Comparison of the recovery patterns of language and cognitive functions in patients with post-traumatic language processing deficits and in patients with aphasia following a stroke

Vuković, Mile; Vuksanović, Jasmina; Vuković, Irena

doi:10.1016/j.jcomdis.2008.04.001

Cited by 36 publications

(28 citation statements)

References 30 publications

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“…Such a fact reduces the organizati on of thoughts, leading to a disorganized language process, including problems related to speech and the sequenti al producti on of words, compromising one's ability to understand writt en and spoken informati on (9) .…”

Section: Descriptoresmentioning

confidence: 99%

Estado neurológico e cognição de pacientes pós-acidente vascular cerebral

Costa

Silva

Rocha

2011

Rev. esc. enferm. USP

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RESUMOObjeti vou-se investi gar por meio de uma equipe multi disciplinar o estado neurológi-co e o desempenho cogniti vo de pacientes pós-AVC mediante um estudo transversal com 45 pacientes em processo de reabilitação após um AVC agudo. Uti lizaram-se como instrumentos de coleta de dados uma fi cha de avaliação, o Mini Mental--MEEM e o Nati onal Internati onal Health Stroke Scale-NIHSS. Amostra predominantemente feminina (55,6%), AVC Isquêmico (86,7%), Hemisfério cerebral direito (60%) e Escolarizados (68,8%). A média do MEEM para escolarizados e analfabetos foi de 19,3 ± 5,0 e 15,92 ± 3,7 respecti vamente. A média geral do estado neurológico encontrado foi 13,0±4,8. Houve diferença signi fi cati va entre as médias cogniti vas dos pacientes quanto à escolaridade (p valor = 0,017) e relação signifi cati va entre o estado neurológico e o desempenho cogniti vo (r = -0,44 p valor = 0,002). O estado neurológi-co e o nível cogniti vo de pacientes pós-AVC agudo parecem estar diretamente relacionados, o que evidencia a necessidade de maior atenção à questão cogniti va envolvida no início do processo de reabilitação. DESCRITORES Acidente cerebral vascular Cognição Avaliação ReabilitaçãoThe neurological state and cognition of patients after a stoke * ORIGINAL ARTICLE ABSTRACTThe objecti ve of this study was to have a multi disciplinary team investi gate the neurological state and cogniti ve performance of pati ents aft er a stroke, through a cross-secti onal study with 45 pati ents in rehabilitati on aft er having an acute stroke. The data collecti on instruments used were an assessment sheet, the Mini Mental-ME-EM, and the Nati onal Internati onal Health Stroke Scale-NIHSS. The sample consisted mostly of women (55.6%), Ischemic Stroke (86.7%), right hemisphere of the brain (60%) and Educated (68.8%). The mean MEEM for educated and illiterate pati ents was 19.3 ± 5.0 and 15.92 ± 3.7, respectively. The overall mean of the neurological state was 13.0±4.8. A signifi cant diff erence was found between the cogniti ve means of pati ents in terms of educati on (p value = 0.017), and there was a signifi cant relati onship between the neurological state and cogniti ve performance (r = -0.44 p value = 0.002). It appears to be a direct relati onship between the neurological state and cogniti on performance of pati ents after an acute stroke, which evinces the need for greater att enti on to the cogniti ve issue involved early in rehabilitati on. DESCRIPTORS Stroke Cogniti on Evaluati on Rehabilitati on RESUMENSe objeti vó investi gar mediante equipo multi disciplinario el estado neurológico y el desempeño cogniti vo de pacientes post-ACV. Estudio transversal con 45 pacientes post-ACV agudo en proceso de rehabilitación. Se uti lizaron para recolección de datos una fi cha de evaluación; el Mini Mental-MEEM y el Nati onal Internati onal Health Stroke Scale-NIHSS. Muestra predominantemente femenina (55,6%), ACV Isquémico (86,7%), Hemisferio cerebral derecho (60%) y Escolarizados (68,8%). La media de MEEM para escolarizados y analfabetos...

