Association between Spasticity and Functional Impairments during the First Year after Stroke in Korea: The KOSCO Study.

Association between Spasticity and Functional Impairments during the First Year after Stroke in Korea: The KOSCO Study.

Am J Phys Med Rehabil. 2018 Mar 05;:

Authors: Shin YI, Kim SY, Lee HI, Kim DY, Lee J, Sohn MK, Lee SG, Oh GJ, Lee YS, Joo MC, Han EY, Han J, Moon MH, Chang WH, Kim Y, Kim YH

Abstract
OBJECTIVE: To investigate the correlation between spasticity severity and functional outcomes during the first year after stroke.
DESIGN: The Korean Stroke Cohort for Functioning and Rehabilitation is a large, multicenter, prospective cohort study of all patients with acute first-ever stroke admitted to participating hospitals in nine Korean areas. To investigate the correlation between spasticity severity and functional status measured by using the Institutes of Health Stroke Scale(NIHSS), Modified Barthel Index(MBI), Functional Independence Measurement(FIM), Fugl-Meyer Assessment(FMA), Functional Ambulatory Category(FAC), modified Rankin scale(mRS), and American Speech-Language Hearing Association National Outcome Measurement System Swallowing Scale(ASHA-NOMS), data were analyzed at 3, 6, and 12 months after the occurrence of stroke.
RESULTS: A total of 7359 stroke patients, 3056 patients were finally included. Prevalence rates of spasticity in patients after stroke were 6.8% at 3 months, 6.9% at 6 months and 7.6% at 12 months. The scores of mRS and NIHSS were higher and those of K-MBI, FIM, FMA and ASHA-NOMS were lower in more severe spastic patients, indicating poorer functional outcomes (p < 0.05).
CONCLUSIONS: This study demonstrated the coexistence of spasticity and poor functional outcome during the first year after first-ever stroke patients.

PMID: 29509548 [PubMed - as supplied by publisher]

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