| Author: | Fong, Nai-kuen |
| Title: | Relationship of motor and cognitive performance to functional performance in stroke recovery |
| Degree: | M.Sc. |
| Year: | 1997 |
| Subject: | Cerebrovascular disease -- Patients -- Rehabilitation Hong Kong Polytechnic University -- Dissertations |
| Department: | Multi-disciplinary Studies |
| Pages: | ix, 109 leaves : ill. ; 30 cm |
| Language: | English |
| Abstract: | Stroke recovery can be quantified by measuring either intrinsic recovery or functional recovery which are inter-linked. This study is to investigate the relationship of intrinsic recovery with functional recovery of stroke patients by comparing their motor and cognitive performance to functional performance in an in-patient rehabilitation program. Motor and cognitive performance is measured by the Fugl-Meyer Assessment (FMA) and the Neurobehavioral Cognitive Status Examination (NCSE) which is compared with functional performance as measured by motor component of the Functional Independence Measure (FIM-MM) at admission, two weeks, four weeks, and discharge. A total of thirty-seven patients with first stroke aged from 51 to 70 years were selected by hapazard sampling over one year period. Results indicated that there were significant differences among all motor, functional and orientation, repetition, naming, construction, memory and judgment of cognitive sub-scores among four measurement occasions. The lower extremity and balance scores of the FMA were highly correlated with the FIM-MM at all occasions, while upper extremity and hand scores were correlated moderately. Judgment, comprehension and repetition had moderate positive relationships with functional performance. Stepwise regression showed that discharge FIM-MM was predicted best by self-care at admission, or sphincter at 2 weeks, or transfer at 4 weeks. Gain score in functional performance and the length of stay were also best predicted by lower extremity at admission. These results confirmed that a strong motor impairment basis including balance and lower extremity accounted for the functional recovery in inpatient rehabilitation. This study provides good insights to rehabilitation professionals on the effect of intrinsic recovery on functional recovery in patients after stroke. Therefore, rehabilitation outcome in clinical practice should be predicted from these significant factors at the initial stage so that purposeful activities for stroke patients can be planned. Emphasis should also be put on training of these components so as to enhance functional recovery. |
| Rights: | All rights reserved |
| Access: | restricted access |
Files in This Item:
| File | Description | Size | Format | |
|---|---|---|---|---|
| b13987628.pdf | For All Users (off-campus access for PolyU Staff & Students only) | 3.3 MB | Adobe PDF | View/Open |
Copyright Undertaking
As a bona fide Library user, I declare that:
- I will abide by the rules and legal ordinances governing copyright regarding the use of the Database.
- I will use the Database for the purpose of my research or private study only and not for circulation or further reproduction or any other purpose.
- I agree to indemnify and hold the University harmless from and against any loss, damage, cost, liability or expenses arising from copyright infringement or unauthorized usage.
By downloading any item(s) listed above, you acknowledge that you have read and understood the copyright undertaking as stated above, and agree to be bound by all of its terms.
Please use this identifier to cite or link to this item:
https://theses.lib.polyu.edu.hk/handle/200/3127