Cognitive evaluation and functional outcome after stroke
Küçük Resim Yok
Tarih
2001
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Lippincott Williams & Wilkins
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Objective: To investigate the initial overall cognitive ability and its components as a predictor of functional improvement and ambulation during rehabilitation. Initial cognitive status is widely known to be a predictive factor in functional recovery in patients with stroke although some reports have found no such relationship. Design: Baseline cognitive status was scored by Minimental State Examination and its subsections with such headings as orientation, registration, attention and calculation, recall, and language in 43 patients with postacute stroke, aged between 51 and 68 yr. Function was evaluated in terms of motor FIM(TM) and functional ambulation as categorized in Adapted Patient Evaluation and Conference System functional scale at the time of admission and discharge. Results: Only total baseline Minimental State Examination score showed a significant correlation with discharge motor FIM improvement (r = 0.31, P = 0.04) and baseline orientation score correlated significantly with functional ambulation score improvement (r = 0.31, P = 0.03). In stepwise linear regression model, the same Variables had an effect on similar outcome parameters. Conclusions: Cognitiveion evaluation should be taken as a whole to predict functional outcome in patients with postacute stroke, except for the baseline orientation score that seemed more predictive for ambulation.
Açıklama
Anahtar Kelimeler
Cognition, Minimental State Examination, Functional Gain, Stroke Rehabilitation, Mini-Mental-State, Inpatient Rehabilitation, Impairment
Kaynak
American Journal Of Physical Medicine & Rehabilitation
WoS Q Değeri
Q2
Scopus Q Değeri
Q1
Cilt
80
Sayı
6
