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Changes in Function and Muscle Strength of Encephalitis Survivors After Inpatient Rehabilitation

OBJECTIVE: To investigate the clinical demographics and rehabilitative assessments of encephalitis survivors admitted to a rehabilitation center, and to confirm the effects of inpatient rehabilitation manifested by changes in muscle strength and function after hospitalization. METHODS: Data of encep...

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Autores principales: Kim, Tayeun, Cheong, In Yae
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Academy of Rehabilitation Medicine 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8743845/
https://www.ncbi.nlm.nih.gov/pubmed/35000367
http://dx.doi.org/10.5535/arm.21133
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author Kim, Tayeun
Cheong, In Yae
author_facet Kim, Tayeun
Cheong, In Yae
author_sort Kim, Tayeun
collection PubMed
description OBJECTIVE: To investigate the clinical demographics and rehabilitative assessments of encephalitis survivors admitted to a rehabilitation center, and to confirm the effects of inpatient rehabilitation manifested by changes in muscle strength and function after hospitalization. METHODS: Data of encephalitis survivors who received rehabilitation at our institution from August 2009 to August 2019 were reviewed. Medical charts were retrospectively reviewed, and motor, functional, and cognitive assessments were collected. Manual muscle testing (MMT), Fugl-Meyer Assessment (FMA), Berg Balance Scale (BBS), Functional Ambulation Category (FAC), Korean version of Modified Barthel Index (K-MBI), grip strength, Box and Block Test (BBT), and Korean version of Mini-Mental State Examination (K-MMSE) were performed, and the results upon admission and discharge were compared and analyzed. RESULTS: Most of the patients with encephalitis admitted to our institution had viral or autoimmune etiologies. The assessment results of 18 encephalitis patients upon admission and discharge were compared. The total K-MBI score, FAC, grip strength, and BBT significantly improved, but not the MMT and FMA. Subgroup analysis was performed for viral and autoimmune encephalitis, which are the main causes of the disease, but there was no difference in items with significant changes before and after hospitalization. CONCLUSION: Encephalitis survivors showed a significant improvement in functional assessment scale during their hospital stay through rehabilitation, without significant changes in motor strength. Hence, we can conclude that encephalitis survivors benefit from inpatient rehabilitation, targeting functional gains in activities of daily living training more than motor strength.
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spelling pubmed-87438452022-01-18 Changes in Function and Muscle Strength of Encephalitis Survivors After Inpatient Rehabilitation Kim, Tayeun Cheong, In Yae Ann Rehabil Med Original Article OBJECTIVE: To investigate the clinical demographics and rehabilitative assessments of encephalitis survivors admitted to a rehabilitation center, and to confirm the effects of inpatient rehabilitation manifested by changes in muscle strength and function after hospitalization. METHODS: Data of encephalitis survivors who received rehabilitation at our institution from August 2009 to August 2019 were reviewed. Medical charts were retrospectively reviewed, and motor, functional, and cognitive assessments were collected. Manual muscle testing (MMT), Fugl-Meyer Assessment (FMA), Berg Balance Scale (BBS), Functional Ambulation Category (FAC), Korean version of Modified Barthel Index (K-MBI), grip strength, Box and Block Test (BBT), and Korean version of Mini-Mental State Examination (K-MMSE) were performed, and the results upon admission and discharge were compared and analyzed. RESULTS: Most of the patients with encephalitis admitted to our institution had viral or autoimmune etiologies. The assessment results of 18 encephalitis patients upon admission and discharge were compared. The total K-MBI score, FAC, grip strength, and BBT significantly improved, but not the MMT and FMA. Subgroup analysis was performed for viral and autoimmune encephalitis, which are the main causes of the disease, but there was no difference in items with significant changes before and after hospitalization. CONCLUSION: Encephalitis survivors showed a significant improvement in functional assessment scale during their hospital stay through rehabilitation, without significant changes in motor strength. Hence, we can conclude that encephalitis survivors benefit from inpatient rehabilitation, targeting functional gains in activities of daily living training more than motor strength. Korean Academy of Rehabilitation Medicine 2021-12 2021-12-31 /pmc/articles/PMC8743845/ /pubmed/35000367 http://dx.doi.org/10.5535/arm.21133 Text en Copyright © 2021 by Korean Academy of Rehabilitation Medicine https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Kim, Tayeun
Cheong, In Yae
Changes in Function and Muscle Strength of Encephalitis Survivors After Inpatient Rehabilitation
title Changes in Function and Muscle Strength of Encephalitis Survivors After Inpatient Rehabilitation
title_full Changes in Function and Muscle Strength of Encephalitis Survivors After Inpatient Rehabilitation
title_fullStr Changes in Function and Muscle Strength of Encephalitis Survivors After Inpatient Rehabilitation
title_full_unstemmed Changes in Function and Muscle Strength of Encephalitis Survivors After Inpatient Rehabilitation
title_short Changes in Function and Muscle Strength of Encephalitis Survivors After Inpatient Rehabilitation
title_sort changes in function and muscle strength of encephalitis survivors after inpatient rehabilitation
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8743845/
https://www.ncbi.nlm.nih.gov/pubmed/35000367
http://dx.doi.org/10.5535/arm.21133
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