Earticle

초록

영어

The purpose of this study was to investigate the interactive effect of cognitive function and intervention on walking independence of stroke patients. Stroke patients (n=405) who admitted to convalescent reha-bilitation ward, were classified as being walking independent or depen-dent. To examine the interaction between cognitive function and inter-vention, high cognitive function (functional independence measure score ≥20) and physical therapy and occupational therapy intervention delivered in 1 day (lasting >2 hr) were defined as cognition-intervention interaction and included as independent variables. The incidence of walking independence was calculated using Kaplan–Meier curves. In-tergroup differences were estimated using log-rank test. Cox propor-tional hazards analysis was used to extract the predictors of walking in-dependence. Survival analyses using Kaplan–Meier log-rank test showed that the probability of incidence of walking independence was significantly higher in the presence of a cognition-intervention interac-tion. The results of Cox proportional hazards analysis showed that age, left versus right cerebral damage, and cognition-intervention interac-tion significantly influenced walking independence at discharge from the hospital. The hazard ratios were 0.971 per year of age, 0.544 for left versus right cerebral damage, and 1.794 for cognition-intervention inter-action. Walking independence was more likely to be achieved by stroke patients with high cognitive function who received therapy. In other words, the conditions that increase the likelihood of an effect of therapy intervention on walking independence were identified in this study.

목차

Abstract
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
CONFLICT OF INTEREST
REFERENCES

키워드

저자

• Takuya Umehara [ Department of Rehabilitation, Faculty of Rehabilitation, Hiroshima International University, Hiroshima, Japan ] Corresponding Author
• Miwako Tsunematsu [ Department of Health Informatics, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan ]
• Katsunori Sugihara [ Department of Rehabilitation, Hiroshima City Rehabilitation Hospital, Hiroshima, Japan ]
• Kaori Yata [ Department of Rehabilitation Technology, Hiroshima City Rehabilitation Hospital, Hiroshima, Japan ]
• Masayuki Kakehashi [ Department of Health Informatics, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan ]

참고문헌

발행기관

간행물

표지보기 관심저널 등록

• 간행물명

  JER [Journal of Exercise Rehabilitation]

• 간기

  격월간

• pISSN

  2288-176X

• eISSN

  2288-1778

• 수록기간

  2013~2026

• 등재여부

  SCOPUS,KCI 등재

• 십진분류

  KDC 517 DDC 613