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Published on: December 16, 2022
Cognitive dysfunction and physical activity after stroke: the Gothenburg cognitive stroke study in the elderly
Ulrika Påhlman1, Marianne Sävborg, Elisabeth Tarkowski
1Sahlgrenska Academy at the University of Gothenburg, Institute of Medicine, Gothenburg, Sweden. ulrika.pahlman@vgregion.se
Summary
Stroke survivors with cognitive and executive dysfunction are at higher risk for inactivity. Early identification of these deficits is crucial for preventing low physical activity levels post-stroke.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Neuroscience
Background:
- Stroke frequently leads to cognitive and executive impairments.
- Physical inactivity is a common and detrimental outcome in stroke survivors.
- Understanding factors predicting physical activity is vital for recovery.
Purpose of the Study:
- To investigate the relationship between cognitive/executive function and physical activity 1 year after stroke.
- To identify predictors of low physical activity in stroke patients.
Main Methods:
- Assessed cognition before stroke, in the acute phase, and 1 year post-stroke.
- Evaluated executive function and visual memory at these time points.
- Measured physical activity levels at 1 year post-stroke in 74 subjects.
Main Results:
- Impaired global cognition before stroke predicted lower physical activity.
- Acute phase deficits including visual neglect and impaired logical reasoning were predictive.
- At 1 year post-stroke, impaired global cognition, executive function, and visual memory were associated with inactivity.
Conclusions:
- Cognitive and executive dysfunction are significant predictors of low physical activity post-stroke.
- Identifying patients with these deficits is essential for targeted interventions.
- Promoting physical activity in stroke survivors requires addressing cognitive impairments.
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