Patient and Family Member Factors Influencing Outcomes of Poststroke Inpatient Rehabilitation

Fang, Yinchun; Tao, Qian; Zhou, Xiaoxuan; Chen, Shanjia; Huang, Jia; Jiang, Yingping; Wu, Yi; Chen, Lidian; Tao, Jing; Chan, Che Hin Chetwyn

doi:10.1016/j.apmr.2016.07.005

Cited by 31 publications

(31 citation statements)

References 38 publications

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“…Global cognitive ability and memory were evaluated by using the Fuzhou version of the MoCA (Fang et al, 2017) and Wechsler's Memory Scale (Elwood, 1991). Global cognitive function was measured using the Fuzhou version of the MoCA scale, which is a brief test that evaluates visuospatial/executive functions, naming, verbal memory registration and learning, attention, abstraction, delayed verbal memory and orientation.…”

Section: Cognitive and Physical Frailty Assessmentmentioning

confidence: 99%

Deviations in Hippocampal Subregion in Older Adults With Cognitive Frailty

Wan

Lin

et al. 2021

Front. Aging Neurosci.

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BackgroundCognitive frailty is a particular state of cognitive vulnerability toward dementia with neuropathological hallmarks. The hippocampus is a complex, heterogeneous structure closely relates to the cognitive impairment in elderly which is composed of 12 subregions. Atrophy of these subregions has been implicated in a variety of neurodegenerative diseases. The aim of this study was to explore the changes in hippocampal subregions in older adults with cognitive frailty and the relationship between subregions and cognitive impairment as well as physical frailty.MethodsTwenty-six older adults with cognitive frailty and 26 matched healthy controls were included in this study. Cognitive function was evaluated by the Montreal Cognitive Assessment (MoCA) scale (Fuzhou version) and Wechsler Memory Scale-Revised Chinese version (WMS-RC), while physical frailty was tested with the Chinese version of the Edmonton Frailty Scale (EFS) and grip strength. The volume of the hippocampal subregions was measured with structural brain magnetic resonance imaging. Partial correlation analysis was carried out between the volumes of hippocampal subregions and MoCA scores, Wechsler’s Memory Quotient and physical frailty indexes.ResultsA significant volume decrease was found in six hippocampal subregions, including the bilateral presubiculum, the left parasubiculum, molecular layer of the hippocampus proper (molecular layer of the HP), and hippocampal amygdala transition area (HATA), and the right cornu ammonis subfield 1 (CA1) area, in older adults with cognitive frailty, while the proportion of brain parenchyma and total number of white matter fibers were lower than those in the healthy controls. Positive correlations were found between Wechsler’s Memory Quotient and the size of the left molecular layer of the HP and HATA and the right presubiculum. The sizes of the left presubiculum, molecular of the layer HP, and HATA and right CA1 and presubiculum were found to be positively correlated with MoCA score. The sizes of the left parasubiculum, molecular layer of the HP and HATA were found to be negatively correlated with the physical frailty index.ConclusionSignificant volume decrease occurs in hippocampal subregions of older adults with cognitive frailty, and these changes are correlated with cognitive impairment and physical frailty. Therefore, the atrophy of hippocampal subregions could participate in the pathological progression of cognitive frailty.

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Section: Cognitive and Physical Frailty Assessmentmentioning

confidence: 99%

Deviations in Hippocampal Subregion in Older Adults With Cognitive Frailty

Wan

Lin

et al. 2021

Front. Aging Neurosci.

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“…Stroke family caregivers have widely reported physical symptoms and psychological distress (Cameron, Stewart, Streiner, Coyte, & Cheung, 2014;Kamel et al, 2009). Along with the decline of caregivers' physical and psychological well-being, their ability and willingness to provide care to the stroke survivors are weakened, resulting in a reduced quality of care which directly or indirectly affects the recovery and well-being of the stroke survivors (Fang et al, 2017).…”

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confidence: 99%

Meaning in Stroke Family Caregiving in China: A Phenomenological Study

Zhang

Lee

2019

J Fam Nurs

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Meaning in caregiving plays an influential role in stroke family caregiver's perception and adaptation to caregiving. Although the role meaning plays in stroke family caregiving has been recognized, knowledge about this subject among the Chinese population is fragmented and sparse. Therefore, a hermeneutic phenomenological study was conducted as a first step in a program of research focused on Chinese caregivers utilizing a purposive sample of five stroke family caregivers living in China to explore the meaning of the lived caregiving experience. Data were collected through in-depth interviews and analyzed by a phenomenological hermeneutic interpretation. Meaning in stroke family caregiving was interpreted as suffering, an obligation, a personal choice, a meaningful opportunity, and a natural part of living. These meanings were dynamic and interconnected and were affected deeply by the Chinese culture in how caregivers experience, interpret, and cope with caregiving. Findings highlight the need to understand the culture-shaped meanings in caregiving to better support family caregivers and develop culturally tailored interventions.

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“…The MoCA-BJ 30 was created when the Montreal Cognitive Assessment was first adapted for use in China. Due to the large land area of China and the imbalance of medical and cultural development among its various regions, Fang et al 31 also found deficiencies in the clinical application of Montreal Cognitive Assessment and developed the MoCA-ChiFZ.…”

Section: Resultsmentioning

confidence: 99%

Systematic review and meta-analysis of randomized controlled trials assessing the impact of Baduanjin exercise on cognition and memory in patients with mild cognitive impairment

Liu

Nie

et al. 2020

Clin Rehabil

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Objective: To determine the effectiveness of Baduanjin exercise in improving cognition and memory in patients with mild cognitive impairment. Data sources: Relevant English- and Chinese-language studies published until 15th September 2020 were retrieved from the PubMed, Web of Science, Cochrane Library, Embase, EBSCOhost, OVID, National Knowledge Infrastructure, WANFANG DATA, VIP Information, and SinoMed databases. Review methods: Randomized controlled trials assessing Baduanjin exercise in patients with mild cognitive impairment were included. Two researchers independently identified eligible studies and extracted data. Risk-of-bias assessment was performed using the Cochrane Risk of Bias Tool. Results: This study included 16 randomized controlled trials (1054 participants) from China that used Chinese versions of standardized tests. Most studies had no significant bias, and only one study had a high risk of bias in the random allocation category. Compared with conventional therapy alone, Baduanjin plus conventional therapy significantly improved the Montreal Cognitive Assessment and Mini-Mental State Examination scores after 6 months of treatment ( P < 0.00001 for both), significantly decreased the tau/Aβ1–42 ratio in the cerebrospinal fluid ( P < 0.00001), and significantly improved some dimensional scores on the Wechsler Memory Scale and the auditory verbal learning test scores at 6 months ( P < 0.05 for all). Conclusion: Compared with conventional therapy, Baduanjin plus conventional therapy significantly improved cognitive and memory function in patients with mild cognitive impairment.

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Patient and Family Member Factors Influencing Outcomes of Poststroke Inpatient Rehabilitation

Cited by 31 publications

References 38 publications

Deviations in Hippocampal Subregion in Older Adults With Cognitive Frailty

Deviations in Hippocampal Subregion in Older Adults With Cognitive Frailty

Meaning in Stroke Family Caregiving in China: A Phenomenological Study

Systematic review and meta-analysis of randomized controlled trials assessing the impact of Baduanjin exercise on cognition and memory in patients with mild cognitive impairment

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