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Journal of the Korean Academy of Rehabilitation Medicine 2008;32(4):400-405.
The Effect of Environmental Factors to the Mobility Disability in Independent Subjects with Stroke.
Noh, Jae Hyun , Do, Gi Chul , Kim, Jun Yeon , Kim, Dong Hyup , Kim, Chul Hyun , Lee, Yang Soo , Jung, Tae Du
Department of Rehabilitation Medicine, Kyungpook National University College of Medicine, Korea.
독립적 생활이 가능한 뇌졸중 환자에서 환경적 요소가 이동장애에 미치는 영향
노재현, 도기철, 김준연, 김동협, 김철현, 이양수, 정태두
경북대학교 의과대학 재활의학교실
Abstract
Objective
To investigate the effect of environmental factors on the ability of mobility in subjects with chronic stroke who can perform nearly independent activities of daily living (ADL).
Method
Sixty one patients were divided into three groups (superior, middle, and inferior) by the degree of independent walking. Modified self-administered questionnaire was completed to report how well the patients encountered the environmental elements faced in community mobility. In addition, all patients were assessed to find out the difference of ADL performance, Berg balance scale (BBS), 10 m walking time (10 mWT) and patterns of 'going out' among the three groups.
Results
The group 1 (superior group) had shown better performance than group 2 (middle group) and group 3 (inferior group) in performance of ADL, BBS, 10 mWT. Secondly, the group 1 visited more places or destinations per day than the group 2 and 3, and they used more various transportation systems than other groups. Finally, there were significant differences in the distance dimension, the temporal dimension, terrain dimension (except for a 'getting on a elevator' component), and density dimension among the groups.
Conclusion
Environmental factors as well as functional abilities could affect the mobility of subjects with chronic stroke. This result suggests that any kinds of compensation and the supports of social institutions are needed even in subjects of nearly independent ADL for their improvement of mobility and convenience. (J Korean Acad Rehab Med 2008; 32: 400-405)
Key Words: Stroke, Mobility disability, Environment factors


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