Clinical and cognitive predictors of balance in patients with alcohol use disorder

• Main Authors: Chun-Hua Cheng, 鄭駿樺
• Other Authors: Chwen-Yng Su
• Format: Others
• Language: zh-TW
• Published: 2018
• Online Access: http://ndltd.ncl.edu.tw/handle/223smq

碩士 === 高雄醫學大學 === 職能治療學系碩士在職專班 === 106 === The purpose of this study is threefold: (1) To demonstrate the magnitude of alcohol use disorder (AUD) patients’ balance and cognition deficit with age-paired healthy adults; (2) To explore the effect of AUD severity on the balance function; and (3) To examine the cognitive predictors of AUD patients’ balance ability. The study recruited each of 60 participants in the AUD (according to criteria of the DSM-5) and normal groups with age ranged from 45 to 65 years. We collected the participants’ demographic and clinical variables, and measured their balance function and cognition ( attention, visual perception, and executive function). The one-way analysis of the variance and factor analysis wre used to demonstrate differences of the participants’ average balance scores whilst the multiple regressions was used for identify the cognitive predictors of balance function. The results had 3 main findings: (1) The average scores in balance and cognition of normal group were better than those of the patients with AUD; (2) It is best to show that the difference in balance between different AUD and the normal group is the One-leg standing test (OLS), the Functional Reach Test (FRT) and the Timed Up and Go Test (TUG), and the difference in cognitive ability is the Trail Making Test (TMT), the Benton Judgment of Line Orientation Test (BJLOT) and the Loewenstein Occupational Therapy Cognitive Assessment (LOTCA) thinking operations ; and (3) The thinking operations subscale (executive function) showed the higher standardized regression coefficient (Beta = 0.311) than those of other measures. In conclusion, the AUD severity appears having effect on patients’ balance function, which can be well demonstrated by the OLS, the FRT and the TUG, and predicted by the LOTCA- thinking operations subscale . These results can be helpful for clinicians to screen and understand the balance and awareness of different AUD patients through appropriate assessment instruments and develop corresponding intervention plans to reduce the frequency of falls and teach cognitive compensation for life compensation. To achieve functional preventive effects and improve the quality of daily life.