Impact of Co-occurring Dysarthria and Aphasia on Functional Recovery in Post-stroke Patients.
10.5535/arm.2016.40.6.1010
- Author:
Gowun KIM
1
;
David MIN
;
Eun Ok LEE
;
Eun Kyoung KANG
Author Information
1. Department of Rehabilitation Medicine, Kangwon Regional Cardiocerebrovascular Center, Kangwon National University Hospital, Chuncheon, Korea. stewardofgod@gmail.com
- Publication Type:Original Article
- Keywords:
Dysarthria;
Aphasia;
Stroke;
Rehabilitation;
Recovery of function
- MeSH:
Activities of Daily Living;
Aphasia*;
Dysarthria*;
Humans;
Mass Screening;
Medical Records;
Recovery of Function;
Rehabilitation;
Retrospective Studies;
Stroke;
Walking
- From:Annals of Rehabilitation Medicine
2016;40(6):1010-1017
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: To elucidate the impact of co-occurring dysarthria and aphasia on functional recovery in post-stroke patients. METHODS: The medical records, including results of primary screening tests and secondary definite examinations for language problems, of 130 patients admitted to our institute's Department of Rehabilitation Medicine were retrospectively reviewed. Functional outcomes were assessed longitudinally using the Functional Ambulation Category (FAC), Mini-Mental State Examination-Korean version (MMSE-K), European Quality of Life-5 Dimensions 3-Level version (EQ-5D-3L), the Korean version of the Modified Barthel index (K-MBI), and Motricity Index (MI) of the hemiplegic side. RESULTS: Patients were classified into four groups regarding language function: aphasia only (group A, n=9), dysarthria only (group D, n=12), aphasia and dysarthria (group AD, n=46), and none (group N, n=55). The initial functional outcome scores in the group AD were significantly poor compared to those of the groups N and A. Within groups, there were significant improvements in all outcome measurements in the groups AD and N. A between-group analysis revealed significant improvements in K-MBI for the group AD after adjusting for the initial severity and patient's age compared to other groups. CONCLUSION: Post-stroke patients suffering from aphasia with dysarthria showed significantly lower initial functional level and relatively wide range of recovery potential in activities of daily living compared to patients without language problems.
