독립적 생활이 가능한 뇌졸중 환자에서 환경적 요소가 이동장애에 미치는 영향
The Effect of Environmental Factors to the Mobility Disability in Independent Subjects with Stroke
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Objective: To investigate the effect of environmental factors on the ability of mobility in subjects with chronic stroke who can perform nearly independent activities of daily living (ADL). Method: Sixty one patients were divided into three groups (superior, middle, and inferior) by the degree of independent walking. Modified self-administered questionnaire was completed to report how well the patients encountered the environmental elements faced in community mobility. In addition, all patients were assessed to find out the difference of ADL performance, Berg balance scale (BBS), 10 m walking time (10 mWT) and patterns of ‘going out' among the three groups. Results: The group 1 (superior group) had shown better performance than group 2 (middle group) and group 3 (inferior group) in performance of ADL, BBS, 10 mWT. Secondly, the group 1 visited more places or destinations per day than the group 2 and 3, and they used more various transportation systems than other groups. Finally, there were significant differences in the distance dimension, the temporal dimension, terrain dimension (except for a ‘getting on a elevator' component), and density dimension among the groups. Conclusion: Environmental factors as well as functional abilities could affect the mobility of subjects with chronic stroke. This result suggests that any kinds of compensation and the supports of social institutions are needed even in subjects of nearly independent ADL for their improvement of mobility and convenience.
Abstract
Objective: To investigate the effect of environmental factors on the ability of mobility in subjects with chronic stroke who can perform nearly independent activities of daily living (ADL). Method: Sixty one patients were divided into three groups (superior, middle, and inferior) by the degree of independent walking. Modified self-administered questionnaire was completed to report how well the patients encountered the environmental elements faced in community mobility. In addition, all patients were assessed to find out the difference of ADL performance, Berg balance scale (BBS), 10 m walking time (10 mWT) and patterns of ‘going out' among the three groups. Results: The group 1 (superior group) had shown better performance than group 2 (middle group) and group 3 (inferior group) in performance of ADL, BBS, 10 mWT. Secondly, the group 1 visited more places or destinations per day than the group 2 and 3, and they used more various transportation systems than other groups. Finally, there were significant differences in the distance dimension, the temporal dimension, terrain dimension (except for a ‘getting on a elevator' component), and density dimension among the groups. Conclusion: Environmental factors as well as functional abilities could affect the mobility of subjects with chronic stroke. This result suggests that any kinds of compensation and the supports of social institutions are needed even in subjects of nearly independent ADL for their improvement of mobility and convenience.
참고문헌 (19)
- World Health Organization, "International classification of functioning, disability and health" (2001), WHO
- Guralnik JM, "Maintaining mobility in late: life demographic characteristics and chronic conditions", Am J Epidemiol, 127, pp.845~857 (1993)
- Shumway-Cook A, "Environmental demands associated with community mobility in older adults with and without mobility disabilities", Phys Ther, 82, pp.670~681 (2002)
- Frank JS, "Balance and mobility challenges in older adults: implications for preserving community mobility", Am J Prev Med, 25, pp.157~163 (2003)
- Stanko E, "Development of a new mobility scale for 232 people living in the community after stroke: content validity", Aust J Physiother, 47, pp.201~208 (2001)
- Shumway-Cook A, "Environmental components of mobility disability in community-living older persons", J Am Geriatr Soc, 51, pp.393~398 (2003)
- Bohannon RW, "Important of four variables of walking to patients with stroke", Int J Rehabil Res, 14, pp.246~250 (1991)
- Yang CY, "Comparision of MBI, FIM, and ESCROW in the evaluation of rehabilitation status", J Korean Acad Rehab Med, 22, pp.475~482 (1998)
- Lee JH, "Comparision study for MBI and FIM in patients with CVA", J Korean Acad Rehab Med, 19, pp.271~280 (1995)
- Nygard L, "Instrumental activities of daily living: a stepping- stone towards Alzheimer's disease diagnosis in subjects with mild cognitive impairment?", Acta Neurol Scand Suppl, 179, pp.42~46 (2003)
- Jung HY, "Relationship between Berg balance scale and functional independence measure in stroke patients", J Korean Acad Med, 29, pp.167~170 (2005)
- Salbach NM, "Responsivemenss and predictability of gait speed and other disability measures in acute stroke", Arch Phys Med Rehabil, 82, pp.1204~1647 (2001)
- Belgen B, "Narielwalla K. The association of balance capacity and falls self-efficacy with history of falling in community-dwelling people with chronic stroke", Arch Phys Med Rehabil, 87, pp.554~561 (2006)
- Mackintosh SF, "Balance score and a history of falls in hospital predict recurrent falls in the 6 months following stroke rehabilitation", Arch Phys Med Rehabil, 87, pp.1583~1589 (2006)
- Daley MJ, "Exercise, mobility, and aging", Sports Med, 29, pp.1~12 (2000)
- Hirvensalo M, "Mobility difficulties and physical 258 activity as predictors of mortality and loss of independence in the community-living older population", J Am Geriatr Soc, 48, pp.493~498 (2000)
- Liu-Ambrose T, "Executive function is independently associated with performances of balance and mobility in community-dwelling older adults after mild stroke: implications for falls prevention", Cerebrovasc Dis, 23, pp.203~210 (2007)
- Shelton FD, "Motor impairment as a predictor of functional recovery and guide to rehabilitation treatment after stroke", Neurorehabil Neural Repair, 15, pp.229~237 (2001)
- Corrigan R, "Community ambulation: Influences on therapists and clients reasoning and decision making", Disabil Rehabil, 11, pp.1~9 (2007)