Impact of central facial palsy and dysarthria on quality of life in patients with stroke: The KOSCO study

被引：22

作者：

Chang, Won Hyuk ^{[1
]}

Sohn, Min Kyun ^{[2
]}

Lee, Jongmin ^{[3
]}

Kim, Deog Young ^{[4
]}

Lee, Sam-Gyu ^{[5
]}

Shin, Yong-Il ^{[6
]}

Oh, Gyung-Jae ^{[7
]}

Lee, Yang-Soo ^{[8
]}

Joo, Min Cheol ^{[9
]}

Han, Eun Young ^{[10
]}

Kim, Yun-Hee ^{[1
,11
]}

机构：

[1] Sungkyunkwan Univ, Sch Med, Heart Vasc Stroke Inst,Samsung Med Ctr, Dept Phys & Rehabil Med,Ctr Prevent & Rehabil Med, 50 Ilwon Dong, Seoul 135710, South Korea

[2] Chungnam Natl Univ, Sch Med, Dept Rehabil Med, Daejeon, South Korea

[3] Konkuk Univ, Sch Med, Dept Rehabil Med, Seoul, South Korea

[4] Yonsei Univ, Coll Med, Rehabil Med, Dept & Res Inst, Seoul, South Korea

[5] Chonnam Natl Univ, Sch Med, Dept Phys & Rehabil Med, Gwangju, South Korea

[6] Pusan Natl Univ, Yangsan Hosp, Sch Med, Dept Rehabil Med, Busan, South Korea

[7] Wonkwang Univ, Sch Med, Dept Prevent Med, Iksan, South Korea

[8] Kyungpook Natl Univ, Sch Med, Kyungpook Natl Univ Hosp, Dept Rehabil Med, Daegu, South Korea

[9] Wonkwang Univ, Sch Med, Dept Rehabil Med, Iksan, South Korea

[10] Jeju Natl Univ, Sch Med, Jeju Natl Univ Hosp, Dept Rehabil Med, Jeju, South Korea

[11] Sungkyunkwan Univ, Dept Med Device Management & Res, Dept Hlth Sci & Technol, SAIHST, Seoul, South Korea

来源：

NEUROREHABILITATION | 2016年 / 39卷 / 02期

关键词：

Dysarthria; depression; facial palsy; quality of life; stroke; SOCIOECONOMIC-STATUS; ISCHEMIC-STROKE; RELIABILITY; VALIDATION; OUTCOMES; PARESIS;

D O I：

10.3233/NRE-161355

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

100204 [神经病学];

摘要：

BACKGROUND: There are a few reports on the impact of central facial palsy and dysarthria on quality of life (QOL) in stroke patients. OBJECTIVE: To investigate the impact of central facial palsy on QOL compared with dysarthria during the chronic phase in patients with first-ever strokes. METHODS: This study represents an interim analysis of the Korean Stroke Cohort for Functioning and Rehabilitation study. We selected data from patients with functional independence of 0 or 1 by the modified Rankin Scale at 6 months after stroke onset, who showed an impairment only in National Institute of Health Stroke Scale items 4 (facial palsy) or 10 (dysarthria). Assessments included the European Quality of Life-5 Dimensions (EQ-5D) and the Geriatric depression scale-short form (GDS-SF). RESULTS: Data from 149 patients were selected for this analysis from 3,929 patients who were followed up at 6 months. Thirty-nine and 110 patients were classified into the facial palsy and dysarthria groups, respectively. The groups did not differ significantly in baseline characteristics or functional assessments. EQ-5D was significantly lower in the facial palsy group than in the dysarthria group at 6 months after stroke (p = 0.036). GDS-SF was significantly higher in the facial palsy group than in the dysarthria group (p = 0.005). CONCLUSIONS: The results of this study revealed that central facial palsy clearly has a more negative impact on QOL than dysarthria in chronic stroke patients with functional independence.

引用

页码：253 / 259

页数：7

共 34 条

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