The relationship between proximal function of the upper extremity on the paralyzed side and upper extremity skills in daily life of subacute stroke patients

抄録

Nakashima N, Miyasaka H, Kondo I, Iwata K, Uematsu H, Yamamura C, Sonoda S. The relationship between proximal function of the upper extremity on the paralyzed side and upper extremity skills in daily life of subacute stroke patients. Jpn J Compr Rehabil Sci 2017; 8: 44-50.

Objectives: The effects of proximal function of the upper extremity on the paralyzed side on daily life skills were examined in stroke patients.

Methods: One hundred and forty-seven stroke patients were evaluated using the Functional Skills Measure After Paralysis (FSMAP), the Finger-Function test (FF), and the Knee-Mouth test (KM) of the Stroke Impairment Assessment Set (SIAS). The FSMAP score for each subgroup of the SIAS-KM level was compared.

Results: The FSMAP score was significantly higher in patients with a KM score of 2/3 compared to patients with a KM score of 0/1 when SIAS-FF was 0/1A; in patients with a KM score of 2/3 compared to patients with a KM score of 0/1 and in patients with a KM score of 4/5 compared to patients with a KM score of 2/3 when SIAS-FF was 1B, 1C, or 2; and in patients with a KM score of 4/5 compared to patients with a KM score of 2/3 when SIAS-FF was 3, 4, or 5.

Conclusion: The cross-sectional study indicated that differences in the level of proximal function affect the upper extremity skills when the level of distal function is equivalent.