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뇌졸중 환자에서 Berg 균형검사와 FIM 검사와의 상관관계

Relationship between Berg Balance Scale and Functional IndependenceMeasure in Stroke Patients

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초록

Objective: To examine the relationship of the Berg Balance Scale (BBS) and Functional Independence Measure (FIM) in stroke patients. Method: Ninety-two subjects with the first attack of stroke were enrolled to assess BBS, FIM at admission and discharge following rehabilitation programs. We divided subjects into three groups by severity of BBS at the first evaluation. Group I was low BBS (score≤12), Group II was medium BBS (13≤score≤42), and group III was high BBS (score≥43). The admission BBS and the admission FIM, and the admission BBS and the discharge FIM were compared, and also the relationship between them were assessed at the admission and/or discharge. Results: Admission and discharge BBS of all three groupswere significantly different, respectively (p<0.01). Admission and discharge FIM of all three groups were also significantly different (p<0.01). There was highly correlated with admission BBS and admission FIM (r=0.529, p<0.01), and moderately correlated between admission BBS and discharge FIM (r=0.43, p<0.05). Also there was high relationship between BBS gain and FIM gain (r=0.516, p<0.01). Conclusion: These results indicated that balance function could affect functional ability during rehabilitation programs and BBS was a useful tool to predict discharge functional status in hemiplegic subjects with stroke.

Abstract

Objective: To examine the relationship of the Berg Balance Scale (BBS) and Functional Independence Measure (FIM) in stroke patients. Method: Ninety-two subjects with the first attack of stroke were enrolled to assess BBS, FIM at admission and discharge following rehabilitation programs. We divided subjects into three groups by severity of BBS at the first evaluation. Group I was low BBS (score≤12), Group II was medium BBS (13≤score≤42), and group III was high BBS (score≥43). The admission BBS and the admission FIM, and the admission BBS and the discharge FIM were compared, and also the relationship between them were assessed at the admission and/or discharge. Results: Admission and discharge BBS of all three groupswere significantly different, respectively (p<0.01). Admission and discharge FIM of all three groups were also significantly different (p<0.01). There was highly correlated with admission BBS and admission FIM (r=0.529, p<0.01), and moderately correlated between admission BBS and discharge FIM (r=0.43, p<0.05). Also there was high relationship between BBS gain and FIM gain (r=0.516, p<0.01). Conclusion: These results indicated that balance function could affect functional ability during rehabilitation programs and BBS was a useful tool to predict discharge functional status in hemiplegic subjects with stroke.

참고문헌 (15)

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  2. "Measuring balance in the elderly:preliminary development of an instrument", 41, pp.304~311 (1989)
  3. "The balance scale:reliability assessment with elderly residents and patients with an acute stroke", 27, pp.27~36 (1995)
  4. "Standing balance and function over the course of acute rehabilitation", 76, pp.994~996 (1995)
  5. "Relationships among walking performance,postural stability,and functional assessments of the hemiplegic patient", 66, pp.77~90 (1987)
  6. "The clinical uses of the Berg balance scale", 83, pp.363~ (1997)
  7. "Berg balance scale and outcome measures in acquired brain injury", 15, pp.239~244 (2001)
  8. "Balance coding", 68, pp.286~288 (1982)
  9. "Prediction of rehabilitation outcomes with disability measures", 75, pp.133~143 (1994)
  10. "Admission balance and outcomes of patients admitted for acute inpatient rehabilitation", 77, pp.388~393 (1998)
  11. "Correlations between force plate measures for assessment of balance", 15, pp.365~369 (2000)
  12. "Predicting the probability for falls in community-dwelling older adults", 77, pp.812~819 (1997)
  13. "Fall risk index for elderly patients based on number of chronic disabilities", 80, pp.429~434 (1986)
  14. "The Berg balance scale as a predictor of length of stay and discharge destination in an acute stroke rehabilitation setting", 80, pp.448~452 (1999)
  15. "Validation of the Berg balance scale as a predictor of length of stay and discharge destination in stroke rehabilitation", 84, pp.731~735 (2003)

관련 논문AI추천

노인에게 있어서 Berg 균형척도, Timed Up & Go 검사, 기능적 독립평가(FIM)의 상관관계이수영, 이정아, 황수진한국전문물리치료학회 · 한국전문물리치료학회지2004 · 제11권 제1호만성 뇌졸중 환자의 낙상 예측을 위한 버그균형 척도와 플러턴 어드밴스드 균형 척도의 비교강정하, 김경모, 김소정, 김인섭, 김준섭, 남택길한국전문물리치료학회 · 한국전문물리치료학회지2018 · 제25권 제1호급성기 뇌졸중 환자에서 Stroke Rehabilitation Assessment of Movement와 Berg Balance Scale, Modified Barthel Index와의 상관관계성준혁, 송문성, 송은지, 안준수, 이강노, 정유회한국전문물리치료학회 · 한국전문물리치료학회지2011 · 제18권 제2호아급성기 뇌졸중 환자들의 낙상 예측을 위한 modified Postural Assessment Scale for Stroke와 Berg Balance Scale의 타당도박창식특수교육재활과학연구소 · 특수교육재활과학연구2014 · 제53권 제3호The Sitting-Unsupported Balance Score as an Early Predictor of Functional Prognosis in Stroke Patients: A Pilot Study임선, 고새벽, 고영아, 박근영, 오현미대한재활의학회 · Annals of Rehabilitation Medicine2013 · 제37권 제2호뇌졸중 환자에 대한 기능적 보행평가, 버그 균형척도, 일어나 걸어가기 검사의 동시 타당도김기송, 원종임한국전문물리치료학회 · 한국전문물리치료학회지2011 · 제18권 제2호

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