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 encepha...

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Main Authors: Tayeun Kim, In Yae Cheong
Format: Article
Language:English
Published: Korean Academy of Rehabilitation Medicine 2021-12-01
Series:Annals of Rehabilitation Medicine
Subjects:
Online Access:http://e-arm.org/upload/pdf/arm-21133.pdf
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author Tayeun Kim
In Yae Cheong
author_facet Tayeun Kim
In Yae Cheong
author_sort Tayeun Kim
collection DOAJ
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 doaj.art-0e1cee6bd3cf44deae415f5535dd5eff2023-08-02T08:32:35ZengKorean Academy of Rehabilitation MedicineAnnals of Rehabilitation Medicine2234-06452234-06532021-12-0145642243010.5535/arm.211334244Changes in Function and Muscle Strength of Encephalitis Survivors After Inpatient RehabilitationTayeun Kim0In Yae Cheong Department of Physical Medicine and Rehabilitation, National Rehabilitation Center, Seoul, KoreaObjective 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.http://e-arm.org/upload/pdf/arm-21133.pdfencephalitisrehabilitationfunctional outcome
spellingShingle Tayeun Kim
In Yae Cheong
Changes in Function and Muscle Strength of Encephalitis Survivors After Inpatient Rehabilitation
Annals of Rehabilitation Medicine
encephalitis
rehabilitation
functional outcome
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 encephalitis
rehabilitation
functional outcome
url http://e-arm.org/upload/pdf/arm-21133.pdf
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