Correlation of 24-hour Energy Expenditure of Cerebrovascular Accident Patients in the Convalescence Stage with Ability and Classification of Paralysis

Abstract

The purpose of this research was to measure physical activities during 24 hours of convalescing cerebral vascular accident patients for their position and intensity of physical activities (henceforth PIPA), and to examine the relation between the paralysis and the FIM score. Subjects were 20 cerebral vascular accident patients (13 men, 7 women) hospitalized in the convalescence rehabilitation ward in the acute stage. The measurement and outcomes were PIPA in 24 hours with an estimation of energy expenditure and classification of paralytic lower extremities through interview by 3 physical therapists. Abilities of the lower extremities were classified by Brunnstrom-stage. ADL capability was assessed by the movement items of FIM. The analysis of relevance was evaluated by student's t-test between Brunnstrom groups I-II and III-VI, and I-III and IV-VI. The result shows a significant difference in the mean value of PIPA between Brunnstrom groups I-II and III-VI.