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논문KCI 등재

Association Between Evoked Potentials and Balance Recovery in Subacute Hemiparetic Stroke Patients

한은영|김보련|이소영
대한재활의학회 (Korean Academy Of Rehabilitation Medicine)|2015.06|Annals of Rehabilitation Medicine|제39권 제3호|pp. 451-461

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키워드

StrokeBalancePrognosisRecovery of functionEvoked potentials
주제분류재활의학

초록

Objective To investigate the association between baseline motor evoked potential (MEP) and somatosensory evoked potential (SSEP) responses in the lower extremities and balance recovery in subacute hemiparetic stroke patients.Methods MEPs and SSEPs were evaluated in 20 subacute hemiparetic stroke patients before rehabilitation. Balance (static posturography and Berg Balance Scale [BBS]), motor function (Fugl-Meyer Assessment [FMA]) and the ability to perform activities of daily living (Modified Barthel Index [MBI]) were evaluated before rehabilitation and after four-weeks of rehabilitation. Posturography outcomes were weight distribution indices (WDI) expressed as surface area (WDI-Sa) and pressure (WDI-Pr), and stability indices expressed as surface area (SI-Sa) and length (SI-L). In addition, all parameters were evaluated during eyes open (EO) and eyes closed (EC) conditions.Results The MEP (+) group showed significant improvements in balance except WDI-Sa (EC), FMA, and MBI, while the MEP (-) group showed significant improvements in the BBS, FMA, and MBI after rehabilitation. The SSEP (+) group showed significant improvements in balance except SI-Sa (EO), FMA, and MBI, while the SSEPs (-) group showed significant improvements in the BBS, MBI after rehabilitation. The changes in the SI-Sa (EO), SI-L (EO), total MBI, and several detailed MBI subscales in the MEP (+) group after rehabilitation were significantly larger than those in the MEP (-) group.Conclusion Our findings suggest that initial assessments of MEPs and SSEPs might be beneficial when predicting balance recovery in subacute hemiparetic stroke patients.

Abstract

Objective To investigate the association between baseline motor evoked potential (MEP) and somatosensory evoked potential (SSEP) responses in the lower extremities and balance recovery in subacute hemiparetic stroke patients.Methods MEPs and SSEPs were evaluated in 20 subacute hemiparetic stroke patients before rehabilitation. Balance (static posturography and Berg Balance Scale [BBS]), motor function (Fugl-Meyer Assessment [FMA]) and the ability to perform activities of daily living (Modified Barthel Index [MBI]) were evaluated before rehabilitation and after four-weeks of rehabilitation. Posturography outcomes were weight distribution indices (WDI) expressed as surface area (WDI-Sa) and pressure (WDI-Pr), and stability indices expressed as surface area (SI-Sa) and length (SI-L). In addition, all parameters were evaluated during eyes open (EO) and eyes closed (EC) conditions.Results The MEP (+) group showed significant improvements in balance except WDI-Sa (EC), FMA, and MBI, while the MEP (-) group showed significant improvements in the BBS, FMA, and MBI after rehabilitation. The SSEP (+) group showed significant improvements in balance except SI-Sa (EO), FMA, and MBI, while the SSEPs (-) group showed significant improvements in the BBS, MBI after rehabilitation. The changes in the SI-Sa (EO), SI-L (EO), total MBI, and several detailed MBI subscales in the MEP (+) group after rehabilitation were significantly larger than those in the MEP (-) group.Conclusion Our findings suggest that initial assessments of MEPs and SSEPs might be beneficial when predicting balance recovery in subacute hemiparetic stroke patients.

참고문헌 (36)

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관련 논문AI추천

Transcranial Motor Evoked Potentials of Lower Limbs Can Prognosticate Ambulation in Hemiplegic Stroke PatientsHyunkeun Lee, Min Kyun Sohn, Pyoungsik Hwang, Sungju Jee대한재활의학회 · Annals of Rehabilitation Medicine2016 · 제40권 제3호Activity of Daily Living and Motor Evoked Potentials in the Subacute Stroke Patients김정아, 임길병대한재활의학회 · Annals of Rehabilitation Medicine2013 · 제37권 제1호The Predictive Value of the Electrophysiologic Parameters for the Recovery of the Motor Functions in Patients with Stroke김보련, 김선미, 김종현, 한은영, 현철웅대한근전도전기진단의학회 · 대한근전도 전기진단의학회지2014 · 제16권 제1호Can Motor Evoked Potentials Be an Objective Parameter to Assess Extremity Function at the Acute or Subacute Stroke Stage?고명환, 김기욱, 박성희, 서정환, 원유휘대한재활의학회 · Annals of Rehabilitation Medicine2015 · 제39권 제2호Prediction of Motor Recovery Using Quantitative Parameters of Motor Evoked Potential in Patients With Stroke김민수, 김연희, 박은희, 신용일, 이아희, 장원혁, 조재용대한재활의학회 · Annals of Rehabilitation Medicine2016 · 제40권 제5호뇌졸중 환자의 편마비측 상지운동 회복과 SEP, MEP와의 상관관계이재준, 정한영대한재활의학회 · Annals of Rehabilitation Medicine2008 · 제32권 제5호

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