Japanese Occupational Therapy Research Volume 34, Issue 6 (December 2015)
Japanese

Relationship between the activities of daily living and hemiplegia, balance, and attention deficit in patients with acute cerebral infarction: Research targeting patients with slight consciousness disorder and cognitive impairment Ryota Hirai 1 , Michinari Fukuda 2,3 , Makoto Suzuki 2,3 , Kenichi Azuma 1 , Mitsuru Yamamoto 1 1Department of Rehabilitation Medicine, Saitama Medical Center 2Graduate School of Medical Science,Kitasato University 3Department of Rehabilitation, School of Allied Health Sciences, Kitasato University Keyword: 脳梗塞 , ADL , 片麻痺 , バランス , 注意機能 , Cerebral infarction , Hemiplegia , Balance , Attention pp.661-669
Published Date 2015/12/15
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 We explored the relationship between activities of daily living (ADL) and motor function, balance ability, and attention in 24 patients with slight consciousness disorder and cognitive impairment during the first week following the onset of cerebral infarction. Main outcome measures were Brunnstrom Recovery Stage (BRS), Berg Balance Scale (BBS), Clinical Assessment for Attention (CAT), and the Barthel Index (BI). We used Spearman's rank correlational analysis. Our analysis showed significant correlations between BI and BRS for shoulder and elbow (r=0.752,p<0.001), BI and BRS for hand (r=0.532, p=0.007), BI and BRS for trunk and lower limbs (r=0.703, p<0.001), and BI and BBS (r=0.898, p<0.001). Although all patients had attention deficit, the results showed an insignificant correlation between BI and CAT. These findings suggest that the relationship between ADL and programs for attention deficit is of low importance when the patients lack obvious consciousness disorder and cognitive impairment during the first week following the onset of cerebral infarction. It is necessary for us to investigate the relationship between ADL, IADL and attention deficit after the second week.


Copyright © 2015, Japanese Association of Occupational Therapists. All rights reserved.

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02894920.34.6.jpg
作業療法
34巻6号 (2015年12月)
電子版ISSN 印刷版ISSN 0289-4920 日本作業療法士協会

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