Abstract
Statistical analyses were performed on 512 stroke patients, who had been admitted to Izu-Nirayama Rehabilitation Hospital within the past five years, with special attention paid to functions of activities of daily living (ADL). There were 104 items studied in relation to ADL functions, including case history, clinical symptoms, neurological findings (including motor and speech functions), complications such as diabetes, hypertension, and the patients' successful return to community life.
Among those factors studied, one which was highly related to successful return to community life was ADL of the involved upper extremity. Thirty-three item categories were found to be most important in influencing recovery of the involved upper extremity. The coefficient of determination of these factors was 87.58%. The highest six of these categories were most important in predicting the recovery of the ADL functions of the involved upper extremities.
The highest six factors are as follows:
1. Good state of function of ADL in the involved upper extremity upon admission.
2. Improvement in Brunnstrom stage of the upper extremity upon discharge.
3. Absence of urinal incontinence.
4. Passive range of motion (PROM) of upper extremity nearly full range upon admission.
5. Rapid advancement to plateau stage under medical and rehabilatative treatment.
6. Low age group at onset of stroke.
It was proved that the above-mentioned factors greatly contributed to the patient's successful return to the community, as far as ADL of the involved upper extremity were concerned.
