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Association Between Spasticity and Functional Impairments During the First Year After Stroke in Korea: The KOSCO Study

Authors
 Yong-Il Shin  ;  Soo-Yeon Kim  ;  Hae In Lee  ;  Deog Young Kim  ;  Jongmin Lee  ;  Min Kyun Sohn  ;  Sam-Gyu Lee  ;  Gyung-Jae Oh  ;  Yang-Soo Lee  ;  Min Cheol Joo  ;  Eun Young Han  ;  Junhee Han  ;  Myung Hoon Moon  ;  Won Hyuk Chang  ;  Youngtaek Kim  ;  Yun-Hee Kim 
Citation
 American Journal of Physical Medicine & Rehabilitation, Vol.97(8) : 557-564, 2018 
Journal Title
 American Journal of Physical Medicine & Rehabilitation 
ISSN
 0894-9115 
Issue Date
2018
Keywords
Spasticity ; Function ; Stroke ; Cohort
Abstract
OBJECTIVE: The aim of the study was to investigate the correlation between spasticity severity and functional outcomes during the first year after stroke. DESIGN: The Korean Stroke Cohort for Functioning and Rehabilitation is a large, multicenter, prospective cohort study of all patients with acute first-ever stroke admitted to participating hospitals in nine Korean areas. To investigate the correlation between spasticity severity and functional status measured by using the Institutes of Health Stroke Scale (NIHSS), Modified Barthel Index (MBI), Functional Independence Measurement (FIM), Fugl-Meyer Assessment (FMA), Functional Ambulatory Category (FAC), modified Rankin scale (mRS), and American Speech-Language Hearing Association National Outcome Measurement System Swallowing Scale (ASHA-NOMS), data were analyzed at 3, 6, and 12 mos after the occurrence of stroke. RESULTS: A total of 7359 stroke patients, 3056 were finally included. Prevalence rates of spasticity in patients after stroke were 6.8% at 3 mos, 6.9% at 6 mos, and 7.6% at 12 mos. The scores of mRS and NIHSS were higher and those of K-MBI, FIM, FMA, and ASHA-NOMS were lower in more severe spastic patients, indicating poorer functional outcomes (P < 0.05). CONCLUSIONS: This study demonstrated the coexistence of spasticity and poor functional outcome during the first year after first-ever stroke patients.
Full Text
https://insights.ovid.com/pubmed?pmid=29509548
DOI
10.1097/PHM.0000000000000916
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
Yonsei Authors
김덕용(Kim, Deog Young) ORCID logo https://orcid.org/0000-0001-7622-6311
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/163243
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