Effectiveness of the Second-Stage Rehabilitation in Stroke Patients With Cognitive Impairment.
Summary of "Effectiveness of the Second-Stage Rehabilitation in Stroke Patients With Cognitive Impairment."
The aim of this study was to evaluate the recovery of functional status and effectiveness of the second-stage rehabilitation depending on the degree of cognitive impairment in stroke patients. MATERIAL AND METHODS. The study sample comprised 226 stroke patients at Virsuziglis rehabilitation hospital, Kaunas University Hospital. Functional status was evaluated with the Functional Independence Measure, cognitive function with the Mini-Mental Status Examination scale, and severity of neurologic condition with the National Institutes of Health Stroke Scale. The patients were divided into 4 study groups based on cognitive impairment: severe, moderate, mild, or no impairment. RESULTS. More than half (53%) of all cases were found to have cognitive impairment, while patients with different degree of cognitive impairment were equally distributed: mild impairment (18%), moderate impairment (17%), and severe impairment (18%). Improvement of functional status was observed in all study groups (P<0.001). In the patients with moderate and severe cognitive impairment, cognitive recovery was significantly more expressed than in other study groups (P<0.001). Insufficient recovery of functional status was significantly associated with hemiplegia (OR, 11.15; P=0.015), urinary incontinence (OR, 14.91; P<0.001), joint diseases (OR, 5.52; Pp=0.022), heart diseases (OR, 4.10; P=0.041), and severe cognitive impairment (OR, 15.18; P<0.001), while moderate and mild cognitive impairment was not associated with the recovery of functional status. CONCLUSIONS. During the second-stage rehabilitation of stroke patients, functional status as well as cognitive and motor skills were improved both in patients with and without cognitive impairment, though throughout the whole second stage of rehabilitation the functional status in patients with severe or moderate cognitive impairment is inferior to that of patients with mild or no cognitive impairment.
Viršužiglis Hospital of Rehabilitation, affi liate of Hospital of Lithuanian University of Health Sciences Kauno Klinikos, Pilėnų 2, Sietyno km, 53192 Kauno r., Lithuania. firstname.lastname@example.org.
This article was published in the following journal.
Name: Medicina (Kaunas, Lithuania)
Medical and Biotech [MESH] Definitions
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