Activity of Daily Living and Motor Evoked Potentials in the Subacute Stroke Patients
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Objective To investigate the effectiveness of the daily living activity and motor evoked potential (MEP) in the subacute stroke patients.Methods Nineteen subjects with subacute ischaemic/hemorrhagic stroke developed in the last three months were enrolled, and MEP was measured with transcranial magnetic stimulation. Functional Independence Measure (FIM) score were evaluated in both groups before and 4 weeks after comprehensive rehabilitative management. According to the presence of MEP response in the affected hemisphere, subjects were divided into MEP positive and negative group. Results There was no significant difference between the two groups in age, sex, and post-onset duration. Four weeks later, the change in total FIM and self-care score improved significantly in the MEP-positive group, when compared to the MEP-negative group (p<0.05). However, cognitive improvement had no relationship with MEP responsiveness.Conclusion We concluded that initial measurement of MEP is a useful assessment tool in predicting functional outcome of subacute stroke patients.
Abstract
Objective To investigate the effectiveness of the daily living activity and motor evoked potential (MEP) in the subacute stroke patients.Methods Nineteen subjects with subacute ischaemic/hemorrhagic stroke developed in the last three months were enrolled, and MEP was measured with transcranial magnetic stimulation. Functional Independence Measure (FIM) score were evaluated in both groups before and 4 weeks after comprehensive rehabilitative management. According to the presence of MEP response in the affected hemisphere, subjects were divided into MEP positive and negative group. Results There was no significant difference between the two groups in age, sex, and post-onset duration. Four weeks later, the change in total FIM and self-care score improved significantly in the MEP-positive group, when compared to the MEP-negative group (p<0.05). However, cognitive improvement had no relationship with MEP responsiveness.Conclusion We concluded that initial measurement of MEP is a useful assessment tool in predicting functional outcome of subacute stroke patients.
참고문헌 (16)
- Diamond PT., "Effect of cognitive impairment on rehabilitation outcome", Am J Phys Med Rehabil, 75, pp.40~43 (1996)
- Stinear C., "Prediction of recovery of motor function after stroke", Lancet Neurol, 9, pp.1228~1232 (2010)
- Chu NS., "Motor evoked potentials with magnetic stimulation : correlations with height", Electroencephalogr Clin Neurophysiol, 74, pp.481~485 (1989)
- Curra A., "Transcranial magnetic stimulation techniques in clinical investigation", Neurology, 59, pp.1851~1859 (2002)
- Kang MJ., "Motor evoked potential in stroke", J Korean Acad Rehabil Med, 17, pp.26~35 (1993)
- Han TR., "Motor evoked potentials of upper and lower extremities by magnetic stimulation in hemiparesis", J Korean Acad Rehabil Med, 22, pp.386~391 (1998)
- 이재준, "뇌졸중 환자의 편마비측 상지운동 회복과 SEP, MEP와의 상관관계", Annals of Rehabilitation Medicine, 32(5), pp.512~517 (2008), 대한재활의학회
- 이상윤, "PREDICTION OF GOOD FUNCTIONAL RECOVERY AFTER STROKE BASED ON COMBINED MOTOR AND SOMATOSENSORY EVOKED POTENTIAL FINDINGS", JOURNAL OF REHABILITATION MEDICINE, 42, pp.16~20 (2010), TAYLOR & FRANCIS AS
- Hsieh YW., "Responsiveness and validity of three outcome measures of motor function after stroke rehabilitation", Stroke, 40, pp.1386~1391 (2009)
- Granger CV., "Functional assessment scales : a study of persons after stroke", Arch Phys Med Rehabil, 74, pp.133~138 (1993)
- Hamilton BB., "Disability outcomes following inpatient rehabilitation for stroke", Phys Ther, 74, pp.494~503 (1994)
- Kim C., "The significance of motor evoked potentials as a prognostic factor in the early stage of stroke patients", J Korean Acad Rehabil Med, 23, pp.1213~1220 (1999)
- Brouwer BJ, "Schryburt-Brown K. 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)
- 정한영, "뇌졸중 환자에서 NIHSS 검사와 운동유발전위와의 연관관계", Annals of Rehabilitation Medicine, 29(6), pp.563~567 (2005), 대한재활의학회
- Kandler RH., "The role of magnetic stimulation as a quantifier of motor disability in patients with multiple sclerosis", J Neurol Sci, 106, pp.31~34 (1991)