title: Impact of central facial palsy and dysarthria on quality of life in patients with stroke: The KOSCO study.
abstract: BACKGROUND
  There are a few reports on the impact of central facial palsy and dysarthria on quality of life (QOL) in stroke patients.
  
  
  OBJECTIVE
  To investigate the impact of central facial palsy on QOL compared with dysarthria during the chronic phase in patients with first-ever strokes.
  
  
  METHODS
  This study represents an interim analysis of the Korean Stroke Cohort for Functioning and Rehabilitation study. We selected data from patients with functional independence of 0 or 1 by the modified Rankin Scale at 6 months after stroke onset, who showed an impairment only in National Institute of Health Stroke Scale items 4 (facial palsy) or 10 (dysarthria). Assessments included the European Quality of Life-5 Dimensions (EQ-5D) and the Geriatric depression scale-short form (GDS-SF).
  
  
  RESULTS
  Data from 149 patients were selected for this analysis from 3,929 patients who were followed up at 6 months. Thirty-nine and 110 patients were classified into the facial palsy and dysarthria groups, respectively. The groups did not differ significantly in baseline characteristics or functional assessments. EQ-5D was significantly lower in the facial palsy group than in the dysarthria group at 6 months after stroke (p = 0.036). GDS-SF was significantly higher in the facial palsy group than in the dysarthria group (p = 0.005).
  
  
  CONCLUSIONS
  The results of this study revealed that central facial palsy clearly has a more negative impact on QOL than dysarthria in chronic stroke patients with functional independence.
authors.affiliation: Department of Physical and Rehabilitation Medicine, Center for Prevention and Rehabilitation, Heart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
authors.forename: Won Hyuk
authors.initials: WH
authors.lastname: Chang
authors.affiliation: Department of Rehabilitation Medicine, School of Medicine, Chungnam National University, Daejeon, Republic of Korea.
authors.forename: Min Kyun
authors.initials: MK
authors.lastname: Sohn
authors.affiliation: Department of Rehabilitation Medicine, Konkuk University School of Medicine, Seoul, Republic of Korea.
authors.forename: Jongmin
authors.initials: J
authors.lastname: Lee
authors.affiliation: Department and Research Institute, Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.
authors.forename: Deog Young
authors.initials: DY
authors.lastname: Kim
authors.affiliation: Department of Physical and Rehabilitation Medicine, Chonnam National University Medical School, Gwangju, Republic of Korea.
authors.forename: Sam-Gyu
authors.initials: SG
authors.lastname: Lee
authors.affiliation: Department of Rehabilitation Medicine, Pusan National University School of Medicine, Pusan National University Yangsan Hospital, Busan, Republic of Korea.
authors.forename: Yong-Il
authors.initials: YI
authors.lastname: Shin
authors.affiliation: Department of Preventive Medicine, Wonkwang University, School of Medicine, Iksan, Republic of Korea.
authors.forename: Gyung-Jae
authors.initials: GJ
authors.lastname: Oh
authors.affiliation: Department of Rehabilitation Medicine, Kyungpook National University School of Medicine, Kyungpook National University Hospital, Daegu, Republic of Korea.
authors.forename: Yang-Soo
authors.initials: YS
authors.lastname: Lee
authors.affiliation: Department of Rehabilitation Medicine, Wonkwang University School of Medicine, Iksan, Republic of Korea.
authors.forename: Min Cheol
authors.initials: MC
authors.lastname: Joo
authors.affiliation: Department of Rehabilitation Medicine, Jeju National University Hospital, Jeju National University School of Medicine, Jeju, Republic of Korea.
authors.forename: Eun Young
authors.initials: EY
authors.lastname: Han
authors.affiliation: Department of Physical and Rehabilitation Medicine, Center for Prevention and Rehabilitation, Heart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.|Department of Health Science and Technology, Department of Medical Device Management and Research, SAIHST, Sungkyunkwan University, Seoul, Republic of Korea.
authors.forename: Yun-Hee
authors.initials: YH
authors.lastname: Kim
mesh_terms: D000368:Aged; D004401:Dysarthria / Q000209:etiology / Q000523:psychology*; D005158:Facial Paralysis / Q000209:etiology / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011788:Quality of Life / Q000523:psychology*; D020521:Stroke / Q000150:complications / Q000523:psychology*
keywords: Dysarthria; depression; facial palsy; quality of life; stroke