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Recovery in personal care related to cognitive impairment before and after stroke - a 1-year follow-up

Cederfeldt, Marie LU ; Gosman-Hedstrom, G.; Perez, C. Gutierrez; Savborg, M. and Tarkowski, E. (2010) In Acta Neurologica Scandinavica 122(6). p.430-437
Abstract
Objective - To examine whether there were any differences in the recovery in performance of personal activities of daily living (P-ADL) in elderly persons in relation to cognitive impairments pre- and post-stroke from discharge to 6 and 12 months in elderly persons. Methods - Forty-five elderly persons after stroke were assessed at discharge from hospital and at 6 and at 12 months after stroke onset. A questionnaire posed to the next of kin was used to evaluate the person's pre- and post-stroke cognitive status. P-ADL was assessed with the Barthel Index. The Mini Mental State Examination and neuropsychological tests were used to measure cognitive functions after stroke. The National Institute of Health Stroke Scale was used to measure... (More)
Objective - To examine whether there were any differences in the recovery in performance of personal activities of daily living (P-ADL) in elderly persons in relation to cognitive impairments pre- and post-stroke from discharge to 6 and 12 months in elderly persons. Methods - Forty-five elderly persons after stroke were assessed at discharge from hospital and at 6 and at 12 months after stroke onset. A questionnaire posed to the next of kin was used to evaluate the person's pre- and post-stroke cognitive status. P-ADL was assessed with the Barthel Index. The Mini Mental State Examination and neuropsychological tests were used to measure cognitive functions after stroke. The National Institute of Health Stroke Scale was used to measure neurological deficits. Results - Persons with cognitive impairments before and after stroke did not improve in P-ADL from the acute phase until 6 and 12 months, while persons with intact cognition pre- and post-stroke did. Conclusion - Since cognitive problems pre- and post-stroke hinder recovery in P-ADL, it is important to understand the connection between cognitive impairment and activity limitations when planning the optimal rehabilitation, which could include special compensation strategies, learnt by the patients, cognitive assistive devices and/or appropriate personal support trained in meaningful activities in daily life in their natural environment. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
prestroke, longitudinal, elderly, personal activities of daily living, cognitive dysfunction, stroke
in
Acta Neurologica Scandinavica
volume
122
issue
6
pages
430 - 437
publisher
Wiley-Blackwell
external identifiers
  • wos:000283508000011
  • scopus:77958548043
ISSN
1600-0404
DOI
10.1111/j.1600-0404.2010.01337.x
language
English
LU publication?
yes
id
be634dd9-20f6-4bab-a978-0f21b266d261 (old id 1720570)
date added to LUP
2010-12-01 11:28:42
date last changed
2018-05-29 10:58:36
@article{be634dd9-20f6-4bab-a978-0f21b266d261,
  abstract     = {Objective - To examine whether there were any differences in the recovery in performance of personal activities of daily living (P-ADL) in elderly persons in relation to cognitive impairments pre- and post-stroke from discharge to 6 and 12 months in elderly persons. Methods - Forty-five elderly persons after stroke were assessed at discharge from hospital and at 6 and at 12 months after stroke onset. A questionnaire posed to the next of kin was used to evaluate the person's pre- and post-stroke cognitive status. P-ADL was assessed with the Barthel Index. The Mini Mental State Examination and neuropsychological tests were used to measure cognitive functions after stroke. The National Institute of Health Stroke Scale was used to measure neurological deficits. Results - Persons with cognitive impairments before and after stroke did not improve in P-ADL from the acute phase until 6 and 12 months, while persons with intact cognition pre- and post-stroke did. Conclusion - Since cognitive problems pre- and post-stroke hinder recovery in P-ADL, it is important to understand the connection between cognitive impairment and activity limitations when planning the optimal rehabilitation, which could include special compensation strategies, learnt by the patients, cognitive assistive devices and/or appropriate personal support trained in meaningful activities in daily life in their natural environment.},
  author       = {Cederfeldt, Marie and Gosman-Hedstrom, G. and Perez, C. Gutierrez and Savborg, M. and Tarkowski, E.},
  issn         = {1600-0404},
  keyword      = {prestroke,longitudinal,elderly,personal activities of daily living,cognitive dysfunction,stroke},
  language     = {eng},
  number       = {6},
  pages        = {430--437},
  publisher    = {Wiley-Blackwell},
  series       = {Acta Neurologica Scandinavica},
  title        = {Recovery in personal care related to cognitive impairment before and after stroke - a 1-year follow-up},
  url          = {http://dx.doi.org/10.1111/j.1600-0404.2010.01337.x},
  volume       = {122},
  year         = {2010},
}