Recovery in personal care related to cognitive impairment before and after stroke - a 1-year follow-up
(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)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1720570
- author
- Cederfeldt, Marie LU ; Gosman-Hedstrom, G. ; Perez, C. Gutierrez ; Savborg, M. and Tarkowski, E.
- organization
- publishing date
- 2010
- 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
- pmid:20199519
- ISSN
- 1600-0404
- DOI
- 10.1111/j.1600-0404.2010.01337.x
- language
- English
- LU publication?
- yes
- additional info
- The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: The VĂ¥rdal Institute (016540000)
- id
- be634dd9-20f6-4bab-a978-0f21b266d261 (old id 1720570)
- date added to LUP
- 2016-04-01 14:37:25
- date last changed
- 2022-01-28 01:41:26
@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}}, keywords = {{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}}, doi = {{10.1111/j.1600-0404.2010.01337.x}}, volume = {{122}}, year = {{2010}}, }