| Functional Assessment of Sympathetic Nervous System in Patients with Unilateral Stroke. |
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Cheon, Seung Wook , Kim, Ji Hoon , Im, Hyeong Lyong , Lee, So Young , Choi, In Sung , Kim, Jae Hyung , Lee, Sam Gyu |
1Department of Physical Medicine & Rehabilitation, Chonnam National University Medical School & Hospital, Korea. sam91@chonnam.ac.kr
2Chonnam National University Hwasun Hospital, Korea. |
| 뇌졸중 환자에서 교감신경계 기능평가 |
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천승욱, 김지훈, 임형룡, 이소영1, 최인성, 김재형1, 이삼규 |
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전남대학교 의과대학 재활의학교실, 1화순전남대학교병원 재활의학과 |
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| Abstract |
Objective
To investigate the function of sympathetic nervous system in patients with first-ever unilateral stroke by measuring hand sympathetic skin response (SSR) and the relationship between sympathetic dysfunction and motor function.
Method
Eighteen patients with first-ever unilateral stroke and eighteen normal controls were recruited. The differences of hand SSR amplitude and latency between affected and unaffected side were investigated. Motor function was classified according to the Brünnstrom stage and activities of daily living were evaluated by modified Barthel Index (MBI) and Functional Independence Measure (FIM). Orthoe- static hypotension (OH) was evaluated and graded.
Results
The difference of the amplitude of hand SSR between affected and unaffected side was increased in stroke patient group (p＜0.05). There was significant correlation between Brünnstrom stage and the difference of hand SSR amplitude (p＜0.05). There were significant correlations between MBI, FIM and the difference of hand SSR amplitude (p＜0.05). There was significant correlation between OH and the difference of hand SSR amplitude (p＜0.05).
Conclusion
Evaluation of hand SSR could be useful methods to evaluate central autonomic dysfunction and motor dysfunction. (J Korean Acad Rehab Med 2006; 30: 207-212) |
| Key Words:
Sympathetic skin response, Stroke, Motor function |
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