Functional Outcome in Light Program of Stroke Rehabilitation at Chonburi Hospital - การฟื้นฟูสมรรถภาพของผู้ป่วยโรคหลอดเลือดสมองแบบเบา โรงพยาบาลชลบุรี

บทคัดย่อ

This one group pre and post test study was conducted to determine the functional outcome of a
light program on stroke rehabilitation based on SNMRC (Sirindhorn National Medical Rehabilitation
Center) functional assessment score. The sample of 108 stroke patients participated in this
rehabilitation program during April 2009 - March 2011 in the department of Physical Medicine and
Rehabilitation at Chon Buri Hospital.
The following data were retrieved: demographic data, pathology of disease, duration of stroke
before the rehabilitation program, side of weakness and SNMRC Functional Assessment score (pre
and post rehabilitation program). For data analysis and comparisons between pre and post rehabilitation
program, descriptive statistics, paired t-test, t-test and linear regression model were employed.
The results of study showed that 56 were men (51.9%) and 52 were women (48.1%). Mean
age was 61.09 (SD 12.128) years. The major medical history was hypertension (64.8%). Eightyeight
patients(81.5%) had ischemic stroke, 20 patients (18.5%) had hemorrhagic stroke, 56 patients
(51.9%) had left hemiplegia, 51 patients (47.2%) had right hemiplegia. There was statistically significant
difference between SNMRC functional assessment score measured pre and post rehabilitation
program. Age, sex, pathology of disease and side of weakness showed no statistically significant
differnces in improvements in functional outcome. Pre-rehabilitation SNMRC score was significant
predictor of total SNMRC functional assessment score gain. (R2 = 0.594, p < 0.0001)
In conclusion, light program of stroke rehabilitation at Chonburi Hospital showed significant
improvements in functional outcome.
Key words: stroke, rehabilitation, functional outcome, light program.