F-3-12-05
VALIDITY OF THE MOTOR AND SENSORY ITEMS OF THE STROKE IMPAIRMENT ASSESSMENT SET (SIAS)
Hotta Fujiko, Sonoda Shigeru, Tsuji Tetsuya, Kimura Akio, Chino Naoichi (Keio University, JAPAN)
The validity of the motor and sensory items of the Stroke Impairment Assessment Set (SIAS) was examined. Subjects were 83 patients with hemiplegia as a result of stroke who were admitted to the affiliated rehabilitation hospitals of Keio University in 1996 and 1997 within 4 months of onset of stroke. Multivariate analysis was made with the time to flex and extend the affected elbow ten times as an independent variable and the score of the knee-mouth test as a grouping variable. To validate the sensory items of the SIAS, the unaffected knee angle that patients demonstrated for simulation of an affected knee angle passively positioned at 45 degrees was measured. The average time for 10 repetitions of flexion/extension was 7.63 sec. in patients with a score of 3 in the knee-mouth test, 3.34 sec. in those with a score of 4, and 2.80 in those with a score of 5. There was significant difference in results of the Scheffe's test (p<0.05). The lower the score of the position test in SIAS, the greater the error of the knee angle. In conclusion, these results provided increased evidence of the validity of the motor and sensory items of the SIAS.
F-3-12-06
The Psychologic Process and Rehabilitation in CVA
Wang Yan (No 2 HOSP of Hubei Med Univ, Wuhan, China)
ABSTRACT
With Suddenly comes on and serious functional disabled, CVA Patients always has handicapped in motion speech. Followed by unexpectedly body functional handicapped, there are various psychologic disorder. Our clinic observation shows that: The psychologic process is accompanied with disease process. The condition of psychologic disorder is influenced by the stage of disease, patient's personal character, family, profession, by treatment, etc...analyse the development of a CVA patient psychologic process. We divide it into 5 periods, accordingly 5 contents psychologic methods for psychologic are rehabilitation introduced. The brief follows:
