Annals of Rehabilitation Medicine

Korean Academy of Rehabilitation Medicine (대한재활의학회)
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Bowel Function in Acute Stroke Patients

  • Yi, Jin-Hwa (Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Chun, Min-Ho (Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kim, Bo-Ryun (Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Han, Eun-Young (Department of Rehabilitation Medicine, University of Jeju College of Medicine) ;
  • Park, Ji-Young (Department of Rehabilitation Medicine, Philip Hospital)
  • Published : 2011.06.30
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Abstract

Objective: To investigate factors related to bowel function and colon motility in acute stroke patients. Method: Fifty-one stroke patients (29 males, mean age 63.4${\pm}$13.6 years, onset 13.4${\pm}$4.8 days) were recruited and divided into two groups: constipation (n=25) and non-constipation (n=26) groups. We evaluated the amount of intake, voiding function, concomitant swallowing problem and colon transit time (CTT) using radio-opaque markers for ascending, descending and rectosigmoid colons. The Adapted Patient Evaluation Conference System (APEC), Korean version of Modified Bathel Index (K-MBI) and Motricity Index (MI) were evaluated. Results: The constipation group showed significantly prolonged CTT of ascending, descending and entire colon (p<0.05) and more severe swallowing problems (p=0.048). The APEC scale (2.65${\pm}$1.44 vs 1.52${\pm}$0.92, p=0.001), K-MBI scores (59.4${\pm}$14.4 vs 28.0${\pm}$24.3, p<0.001) and MI scores (69.1${\pm}$22.3 vs 46.8${\pm}$25.9, p=0.001) of the constipation group were significantly lower compared to the non-constipation group. Conclusion: Our study demonstrated that bowel function in acute stroke patients was associated with functional status and swallowing function, indicating the need for intensive functional training in post-stroke constipation patients.

Keywords

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