title: Impact of Co-occurring Dysarthria and Aphasia on Functional Recovery in Post-stroke Patients.
abstract: OBJECTIVE
  To elucidate the impact of co-occurring dysarthria and aphasia on functional recovery in post-stroke patients.
  
  
  METHODS
  The medical records, including results of primary screening tests and secondary definite examinations for language problems, of 130 patients admitted to our institute's Department of Rehabilitation Medicine were retrospectively reviewed. Functional outcomes were assessed longitudinally using the Functional Ambulation Category (FAC), Mini-Mental State Examination-Korean version (MMSE-K), European Quality of Life-5 Dimensions 3-Level version (EQ-5D-3L), the Korean version of the Modified Barthel index (K-MBI), and Motricity Index (MI) of the hemiplegic side.
  
  
  RESULTS
  Patients were classified into four groups regarding language function: aphasia only (group A, n=9), dysarthria only (group D, n=12), aphasia and dysarthria (group AD, n=46), and none (group N, n=55). The initial functional outcome scores in the group AD were significantly poor compared to those of the groups N and A. Within groups, there were significant improvements in all outcome measurements in the groups AD and N. A between-group analysis revealed significant improvements in K-MBI for the group AD after adjusting for the initial severity and patient's age compared to other groups.
  
  
  CONCLUSIONS
  Post-stroke patients suffering from aphasia with dysarthria showed significantly lower initial functional level and relatively wide range of recovery potential in activities of daily living compared to patients without language problems.
authors.affiliation: Department of Rehabilitation Medicine, Kangwon Regional Cardiocerebrovascular Center, Kangwon National University Hospital, Chuncheon, Korea.; Department of Rehabilitation Medicine, Kangwon National University School of Medicine, Chuncheon, Korea.
authors.forename: Gowun
authors.identifier: 0000-0002-5694-8111
authors.initials: G
authors.lastname: Kim
authors.affiliation: Department of Rehabilitation Medicine, Kangwon Regional Cardiocerebrovascular Center, Kangwon National University Hospital, Chuncheon, Korea.
authors.forename: David
authors.identifier: 0000-0002-0956-019X
authors.initials: D
authors.lastname: Min
authors.affiliation: Department of Rehabilitation Medicine, Kangwon Regional Cardiocerebrovascular Center, Kangwon National University Hospital, Chuncheon, Korea.
authors.forename: Eun-Ok
authors.identifier: 0000-0002-2480-9184
authors.initials: EO
authors.lastname: Lee
authors.affiliation: Department of Rehabilitation Medicine, Kangwon Regional Cardiocerebrovascular Center, Kangwon National University Hospital, Chuncheon, Korea.; Department of Rehabilitation Medicine, Kangwon National University School of Medicine, Chuncheon, Korea.
authors.forename: Eun Kyoung
authors.identifier: 0000-0001-5315-1361
authors.initials: EK
authors.lastname: Kang
keywords: Aphasia; Dysarthria; Recovery of function; Rehabilitation; Stroke