title: Monitoring of Functioning Status in Subjects With Chronic Stroke in South Korea Using WHODAS II.
abstract: OBJECTIVE
  To follow up the long-term functioning in a community through assessing personal background and status based on the International Classification of Functioning, Disability and Health (ICF) after a stroke, by using a Korean version of World Health Organization Disability Assessment Scale II (K-WHODAS II).
  
  
  METHODS
  We surveyed 146 patients diagnosed at the first-onset of acute stroke and discharged after Inha University Hospital, and 101 patients answered the K-WHODAS II survey. We analyzed the relationship of six functioning domains of K-WHODAS II with K-MMSE (Korean version of Mini-Mental State Examination) and K-MBI (Korean version of Modified Barthel Index) at admission and discharge, and personal background. All subjects were divided into five groups, according to the disease durations, to assess the functional changes and the differences of K-MMSE and K-MBI at the admission and discharge.
  
  
  RESULTS
  K-MBI and K-MMSE at admission and discharge showed no significant differences in all five groups, respectively (p>0.05), reflecting no baseline disparity for long-term follow-up. All subjects showed positive gains of K-MBI and K-MMSE at discharge (p<0.05). The six functioning domains and total scores of K-WHODAS II had decreasing trends until 3 years after the stroke onset, but rose thereafter. Higher scores of K-MBI and K-MMSE, younger age, women, working status, higher educational level, and living with a partner were correlated with lower scores of K-WHODAS II (p<0.05).
  
  
  CONCLUSIONS
  The long-term functioning after stroke was affected not only by cognitive and motor status in hospital, but also by certain kinds of personal background. K-WHODAS II may be used to monitor functioning status in a community and to assess personal backgrounds in subjects with chronic stroke.
authors.affiliation: Department of Physical and Rehabilitation Medicine, Inha University School of Medicine, Incheon, Korea.
authors.forename: Su-Yeon
authors.initials: SY
authors.lastname: Kwon
authors.affiliation: Department of Physical and Rehabilitation Medicine, Inha University School of Medicine, Incheon, Korea.
authors.forename: Sang-Eun
authors.initials: SE
authors.lastname: Hong
authors.affiliation: Department of Physical and Rehabilitation Medicine, Inha University School of Medicine, Incheon, Korea.
authors.forename: Ee-Jin
authors.initials: EJ
authors.lastname: Kim
authors.affiliation: Department of Physical and Rehabilitation Medicine, Inha University School of Medicine, Incheon, Korea.
authors.forename: Chang-Hwan
authors.initials: CH
authors.lastname: Kim
authors.affiliation: Department of Physical and Rehabilitation Medicine, Inha University School of Medicine, Incheon, Korea.
authors.forename: Kyung-Lim
authors.initials: KL
authors.lastname: Joa
authors.affiliation: Department of Physical and Rehabilitation Medicine, Inha University School of Medicine, Incheon, Korea.
authors.forename: Han-Young
authors.initials: HY
authors.lastname: Jung
keywords: Activity; Assessment; Functioning; Participation; Stroke