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Journal of the Korean Academy of Rehabilitation Medicine 2007;31(6):630-635.
Relationship between Cognitive-perceptual Function and Functional Independence in Patients with Ischemic Stroke.
Choi, Ha Young , Park, Sung Min , Park, Sung Jun , Chung, Kyung Hoon , Lee, Yong Taek , Lee, Peter K W , Kim, Yun Hee
1Department of Physical Medicine and Rehabilitation, Stroke and Cerebrovascular Center, Samsung Medical Center, Korea. yunkim@smc.samsung.co.kr
2Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Korea.
3Department of Rehabilitation Medicine, Samyook Rehabilitation Hospital, Korea.
뇌경색 환자에서 인지 및 지각기능과 일상생활 독립성
최하영, 박성민1, 박성준, 정경훈, 이용택2, 이강우, 김연희
성균관대학교 의과대학 삼성서울병원 재활의학교실, 1삼육재활병원 재활의학과, 2강북삼성병원 재활의학교실
To determine the relationship between cognitive-perceptual function and functional independence in stroke patients.
Thirty-three patients (16 male, 17 female) with first ever ischemic stroke were enrolled. Their mean age was 60.4 years and the mean post-onset duration was 8.1 months. Subjects underwent detailed cognitive assessment including digit span test, line bisection test, Albert test, Wechsler nonverbal memory scale, Korean Hopkins verbal learning Test, Rey complex figure test, and trail making test A. Their functional outcomes were assessed using Functional Independence Measure (FIM) and Modified Barthel Index (MBI).
Among the cognitive subtests, Wechsler nonverbal memory scale, Albert test, and Rey complex figure test scores had significant correlation with both FIM and MBI scores. Patients with right hemispheric stroke showed significantly lower scores in line bisection test and Rey complex figure test than those with left hemispheric stroke patients.
Visuospatial perception and nonverbal memory functions seemed to be two most important cognitive- perceptual domains for functional recovery of stroke patients. (J Korean Acad Rehab Med 2007; 31: 630-635)
Key Words: Cognitive-perceptual assessment, Functional recovery, Ischemic stroke


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