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Stroke in geriatric patients - Aspects of depression, cognition and motor activity

Agrell, Berit LU (1998)
Abstract
Six depression rating scales, GDS, Zung, CES-D, CPRS-D and Cornell, were compared in 40 patients. The validity was good for all scales except for the Cornell scale. A comprehensive investigation was done in 116 elderly stroke patients. There was no difference in prevalence and severity of post-stroke depression in relation to side of lesion. A test for receptive aphasia, the Token test, showed that 75% of patients with left hemisphere lesion and aphasia, 36% of patients with right hemisphere lesion and 5% of controls had abnormal test initially. The relationships and sensitivity of different visuo-spatial neglect tests were examined. Sensitivity was around 50% for the best tests. Neglect patients showed a greater cognitive dysfunction... (More)
Six depression rating scales, GDS, Zung, CES-D, CPRS-D and Cornell, were compared in 40 patients. The validity was good for all scales except for the Cornell scale. A comprehensive investigation was done in 116 elderly stroke patients. There was no difference in prevalence and severity of post-stroke depression in relation to side of lesion. A test for receptive aphasia, the Token test, showed that 75% of patients with left hemisphere lesion and aphasia, 36% of patients with right hemisphere lesion and 5% of controls had abnormal test initially. The relationships and sensitivity of different visuo-spatial neglect tests were examined. Sensitivity was around 50% for the best tests. Neglect patients showed a greater cognitive dysfunction initially and a slower recovery. The validity of a cognitive test, the MMSE, was examined. Five neuropsychological tests were used as a subgroup of patients.MMSE scores were significant lower for the patients than for the controls. The sensitivity of the MMSE was 56%, the specificity 80% and the false negative ratio 39% against the neuropsychological tests. Motor activity after stroke was assessed by parts of the Fugl-Meyer test in different infarction subgroups and initial severity groups. The initial severity groups were better predictors for outcome. Multiple regression showed three variables to be predictors: initial motor activity, Barthel Index and right hemisphere lesion. (Less)
Please use this url to cite or link to this publication:
author
opponent
  • Docent Gustafsson, Yngve
organization
publishing date
type
Thesis
publication status
published
subject
keywords
stroke, laterality, rating scales, motoractivity, aphasia, neglect, disability, depression, cognition, Neurology, neuropsychology, neurophysiology, Neurologi, neuropsykologi, neurofysiologi
pages
139 pages
publisher
Med Clin, University Hospital of Lund,
defense location
University Hospital in Lund
defense date
1998-06-02 10:15
external identifiers
  • other:ISRN: LuMedW/MECH-1026-SE
language
English
LU publication?
yes
id
38efb05d-ac9b-41d3-9c29-e5269dbb8db7 (old id 38725)
date added to LUP
2007-06-20 09:43:47
date last changed
2016-09-19 08:45:06
@phdthesis{38efb05d-ac9b-41d3-9c29-e5269dbb8db7,
  abstract     = {Six depression rating scales, GDS, Zung, CES-D, CPRS-D and Cornell, were compared in 40 patients. The validity was good for all scales except for the Cornell scale. A comprehensive investigation was done in 116 elderly stroke patients. There was no difference in prevalence and severity of post-stroke depression in relation to side of lesion. A test for receptive aphasia, the Token test, showed that 75% of patients with left hemisphere lesion and aphasia, 36% of patients with right hemisphere lesion and 5% of controls had abnormal test initially. The relationships and sensitivity of different visuo-spatial neglect tests were examined. Sensitivity was around 50% for the best tests. Neglect patients showed a greater cognitive dysfunction initially and a slower recovery. The validity of a cognitive test, the MMSE, was examined. Five neuropsychological tests were used as a subgroup of patients.MMSE scores were significant lower for the patients than for the controls. The sensitivity of the MMSE was 56%, the specificity 80% and the false negative ratio 39% against the neuropsychological tests. Motor activity after stroke was assessed by parts of the Fugl-Meyer test in different infarction subgroups and initial severity groups. The initial severity groups were better predictors for outcome. Multiple regression showed three variables to be predictors: initial motor activity, Barthel Index and right hemisphere lesion.},
  author       = {Agrell, Berit},
  keyword      = {stroke,laterality,rating scales,motoractivity,aphasia,neglect,disability,depression,cognition,Neurology,neuropsychology,neurophysiology,Neurologi,neuropsykologi,neurofysiologi},
  language     = {eng},
  pages        = {139},
  publisher    = {Med Clin, University Hospital of Lund,},
  school       = {Lund University},
  title        = {Stroke in geriatric patients - Aspects of depression, cognition and motor activity},
  year         = {1998},
}