뇌졸중 환자의 신체기능, 일상생활동작 및 균형 관계에서 인지의 매개효과 = Mediating Effect of Cognition in the Relationship between Activity Daily of Living and Balance in Stroke Patients

다국어 초록 (Multilingual Abstract)

Background: Cognitive function in stroke patients is closely related to activities of daily living tasks and balance. However, previous studies have focused on the physical functioning of stroke patients, such as muscle strength and its correlation with gait or balance and its impact on functional performance. Therefore, this study focuses on the impact of cognition in stroke patients. This is because cognition is an important predictor of functional recovery in rehabilitation, affecting motivation and the ability to acquire motor skills. In this study, we evaluated physical function, ADLs, balance, and cognitive function in stroke patients to determine the correlation between physical function, ADLs, balance, and cognition, and to determine the effects of cognitive training on physical function, ADLs, and balance in stroke patients.
Design: cross-sectional study design Methods: This study is the following tests were used to assess physical function, balance, mobility, and cognition in 110 individuals diagnosed with stroke. Manual muscle testing(MMT), range of motion(ROM), and balance were measured using the Berg Balance Scale(BBS). Cognition was measured using the Korean Modified Barthel Index(K-MBI) and the Korean Mini-Mental State Examination(K-MMSE) to assess activities of daily living. In addition, to verify the research questions, SPSS and Process macro were used to check the relationship between the main variables and the mediating effect of cognitive ability.
Results: The mediating effect of cognition on the relationship between physical function, balance, and ADLs in stroke patients was examined, and there was a significant correlation between physical function and balance, cognition, and ADLs (p<0.05). There was a mediating effect of cognition on the effect of physical function on ADLs (p<0.01) and a mediating effect of cognition on the effect of physical function on balance (p<0.01).
Conclusion: This study confirmed that physical function, balance, activities of daily living, and cognition were significantly correlated, and that cognition was a significant mediator between physical function, balance, and activities of daily living. We hope that these findings can be used as a basis for therapeutic approaches in stroke patients.