Stroke Patients

Abstract

Objective: To assess the cognitive impairment in stroke patients. Study Design:Observational study. Setting: Department of Medicine, Liaquat University of Medical & HealthSciences Hospital Jamshoro and Hyderabad. Period: 01stAugust 2013 to 1stFeburary 2014.Methods: One hundredpatients with the established diagnosis of cerebrovascular accident(CVA)or stroke were recruited by purposive sampling technique after obtaining a well informedconsent. Socio-demographic data on a semi-structured proforma were recorded. Mini-MentalState Examination test was used to assess the cognitive impairment. Results: Cognitiveimpairment was found in all the patients with stroke. Moderate cognitive impairment was foundin 57%, mild cognitive impairment in 29% and severe cognitive impairment in 14% of strokepatients. Conclusion: Cognitive impairment was present in almost all the stroke patients andwe noticed that moderate cognitive impairment was very common.

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“…Examination (<11 points, corrected for schooling), [24] diagnosis of severe depression using the Beck Depression Inventory, [25] active mobility of the ankle less than 5 degrees [13] (determined using a goniometer), muscle stiffness in flexion or extension (based on the Ashworth scale), [26] need for orthopedic insoles, rigid orthosis or the use of botulinum toxin in the lower limbs, [22] severe visual impairment (confirmed by ophthalmological exams), at stimulation site and metallic implants in skull -all confirmed by medical exams), [21] or alternative therapy during the development of the study or within one month after the end of the 10 treatment sessions [22].…”