A Preliminary Study on the Functional Recovery after Acute Stroke (Assessed by Barthel ADL index)

J Korean Neurol Assoc > Volume 10(3); 1992 > Article

Journal of the Korean Neurological Association 1992;10(3): 298-307.

급성 뇌경색 환자의 기능회복에 관한 예비적 연구 (Barthel ADL 척도의 적용으로)

김진국, 하정상,변영주

영남대학교 신경과.

A Preliminary Study on the Functional Recovery after Acute Stroke (Assessed by Barthel ADL index)

Jin-Kook Kim, M.D., Jung-Sang Hah, M.D., Yeung-Ju Byun, M.D.

Department of Neurology, College of Medicine, Yeungnam University

Abstract

We evaluated the performance of activities of daily living by using Barthel ADL index and the factors affecting the quality of life were also analyzed in 82 survivors who suffered from single cerebral infarction in MCA territory and followed for more tham 3 months. The results were as follows: 1. Among the patients, 56(68.3%) patients regained functional indepeadency.but they were not necessarily normal or socially independent. 2. They improved markedly in first 4 weeks after onset of the stroke. 3. Functional recovery in the left hemiplegic patients was better than the right, but there was no difference in functional recovery related to sex and etiologic factors. 4. There was no correlation between age and ADL score 5. The major determinants for long term quality of life were the initial neurologic signs and the size of infarcted area demonstrated by Computed Tomography.