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The purpose of this study was
to examine the surrounding environment and functional level of chronic stroke patients residingin local community, and to identify the factors among them most affecting activities of daily living. The subjects were 32 patientswith chronic stroke residing in local community, for whom the questionnaire, Manual Function Test, Rapid pace walk test, VisualAnalogue Scale, stress test, Short form of Geriatric Depression Scale and Modified Barthel Index were evaluated and thenconducted a comparative analysis. There were no differences in activities of daily living depending on general characteristics andresidential facility types, while being cared group and living with family group were more dependent comparing with thenot-cared group and the living alone group. Furthermore, the activities of daily living showed the correlation with affected andnon-affected upper limb functions, gait function, and stress, in order. It was verified that the factors affecting activities of dailyliving were the affected and non-affected upper limb functions, structural change of residence and gait function. In the futurehome care services, the educations for the change of residential environment, repetition training and supporting skill acquisitionwould be required to enhance the activities of daily living, because chronic stroke patients have limits to expect the functionalimprovements.   (ÀÌÇÏ »ý·«)

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