Longitudinal Motor Function Recovery in Stroke Patients with Focal Pons Infarction: Report of 4 cases

국소 교뇌 경색으로 인한 뇌졸중 환자에서 장기적인 운동기능 회복에 관한 사례보고

  • Park, Ji-Won (Department of Physical Therapy, College of Health Science, University of Daegu Catholic)
  • 박지원 (대구가톨릭대학교 보건과학대학 물리치료학과)
  • Received : 2009.10.29
  • Accepted : 2009.12.15
  • Published : 2009.12.25


Purpose: The aim of this study was to present fundamental information regarding clinical prognosis and clinical criteria for therapeutic intervention in stroke patients with focal pons infarction. Methods: Four stroke patients (male: 2, female: 2) who were diagnosed with pons infarction were recruited. All subjects had motor functions evaluated using methods such as the Motricity Index (MI), the Modified Brunnstrom Classification (MBC), Functional Ambulatory Category (FAC), and the Bathel Index (BI). Evaluations were done at least 4 times over a period that was approximately 8~11 months from stroke onset. We compared the final evaluation with the first evaluation. Results: All patients with focal pons infarction showed improvement with time in motor function. The physical strength of all patients was improved to normal or good grades from zero or trace grades in the Motricity Index test. Also, other motor functions such as ambulatory capacity and activities of daily living (ADL) improved with time. Conclusion: Aspects of functional recovery and clinical prognosis are clearly predictable for specific patients with focal pons infarction. In addition, adequate therapeutic interventions can be provided clinical criterion to patients, according to aspect of functional recovery. Accordingly, patients with pons infarction change for the better over time.


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