Даваа–Баасан 08:30–20:00 · Бямба 09:00–16:00
Now showing 1 - 5 of 5
  • Some of the metrics are blocked by your 
    Item type:Publication,
    Effectiveness of Adjunctive Therapies Following Botulinum Toxin Type A Injections in Children with Cerebral Palsy
    (Mongolian National University of Medical Sciences, 2023-03-30) ;
    Dorjbal, Delgerjargal
    ;
    Erdenebileg, Nasantogtokh
    ;
    ;
    Zagd, Gerelmaa
  • Some of the metrics are blocked by your 
    Item type:Publication,
    Effect of Botulinum Toxin- A injection for the Lower Limb in Children with Spastic Cerebral Palsy
    (Mongolian National University of Medical Sciences, 2023-12-16) ;
    Batbold, Galindev
    ;
    Erdenebileg, Nasantogtokh
    ;
    ;
  • Some of the metrics are blocked by your 
    Item type:Publication,
    Stroke from Prospective Acute Inpatient Rehabilitation Data: Functional Outcomes Using the Functional Independence Measure
    (Mongolian National University of Medical Sciences, 2020-06-25) ;
    Batgerel Oidov
    ;
    ; ;
    Objectives: Stroke is a second leading cause of mortality and results often to severely lasting disability in worldwide. We studied the long-term effects of rehabilitation after stroke as a key factor in improving the quality of life, due to the reason that Mongolia has one of highest rates of ischemic heart disease. The aim of this study was to evaluate functional outcomes of all patients admitted to an inpatient rehabilitation unit in a tertiary hospital using Functional Independence Measure (FIM), and analyze factors that are associated significantly with progression of discharge functional scores and higher functional gains. Methods: In this longitudinal study over a two-month period, functional data for 104 patients admitted consecutively to the Stroke Center at Third State Central Hospital inpatient rehabilitation unit in Mongolia were charted into a custom designed rehabilitation database. The primary outcome measures were the discharge total FIM scores, FIM gain and FIM efficiency. Multiple linear regression analysis were used to identify independent variables associated with better discharge FIM scores and FIM gain. Results: The mean age was 56.3 ±11.6 years and 55.7% of the patients were male. Ischemic stroke (28.8%) followed by hemorrhagic stroke (71.2%) were more common diagnoses. The average rehabilitation length of stay was 9.3 ± 2.2 days. The mean admission total FIM score was 42.3 ± 20.7 and the mean discharge total FIM score was 61.3 ± 24.6, with this gain being highly significant (P < 0.001). The mean FIM gain was 18.6 ± 17.4 and FIM efficiency was 2.1 ± 1.0 points per day. Factors associated with better functional outcomes were higher admission motor and cognitive FIM scores, male gender and a longer rehabilitation length of stay. Conclusions: The FIM is an easy-to-use, standardized and robust general measure of functional disability. The total FIM scores of all patients, participated in this study, significantly improved. Moreover, longer rehabilitation LOS resulted in a negative effect on discharge FIM scores. To our knowledge, this study is the first study that examines the stroke rehabilitation using FIM scores as the primary outcome measure in Mongolia.
  • Some of the metrics are blocked by your 
    Item type:Publication,
    Effectiveness of Long-Term Rehabilitation Treatment After Stroke
    (Mongolian National University of Medical Sciences, 2020-09-25) ;
    Batgerel Oidov
    ;
    ; ;
    Objectives: Stroke is the leading cause of long-term disability. Therefore, we studied the effects of comprehensive long-term rehabilitation after stroke in improving the quality of life. Methods: Participants were compared in an experimental intervention model, with 120 control subjects, which received conventional short-stay inpatient hospitalization rehab, with 105 study subjects who received comprehensive rehabilitation program using the Guidelines for Adult Stroke Rehabilitation and Recovery from the American Heart Association/American Stroke Association starting in the hospital and extending for 6 months. The effects of rehabilitation were assessed Modified Rankin Scale (mRS), Functional Independence Measure (FIM), Barthel Index (BI) methods at admission, discharge, and 3 and 6 months after discharge. Results: There was no significant difference in the NIHSS, mRS, BI, and FIM scores between study and control patients at admission (p > 0.05). For the mRS, BI, and FIM scores, there was a significant interaction between treatment and time, indicating that the scores improved more rapidly for patients in the study group than the control group over the six-month study period (p < 0.001). A significant improvement in the scores with time was observed in the study and control groups at each time interval (p < 0.001). However, by 3 months after discharge the mRS, BI, and FIM scores of the study group were significantly better than the control group and the gap widened at 6 months, indicating further improvement. Conclusions: We found that providing prolonged by a multidisciplinary rehabilitation team results in higher functional independence and improvements in daily living activities.
  • Some of the metrics are blocked by your 
    Item type:Publication,
    Assessing Mongolian children with cerebral palsy using the International Classification of Functioning, Disability and Health
    (2025-05-17) ;
    Delgerjargal Dorjbal
    ;
    Battuvshin Lkhagvasuren
    ;
    Suvdmaa Sain-Uchral
    ;
    Gerelmaa Zagd
    The functioning and disability of Mongolian children with cerebral palsy were assessed by applying the World Health Organization's Common Brief ICF-CY Core Set for Children and Youth with Cerebral Palsy. The cross-sectional study involved a consecutive sample of 98 children with spastic cerebral palsy (mean age 6.9 years) and their caregivers. They came from both urban and rural areas of Mongolia. The majority (65%) of the participants were spastic diplegic. Body functions, activities, participation, and interaction with the environment differed depending on the type of cerebral palsy. Brain structure did not differ, however. Regarding environmental factors, there was no significant difference between the types of products and technology used for communication, immediate family relationships, or social attitudes. The environment was the key component negatively impacting the lived experience of children with cerebral palsy in Mongolia. Overall, the findings help to identify unmet needs and can improve interventions for such children in Mongolia to meet international standards.