Cognitive Function Profile of Post-Stroke Patients

Dila Larasati, Irma Ruslina Defi, Henny Anggraini Sadeli

Abstract


Objective: To discover cognitive function profile of post-stroke patients undergoing rehabilitation to inform rehabilitation professionals in planning for a program and provide services that meet the patient’s need.

Methods: This study was a descriptive cross-sectional study involving 32 post-stroke patients undergoing rehabilitation at the Physical Medicine and Rehabilitation clinic of Dr. Hasan Sadikin General Hospital Bandung in August–September 2014. An examination was conducted using the Mini Mental State Examination (MMSE) to obtain the cognitive function profile of post-stroke patients.

Results: The results showed that almost all post-stroke patients undergoing rehabilitation had normal cognitive functions (93.8%), only few patients had probable cognitive impairment (6.2%). Probable cognitive impairment were found in male and female patients who were in the age range of 50–60 years who were elementary school graduates and in the sub acute phase of stroke.

Conclusions: Almost all post-stroke patients undergoing rehabilitation have normal cognitive functions, only minority of patients have probable cognitive impairment, and there are no patients with definite cognitive impairment.

Keywords: Cognitive function, education, rehabilitation, stroke

 

DOI: 10.15850/ijihs.v5n1.962


Keywords


Cognitive function, education, rehabilitation, stroke

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References


Go AS, Mozaffarian D, Roger VL, Benjamin EJ, Berry JD, Blaha MJ, et al. Heart Disease and stroke statistics—2014 update: a report from the American Heart Association. Circulation. 2014;129(3):e28–292.

Murray CJL, Vos T, Lozano R, Naghavi M, Flaxman AD, Michaud C, et al. Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380(9859):2197–223.

Pinter MM, Brainin M. Rehabilitation after stroke in older people. Maturitas. 2012;71(2):104–8.

Hoffmann T, Bennett S, Koh C, McKenna K. A systematic review of cognitive interventions to improve functional ability in people who have cognitive impairment following stroke. Topics Stroke Rehabilitation. 2010;17(2):99–107.

Wirawan RP. Stroke rehabilitation in primary health care. Maj Kedokt Indon. 2009;59(2):61–71.

Korner-Bitensky N, Barrett-Bernstein S, Bibas G, Poulin V. National survey of Canadian occupational therapists’ assessment and treatment of cognitive impairment post-stroke. Aust Occup Ther J. 2011;58(4):241–50.

Gurr B, Ibbitson J. How does cognitive ability affect stroke rehabilitation outcomes? Int J Ther Rehabil. 2012;19(8):458–62.

Folstein MF, Folstein SE, McHugh PR. “Mini-mental state”: a practical method for grading the cognitive state of patients for the clinician. J Psychiatric Res. 1975;12(3):189–98.

Folstein MF, Robins LN, Helzer JE. The mini-mental state examination. Arch General Psychiatry. 1983;40(7):812.

Centers for Disease Control and Prevention. Prevalence of stroke--United States, 2006-2010. MMWR. 2012;61(20):379–82.

Centers for Disease Control and Prevention. Cognitive impairment: a call for action, Now! 2011. [cited 2015 Jan 6]. Available from: https://www.cdc.gov/aging/pdf/cognitive_impairment/cogimp_poilicy_final.

The Stroke Association. Cognitive Impairment After Stroke. 2010.

Khedr EM, Hamed SA, El-Shereef HK, Shawky OA, Mohamed KA, Awad EM, et al. Cognitive impairment after cerebrovascular stroke: Relationship to vascular risk factors. Neuropsychiatr Dis Treatment. 2009;5:(1):103–16.

Danovska M, Peychinska D. Post-stroke cognitive impairment–phenomenology and prognostic factors. Journal of IMAB–Annual Proceeding Scientific Papers. 2012;18(3):290–7.

Cullen B, O’Neill B, Evans JJ, Coen RF, Lawlor BA. A review of screening tests for cognitive impairment. J Neurol Neurosurg Psychiatry. 2007;78(8):790–9.

Godefroy O, Fickl A, Roussel M, Auribault C, Bugnicourt JM, Lamy C, et al. Is the Montreal cognitive assessment superior to the Mini-mental state examination to detect poststroke cognitive impairment? a study with neuropsychological evaluation. Stroke. 2011;42(6):1712–6.

Cumming TB, Churilov L, Linden T, Bernhardt J. Montreal Cognitive Assessment and Mini-Mental State Examination are both valid cognitive tools in stroke. Acta Neurol Scand. 2013;128(2):122–9.

Pendlebury ST, Mariz J, Bull L, Mehta Z, Rothwell PM. Impact of different operational definitions on mild cognitive impairment rate and MMSE and MoCA performance in transient ischaemic attack and stroke. Cerebrovasc Dis. 2013;36(5-6):355–62.

Oudman E, Postma A, Van der Stigchel S, Appelhof B, Wijnia JW, Nijboer TC. The Montreal Cognitive Assessment (MoCA) is superior to the Mini Mental State Examination (MMSE) in detection of Korsakoff’s syndrome. Clin Neuropsychol. 2014;28(7):1123–32.

Olazarán J, Hoyos-Alonso MC, del Ser T, Garrido Barral A, Conde-Sala JL, Bermejo-Pareja F, et al. Practical application of brief cognitive tests. Neurologia. 2016;31(3):183–94.


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