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Section: Descriptoresmentioning

confidence: 99%

Estado neurológico e cognição de pacientes pós-acidente vascular cerebral

Costa

Silva

Rocha

2011

Rev. esc. enferm. USP

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“…That episode generates a decrease of organization of thoughts, promoting a disorganization of the language process, including problems related to the way of speaking and to the sequential production of words, which may compromise the capacity of compression of written or spoken information (26). The incidence of cognitive disturbances on surviving individuals in post-CVA period varies from 12% to 56% (27,28).…”

Section: Discussionmentioning

confidence: 99%

Effects of square stepping exercise in patients with sequel of cerebrovascular accident

et al. 2014

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Introduction Cerebral stroke is the interruption of blood flow to the brain and can be classified into hemorrhagic and ischemic. It may result in serious body balance and cognition complications. Kinesiotherapy is a privileged means of rehabilitation.Objective Verify the effects of Square Stepping Exercise (SSE) on cognitive functions, depressive symptoms and the body balance of cerebral stroke sequel patients.Methods Thirteen brain stroke sequel patients were divided into two groups: SSE (SSEG n = 8) and conventional physiotherapy group (PG, n = 5). The SSEG participated only of the SSE training protocol, while the PG participated of its physical therapy routine group, both for 4 months. They were evaluated using the Mini Mental State Examination (MMSE), the Brief Cognitive Screening Battery (BBRC), the Geriatric Depression Scale (GDS),Berg Balance Scale(BBS) and Timed Up and Go(TUG).Results The U Mann Whitney test showed no significant differences between groups. In intragroup analysis, the Wilcoxon test showed significant improvement in global cognitive status for PG (p < 0.042), and for SSEG there were positive results for verbal fluency (p < 0.04) and in TUG for number of steps (p < 0.04) and the time (p < 0.02).Conclusion The SSE seems to benefit dynamic balance, influencing gait agility, cognition related to verbal fluency and may have contributed to maintain other cognitive functions.

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“…Post-traumatic aphasia has cognitivecommunicative nature. In other words, impairment in cognitive dimensions and executive functions related to frontal and frontolimbic lobe is the most important comorbidities after trauma considered as the infrastructure in patients' communicative and verbal disorders (65)(66)(67)(68)(69). Experimental studies on TBI animal models have shown that following traumatic damage to brain, acetylcholine vesicular transporter declines up to 50% in the basal ganglia of basal forebrain, motor cortex, striatum, nucleus of the thalamus, the hypothalamus, and gigantocellular nucleus of reticular formation.…”

Section: Central Anti-cholinesterase Actionmentioning

confidence: 99%

Pharmacotherapy to Improve the Acquired Aphasia following Brain Damages: A Review Study

Ramezani

Reihanian

Yousefzadeh-Chabok

et al. 2015

IrJNS

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Background & Aim: Using pharmaceutical agents in treatment of aphasia has caught the attention of many neurologists and neuroscientists. This short review study has sought the role of pharmacotherapy in treatment of aphasia, a linguistic impairment after acquired brain lesions. The pharmacological principles and mechanisms related to the effects of drugs used in aphasia rehabilitation are pointed. Then, some evidence of clinical trials on different drugs in this field is presented. Methods & Materials/Patients:A comprehensive search in databases including MEDLINE, Cochrane, PubMed, Scopus, EMBASE, Science Direct on experimental studies and clinical trials associated with pharmacotherapy of aphasia after neurological damages was performed.

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Comparison of the recovery patterns of language and cognitive functions in patients with post-traumatic language processing deficits and in patients with aphasia following a stroke

Cited by 36 publications

References 30 publications

Estado neurológico e cognição de pacientes pós-acidente vascular cerebral

Estado neurológico e cognição de pacientes pós-acidente vascular cerebral

Effects of square stepping exercise in patients with sequel of cerebrovascular accident

Pharmacotherapy to Improve the Acquired Aphasia following Brain Damages: A Review Study

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