學院

醫學院

系所

職能治療學系

題名

The correlation of glycemic markers and functional outcomes in ischemic stroke patients undergoing occupational therapy.

作者

Hsieh, Y-W., Wu, C-Y., Korivi, M., Lin, K-C.*, & Wang, W-E.

期刊名稱

Journal of Taiwan Occupational Therapy Research and Practice（台灣職能治療研究與實務雜誌，非SCI/SSCI）

發表日期

2016

著作性質

原著

語文

英文

關鍵字

Blood glucose, Occupational therapy, Ischemic stroke, Disability

摘要

Objective: This study investigated the relationship between glycemic markers and functional outcomes and examined the effects of occupational therapy on these outcomes

in patients with subacute ischemic stroke.

Methods: Thirteen patients with ischemic stroke were recruited. They received one-on-one occupational therapy for 4 weeks. Outcome measures included the modified Rankin Scale (mRS), Fugl-Meyer Assessment (FMA), Functional Independence Measure (FIM), and Stroke Impact Scale (SIS). Glycemic markers were levels of fasting blood glucose and glycosylated hemoglobin (HbA1c). Before and after the intervention, all outcome measures were administered to the participants.

Results: After therapy, a significant correlation of the mRS with blood glucose (rho = .72, p < .05) represents less disability related to lower level of the marker. Baseline blood glucose was significantly correlated with post-treatment scores on the mRS and FIM (rho = .60 and –.70; p < .05), which indicates its potential value in predicting disability outcomes. After therapy, all functional outcomes were significantly improved (p < .05). There was a significant decrease on the HbA1c level after therapy (p = .01).

Conclusion: Based on the preliminary results, lower blood glucose levels were significantly associated with improved disability outcomes in patients which suggests that glycemic status could be monitored along with functional outcomes in stroke rehabilitation process. Further research with a large sample is needed to validate these findings.