Factors contributiing to the recovery of outdoor walking ability in the stroke patients.
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Recovery of walking ability in the stroke patients is known to be one of the most important factors in the rehabilitation. It means not only a mere improvement of the disability level but an enhancement in the ADL which is associated with the QOL of the patients as well as their surroundings. We attempted in this study to find an optimal method to predict recovery rate of the outdoor walking ability in the stroke patients based on the factors prior to the rehabilitation.<BR>1016 cases of the stroke patients (676 male, average age 58.9 yrs) admitted to Nanasawa Rehabilitation Center, 1981-1983, were statistically analyzed for the study. They were classified into recovery group and non-recovery group according to the 12 staged criteria of the disability level. The overall recovery rate was 63.2% (642/1016) : 66% in male, 57% in female. The age of the patients was found to be related to the recovery rate : 81% of the cases younger than 50 years of age regained the walking ability, 69% in the 50 years, 57% in the 60 years and 44% in the older than 70 years. Higher recovery rate was noted in the group of the patients who could sit up or stand up earlier, who did not have deep sensory disturbances. They had to be rated at more than Brunnstrom recovery stage III to be expected to show any recovery in the outdoor walking ability.<BR>Aphasia was not directly related to the recovery of walking ability, whereas the hemi-spatial agnosia in the group of the moderate paralysis and lesion in the pyramidal tract as examined by CT scan proved to have an effect on the outdoor walking ability.<BR>As the result of factor analysis and subsequently performed multiple regression analysis, the following three items were found to be significant predictors of the recovery of the outdoor walking ability : Brunnstrom recovery stage in the motility disturbances of the lower extremities, age which is related to the overall factors of improvement such as plasticity of nerves, the muscle force of the inaffected side as an indicator of the remaining ability. The multiple correlation coefficient was 0.60, and the rate of discrimination in the discriminant analysis was 0.80.
- 一般社団法人 日本脳卒中学会の論文
一般社団法人 日本脳卒中学会 | 論文
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