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Impact of central facial palsy and dysarthria on quality of life in patients with stroke: The KOSCO study

 Chang, Won Hyuk  ;  Sohn, Min Kyun  ;  Lee, Jongminc  ;  Kim, Deog Young  ;  Lee, Sam-Gyu  ;  Shin, Yong-Il  ;  Oh, Gyung-Jae  ;  Lee, Yang-Soo  ;  Joo, Min Cheol  ;  Han, Eun Young  ;  Kim, Yun-Hee 
 Neurorehabilitation, Vol.39(2) : 253-259, 2016 
Journal Title
Issue Date
Aged ; Dysarthria/etiology ; Dysarthria/psychology* ; Facial Paralysis/etiology ; Facial Paralysis/psychology* ; Female ; Humans ; Male ; Middle Aged ; Quality of Life/psychology* ; Stroke/complications ; Stroke/psychology*
Dysarthria ; depression ; facial palsy ; quality of life ; stroke
BACKGROUND: There are a few reports on the impact of central facial palsy and dysarthria on quality of life (QOL) in stroke patients. OBJECTIVE: To investigate the impact of central facial palsy on QOL compared with dysarthria during the chronic phase in patients with first-ever strokes. METHODS: This study represents an interim analysis of the Korean Stroke Cohort for Functioning and Rehabilitation study. We selected data from patients with functional independence of 0 or 1 by the modified Rankin Scale at 6 months after stroke onset, who showed an impairment only in National Institute of Health Stroke Scale items 4 (facial palsy) or 10 (dysarthria). Assessments included the European Quality of Life-5 Dimensions (EQ-5D) and the Geriatric depression scale-short form (GDS-SF). RESULTS: Data from 149 patients were selected for this analysis from 3,929 patients who were followed up at 6 months. Thirty-nine and 110 patients were classified into the facial palsy and dysarthria groups, respectively. The groups did not differ significantly in baseline characteristics or functional assessments. EQ-5D was significantly lower in the facial palsy group than in the dysarthria group at 6 months after stroke (p?=?0.036). GDS-SF was significantly higher in the facial palsy group than in the dysarthria group (p?=?0.005). CONCLUSIONS: The results of this study revealed that central facial palsy clearly has a more negative impact on QOL than dysarthria in chronic stroke patients with functional independence.
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1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
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김덕용(Kim, Deog Young) ORCID logo https://orcid.org/0000-0001-7622-6311
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