Cognitive Factors Associated with Activities of Daily Living in Post-stroke Patients

Cho, Ki Hun; Lee, Wanhee

doi:10.1589/jpts.24.779

Cited by 16 publications

(11 citation statements)

References 22 publications

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“…Many studies have been conducted to investigate the factors associated with ADL performance of stroke patients (Kim and Eng 2003;Cho and Lee 2012;Gialanella et al 2012). In people with cognitive impairment, cognitive function cannot be used effectively to perform a meaningful task and is therefore closely related to impairment in ADL performance (Alladi et al 2002).…”

Section: Introductionmentioning

confidence: 99%

“…In people with cognitive impairment, cognitive function cannot be used effectively to perform a meaningful task and is therefore closely related to impairment in ADL performance (Alladi et al 2002). Many studies reported that cognitive impairment can reduce the independence for performing basic and instrumental ADL (Alladi et al 2002;Cho and Lee 2012). Furthermore, Kim and Eng (2003) reported that the muscle strength of the paretic lower extremity was moderately to highly correlate with ADL performance in stroke patients.…”

Section: Introductionmentioning

confidence: 99%

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Impaired Dynamic Balance Is Associated with Falling in Post-Stroke Patients

Cho¹,

Lee

2013

Tohoku J. Exp. Med.

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Falling is one of the most common complications of stroke. The purpose of this study was to investigate the impact of falling on cognitive and physical function in post-stroke patients. Further, the predictive factors associated with independence of activity of daily living (ADL) in stroke patients with falls experience were investigated. Sixty-six participants were divided into 2 groups according to history of falling: faller (n = 34) and non-faller (n = 32). All participants were examined for cognitive and physical function. Static balance was measured by postural sway using a force platform. Dynamic balance was measured using the Berg Balance Scale (BBS) and the Modified Rivermead Mobility Index (MRMI), which shows the degree of performance for balance tasks. ADL was measured using the Modified Barthel Index (MBI), which shows the degree of independence. The fallers showed lower cognitive and physical function than the non-fallers (p < 0.05). This finding indicates that falling is associated with reduced physical function, as well as reduced cognitive function. In the fallers, the ADL (MBI) was moderately correlated with each of cognition [MMSE (r = 0.388, p = 0.023)], dynamic balance [MRMI (r = 0.514, p = 0.002) and BBS (r = 0.572, p < 0.000)]. In addition, regression analysis showed that BBS was a primary predictor for ADL performance (R 2 = 0.327, β = 0.572, p < 0.000). Our findings indicate that enhancement of dynamic balance is needed to improve in activities necessary for normal self-care of stroke patients with falls experience.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Impaired Dynamic Balance Is Associated with Falling in Post-Stroke Patients

Cho¹,

Lee

2013

Tohoku J. Exp. Med.

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“…Analfabetos (20) 10 1 a 4 anos de estudo (25) 15,9 5 a 8 anos de estudo (26,5) 27,3 Mais de 11 anos de estudo (29) 29…”

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“…O alto índice de alterações cognitivas e a dependência funcional entre a amostra corroboram com a presença de correlações entre a cognição e a independência motora, cognitiva e total. Em consonância a esses achados, um estudo que utilizou os mesmos instrumentos usados por este 20 , e outro que utilizou o Modified Barthel Index (MBI), o MMSE e o Loewenstein Occupational Therapy Cognitive Assessment for Geriatric Population (LOTCA-G) encontraram correlações entre maior dependência e menores índices cognitivos 25 . Contrariando esses achados, outro estudo que se utilizou do MEEM e da Lawton and Brody Scale não identificou correlação significativa entre a cognição e a independência nas atividades de vida diária.…”

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Correlação entre independência funcional e cognição em homens com AVC

Caminha

Cruz

2017

Rev. Ter. Ocup. Univ. São Paulo (Online)

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O acidente vascular cerebral é uma doença crônica que causa sequelas motoras e cognitivas e possíveis alterações na capacidade funcional. Este estudo objetivou identificar os níveis de independência funcional e cognição em homens com acidente vascular cerebral e verificar a presença de correlações entre essas variáveis. Para tanto, adotou-se um estudo transversal descritivo-correlacional com amostra de conveniência composta por trinta (n=30) homens adultos. Para a coleta de dados foram aplicados a Medida de Independência Funcional e o Mini Exame do Estado Mental. Para a análise dos dados adotou-se a análise descritiva simples e o coeficiente de correlação de Pearson. Os resultados demonstraram o predomínio de sujeitos dependentes e com altos índices de alterações cognitivas bem como correlações positivas fortes entre a cognição e a independência motora (r=0,827 p=0,000), cognitiva (r=0,912 p=0,000) e total (r=0,882 p=0,000). Esses dados demonstram o impacto das alterações cognitivas na independência funcional de sujeitos pós-AVC e sugerem a necessidade de intervenções específicas em terapia ocupacional destinadas a esses.

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“…By 2013, 6.4 million people died of stroke in the developed countries, with the death toll set to rise to around 12 million by 2030, with 70 million stroke survivors by 2030. The impact of stroke is global upon the patient, resulting in increased depression and neurological disorders (Wolfe, 2000), reduced physical activity (Saunders, Sanderson, Bazzelli, Grieg, & Mead, 2013;Smith, Saunders, & Mead 2012) and cognitive impairments that compromise the performance on the everyday tasks of daily living (Cho, & Lee, 2012;Claesson, Lindén, Skoog, & Blomstrand, 2005;Mayo, Wood-Dauphinee, Cote, Durcan, & Carlton, 2002).…”

Section: Introductionmentioning

confidence: 99%

Stroke Patients and Their Partner’s Perceptions of Survivor Functioning

Witty

Heffernan²,

Riby³

2017

Acta Neuropsychologica

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[b]Background: [/b]Research into stroke survivors and their partners have shown that the partner frequently rates the stroke survivor as less capable than the survivors rate themselves through self-report questionnaires or qualitative interviews; however, no research to date has used cognitive tasks as a method for in vestigation. This paper aims to investigate if the stroke survivor or the partner rate the stroke survivor as worse across all cognitive domains. [b]Material/ Methods:[/b]This research aimed to observe the incongruence of stroke survivors and their spouse’s perception of survivor functioning by rating their confidence on Picture Memory, Verbal Memory, Digit Span, Luria’s Three Step Test, NART and Raven’s Matrices. Participants, and to compare these score to see if either could predict the actual score. [b]Results: [/b]Showed that neither the stroke survivor nor the partner consistently rated functioning as worse, but there was a significant difference between the dyad. Further, the stroke survivor and the partner’s confidence had no relationship with raw scores. A thematic analysis was also conducted and themes emerged from the data. These were “Confidence,” “Insight into Ability,” and “Post-Stroke Changes.”[b]Conclusions:[/b]These themes were shown to interlink with the scores provided in the qualitative analysis, and implied that low self-efficacy may be crucial in post stroke recovery. Limitations and implications are discussed in full.

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Cognitive Factors Associated with Activities of Daily Living in Post-stroke Patients

Cited by 16 publications

References 22 publications

Impaired Dynamic Balance Is Associated with Falling in Post-Stroke Patients

Impaired Dynamic Balance Is Associated with Falling in Post-Stroke Patients

Correlação entre independência funcional e cognição em homens com AVC

Stroke Patients and Their Partner’s Perceptions of Survivor Functioning

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