An Objective Assessment Scale for “Come-to-Sit” Using a Specifi cally Designed Jacket in Stroke Patients

다국어 초록 (Multilingual Abstract)

Objective To compare an objective assessment scale for “come-to-sit” in stroke patients with the previously established subjective assessment scales of “performance-based assessment” and the “ability for basic movement scale”.
Method A specifically designed jacket was used to determine the objective degree of assistance needed for patients to perform the task. While patients were sitting up, the investigator evaluated the amount of assistance needed in a fully dependent state (A) and with maximal eff ort (B). Using this measure, we obtained an objective scale, {(A-B)/A} ×100. In addition, patients were tested in two starting positions: hemiplegic-side lying and soundside lying. We then compared the objective scale with subjective scales and other parameters related to functional outcomes.
Results For both starting positions, the objective assessment scale showed high correlation with the previously established subjective scales (p<0.01). Only the hemiplegic-side lying-to-sit objective scale showed a signifi cant correlation with the parameters used to assess functional outcomes (p<0.05). In terms of Brunnström stages, only the leg stage showed a signifi cant correlation with the objective “come-to-sit” scale (p<0.01).
Conclusion The objective scale was comparable to established subjective assessment scales when used by an expert. The hemiplegic-side lying-to-sit maneuver had a high correlation with patient’s functional recovery.
Specifi cally, balance and lower extremity function appear to be important factors in the “come-to-sit” activity.

참고문헌 (Reference)

1 정한영, "한글화된 Berg 균형검사법의 신뢰도 분석" 대한재활의학회 30 (30): 611-618, 2006

2 정한영, "한글판 수정바델지수(K-MBI)의 개발: 뇌졸중 환자 대상의 다기관 연구" 대한재활의학회 31 (31): 283-297, 2007

3 주진형, "두 가지 한글판 간이정신상태평가(Mini-Mental State Examination)의 비교 : MMSE-KC와 K-MMSE" 대한신경정신의학회 44 (44): 98-104, 2005

4 Hsieh CL, "Trunk control as an early predictor of comprehensive activities of daily living function in stroke patients" 33 : 2626-2630, 2002

5 Chon JS, "The analysis of sit-to-stand motion in stroke patient" 24 : 850-856, 2000

6 Brandstater ME, "Stroke rehabilitation, In Physical medicine and rehabilitation, 4th ed" Lippincott Williams & Wilkins 1667-1668, 2005

7 Susan BO, "Physical rehabilitation assessment and treatment, 3rd ed" F.A. Davis Company 196-197, 1994

8 Susan RY, "Functional movement reeducation,1st ed" Churchill Livingstone 375-396, 1997

9 Molnar GE, "Cerebral palsy: predictive value of selected clinical signs of early prognostication of motor function" 57 : 153-158, 1976

10 Kim MG, "An analysis of the movements during rising from a chair" 19 : 23-31, 1995

11 Hashimoto K, "Ability for basic movement as an early predictor of functioning related to activities of daily living in stroke patients" 21 : 353-357, 2007