Related Experiment Video
Updated: Jul 2, 2026
07:42
Dual-Task Stroop Paradigm for Detecting Cognitive Deficits in High-Functioning Stroke Patients
Published on: December 16, 2022
Long-term cognitive functional limitations post stroke: objective assessment compared with self-evaluations and
Kerstin Wendel1, Jarl Risberg, Hélène Pessah-Rasmussen
1Department of Health Sciences, Lund University, Lund, Sweden. kerstin.wendel@med.lu.se
Summary
Cognitive functional limitations (CFLs) persist long after stroke. Self and spouse reports reveal more CFLs than objective screenings, highlighting a risk of underestimation in clinical assessments.
Area of Science:
- Neuroscience
- Rehabilitation Medicine
- Public Health
Background:
- Cognitive functional limitations (CFLs) are common after stroke.
- Accessibility in public transport remains a challenge for individuals with CFLs.
- Long-term CFLs require comprehensive assessment beyond acute stroke phase.
Purpose of the Study:
- To describe and compare different assessment perspectives of long-term CFLs.
- To evaluate self-reported and spouse-reported CFLs against objective screening.
- To investigate the frequency and nature of CFLs 18-36 months post-stroke.
Main Methods:
- 84 post-stroke participants (18-36 months) with moderate physical limitations.
- Data collection via home-visits using Cognistat screening and a specific questionnaire.
- Spouse reports collected using a revised questionnaire for a subset of 30 participants.
Main Results:
- CFLs were frequent across all assessment perspectives.
- Good to very good agreement between self- and spouse-reported CFLs.
- Objective screening underestimated CFLs compared to self/spouse reports, particularly in calculation.
Conclusions:
- Relying solely on cognitive screenings risks underestimating long-term CFLs.
- Multi-perspective assessments (self, spouse, objective) are crucial for accurate CFL evaluation.
- Addressing CFLs is vital for improving public transport accessibility for stroke survivors.
