Impact of Co-occurring Dysarthria and Aphasia on Functional Recovery in Post-stroke Patients.

Content Provider	Europe PMC
Author	Kim, Gowun Min, David Lee, Eun-ok Kang, Eun Kyoung
Copyright Year	2016
Abstract	ObjectiveTo elucidate the impact of co-occurring dysarthria and aphasia on functional recovery in post-stroke patients.MethodsThe medical records, including results of primary screening tests and secondary definite examinations for language problems, of 130 patients admitted to our institute's Department of Rehabilitation Medicine were retrospectively reviewed. Functional outcomes were assessed longitudinally using the Functional Ambulation Category (FAC), Mini-Mental State Examination-Korean version (MMSE-K), European Quality of Life-5 Dimensions 3-Level version (EQ-5D-3L), the Korean version of the Modified Barthel index (K-MBI), and Motricity Index (MI) of the hemiplegic side.ResultsPatients were classified into four groups regarding language function: aphasia only (group A, n=9), dysarthria only (group D, n=12), aphasia and dysarthria (group AD, n=46), and none (group N, n=55). The initial functional outcome scores in the group AD were significantly poor compared to those of the groups N and A. Within groups, there were significant improvements in all outcome measurements in the groups AD and N. A between-group analysis revealed significant improvements in K-MBI for the group AD after adjusting for the initial severity and patient's age compared to other groups.ConclusionPost-stroke patients suffering from aphasia with dysarthria showed significantly lower initial functional level and relatively wide range of recovery potential in activities of daily living compared to patients without language problems.
ISSN	22340645
Journal	Annals of Rehabilitation Medicine
Volume Number	40
PubMed Central reference number	PMC5256320
Issue Number	6
PubMed reference number	28119830
e-ISSN	22340653
DOI	10.5535/arm.2016.40.6.1010
Language	English
Publisher	Korean Academy of Rehabilitation Medicine
Publisher Date	2016-12-30
Access Restriction	Open
Rights License	This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Copyright © 2016 by Korean Academy of Rehabilitation Medicine
Subject Keyword	Dysarthria Aphasia Stroke Rehabilitation Recovery of function
Content Type	Text
Resource Type	Article
Subject	Rehabilitation