뇌졸중 환자에서 Fugl-Meyer 평가척도와 보행속도, Timed Up & Go 검사와의 상관관계

Abstract

The purposes of this study were to find correlations among Fugl-Meyer Assessment scale, gait speed,and Timed Up & Go test (TUG) and to predict gait ability from subscales of Fugl-Meyer Assessmentscale. The study population consisted of 30 stroke patients referred to the Department of RehabilitationMedicine in the Bundang Jaesang General Hospital. All subjects were ambulatory with or without an assistivedevice. All participants were assessed on Fugl-Meyer Assessment scale and gait speed (m/s),TUG (s). The data were analyzed using independent t-test, Pearson product moment correlation analysisand stepwise multiple regression. The results revealed that all items of Fugl-Meyer Assessment scale,except passive joint range of motion were significantly correlated with gait speed and TUG. In particular,sensation score, lower extremity motor and coordination score have a significant correlation with gaitspeed and TUG (p<.05). The sensation score and lower extremity motor score were important factors incomfortable gait and maximal gait speed. Their power of explanation regarding comfortable gait andmaximal gait speed were 63.0% and 65.0%, respectively. The sensation score and lower extremity coordinationscore were important factors in TUG. Their power of explanation regarding TUG was 55.0%. These results showed that Fugl-Meyer Assessment scale is significantly correlated with gait speed andTUG. Therefore Fugl-Meyer Assessment scale is an appropriate assessment tool to predict gait ability ofpatients with stroke. Further study about gait speed and TUG by change of Fugl-Meyer Assessmentscore is needed using a longitudinal study design.