Ann Rehabil Med.  2016 Dec;40(6):1010-1017. 10.5535/arm.2016.40.6.1010.

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

• Kim G
• Min D
• Lee EO
• Kang EK

• KMID: 2371332
• DOI: http://doi.org/10.5535/arm.2016.40.6.1010

Abstract

OBJECTIVE
To elucidate the impact of co-occurring dysarthria and aphasia on functional recovery in post-stroke patients.
METHODS
The 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.
RESULTS
Patients 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.
CONCLUSION
Post-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.

Keyword

Dysarthria; Aphasia; Stroke; Rehabilitation; Recovery of function

MeSH Terms

Activities of Daily Living
Aphasia*
Dysarthria*
Humans
Mass Screening
Medical Records
Recovery of Function
Rehabilitation
Retrospective Studies
Stroke
Walking

Figure

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  Fig. 1 Inclusion flow chart of the study. WNL, who showed normal language function.

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