvement was no longer observed (MFT-Final and Fsc-Final). The subjects were divided into two groups according to SEP and MEP results. With the results from the two methods combined, the subjects were divided into three groups: responses in both, responses in only one, and responses in none. Data were analyzed to find the correlation of MFT or Fsc with the results of SEP and MEP combined and individually.Results: Both SEP and MEP had a correlation with MFT- Initial and MFT-Final, but not with Fsc-Initial and Fsc-Final (p＜0.05), whether combined or not. However, combining the SEP and MEP resulted in a stronger correlation with MFT-Initial and MFT-Final.Conclusion: Combining SEP and MEP is a more effective means to detect the recovery of motor weakness for hemiplegic upper limb in stroke subjects, although SEP or MEP alone has a correlation with recovery as well.
참고문헌 (18)
- Turhan N, "Impact of stroke etiology, lesion location and aging on post-stroke urinary incontinence as a predictor of functional recovery", Int J Rehabil Res, 29, pp.335~338 (2006)
- Singh R, "Predicting those who will walk after rehabilitation in a specialist stroke unit", Clin Rehabil, 20, pp.149~152 (2006)
- Ahmed R, "Stroke scale score and early prediction of outcome after stroke", J Coll Physicians Surg Pak, 14, pp.267~269 (2004)
- Henry S, "Who goes home? Predictive factors in stroke recovery", J Neurol Neurosurg Psychiatry, 48, pp.1~6 (1985)
- Jongbloed L, "Prediction of function after stroke: a critical review", Stroke, 17, pp.765~776 (1986)
- Keren O, "Upper limb somatosensory evoked potentials as a predictor of rehabilitation progress in dominant hemisphere stroke subjects", Stroke, 24, pp.1789~1793 (1993)
- Hendricks HT, "Prediction of recovery from upper extremity paralysis after stroke by measuring evoked potentials", Scand J Rehabil Med, 29, pp.155~159 (1997)
- Oh SH, "The median nerve somatosensory evoked potentials as prognostic factor in the hemiplegic subjects", J Korean Acad Rehab Med, 20, pp.395~401 (1996)
- Brouwer BJ, "Hand function and motor cortical output poststroke: are they related?", Arch Phys Med Rehabil, 87, pp.627~634 (2006)
- Vang C, "Correlation between functional and electrophysiological recovery in acute ischemic stroke", Stroke, 30, pp.2126~2130 (1999)
- Kim C, "The significance of motor evoked potentials as a prognostic factor in the early stage of stroke subjects", J Korean Acad Rehab Med, 23, pp.1213~1220 (1999)
- Péréon Y, "Prognostic significance of electrophysiological investigations in stroke subjects: somatosensory and motor evoked potentials and sympathetic skin response", Neurophysiol Clin, 25, pp.146~157 (1995)
- Kang MJ, "Motor evoked potential in stroke", J Korean Acad Rehab Med, 17, pp.26~35 (1993)
- Kwon HK, "Clinical usefulness of somatosensory evoked potentials in patients with stroke", J Korean Acad Rehab Med, 27, pp.355~360 (2003)
- Nakamura R, "Recovery of impaired motor function of the upper extremity after stroke", Tohoku J Exp Med, 168, pp.11~20 (1992)
- Tzvetanov P, "Prognostic value of median and tibial somatosensory evoked potentials in acute stroke", Neurosci Lett, 380, pp.99~104 (2005)
- Trompetto C, "Motor recovery following stroke: a transcranial magnetic stimulation study", Clin Neurophysiol, 111, pp.1860~1867 (2000)
- Kim JH, "The posterior tibial nerve somatosensory evoked potentials in the hemiplegic patients", J Korean Acad Rehab Med, 17, pp.525~533 (1993)