This study is aimed at investigating the factors influencing the change (improvement) in the performance of activities of daily living (ADL) in stroke patients. This study utilized data collected from 123 stroke patients at admission and discharge from a local rehabilitation hospital in South Korea between 2019 and 2022. We analyzed the correlations between ADL (Korean version of the Modified Barthel Index) and spasticity (Modified Ashworth Scale), muscle strength (Manual Muscle Test), gait ability (Functional Ambulation Category), cognitive function (Korean version of Mini Mental Status Examination), upper extremity function (Manual Function Test), and balance function (Berg Balance Scale). In addition, to identify the factors influencing the change in ADL in line with the 3 months of rehabilitation, a multiple regression analysis was performed. The results of the correlation analysis showed that balance function (, ) and gait ability (, ) had strong positive correlations with ADL. Multiple regression analysis (, , adj.) indicated that changes in the upper extremity (, ), cognitive (, ), and balance (, ) functions influenced changes in ADL. Our results found that the recovery of upper extremity function along with the improvement of cognitive and balance functions had a significant effect on the improvement of independence in ADL in stroke patients.

中文翻译：

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中风患者日常生活能力变化相关因素分析

本研究旨在探讨影响中风患者日常生活活动（ADL）表现变化（改善）的因素。本研究利用了 2019 年至 2022 年间从韩国当地康复医院入院和出院的 123 名中风患者收集的数据。我们分析了 ADL（韩国版改良 Barthel 指数）与痉挛（改良 Ashworth 量表）、肌肉力量（手动肌肉测试）、步态能力（功能性步行类别）、认知功能（韩版简易精神状态检查）、上肢功能（手动功能测试）、平衡功能（伯格平衡量表）。此外，为了确定影响 3 个月康复期间 ADL 变化的因素，进行了多元回归分析。相关分析结果表明，平衡函数（, ）和步态能力（, ）与 ADL 有很强的正相关性。多元回归分析（, ,形容词。）表明上肢的变化（, ），认知的 （, ），并平衡（, )功能影响 ADL 的变化。我们的研究结果发现，上肢功能的恢复以及认知和平衡功能的改善对脑卒中患者ADL独立性的改善有显着影响。