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Cognitive Function and Upper Limb Rehabilitation Training Post-Stroke Using a Digital Occupational Training System

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Memory and executive function predict mobility rehabilitation outcome after lower-limb amputation.

Brian F O'Neill¹, Jonathan J Evans

¹West of Scotland Mobility and Rehabilitation Centre, Southern General Hospital, Glasgow, Scotland, UK. brian.oneill@sgh.scot.nhs.uk

Disability and Rehabilitation

|March 13, 2009

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Cognitive function, including visual memory and verbal fluency, significantly impacts prosthetic rehabilitation outcomes. Identifying cognitive deficits early can improve mobility and prosthetic use after amputation.

Area of Science:

Neuroscience
Rehabilitation Medicine
Prosthetics

Background:

Post-amputation rehabilitation presents significant physical and cognitive challenges.
Understanding the role of specific cognitive domains is crucial for developing effective interventions.

Purpose of the Study:

To investigate the relationship between cognitive functions and rehabilitation outcomes in individuals with amputations.
To identify specific cognitive predictors of mobility and prosthetic use.

Main Methods:

A cohort of 34 individuals undergoing post-amputation rehabilitation was assessed before prosthetic fitting.
Cognitive domains including memory, visuospatial function, executive function, and language were evaluated.
Locomotor Capability Index (LCI), SIGAM mobility grades, and hours of prosthetic use were measured at 6 months.

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Cognitive Function and Upper Limb Rehabilitation Training Post-Stroke Using a Digital Occupational Training System

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Published on: December 29, 2023

Determining the Functional Status of the Corticospinal Tract Within One Week of Stroke

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Published on: February 22, 2020

Main Results:

Visual memory (figure recall) significantly predicted LCI at 6 months.
Verbal fluency predicted self-reported hours of prosthetic use.
Immediate verbal memory, age, amputation level, and pain predicted SIGAM mobility grades.

Conclusions:

Neuropsychological and clinical factors explain a substantial portion of rehabilitation outcome variance.
Cognitive impairments may act as mediators for poorer outcomes in post-amputation rehabilitation.