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Updated: May 27, 2026

Cognitive Function and Upper Limb Rehabilitation Training Post-Stroke Using a Digital Occupational Training System
07:35

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

Published on: December 29, 2023

Does cognitive impairment affect rehabilitation outcome?

Lynn Poynter1, Joseph Kwan, Avan Aihie Sayer

  • 1Royal Bournemouth Hospital, Bournemouth, UK. mathielynn@hotmail.com

Journal of the American Geriatrics Society
|November 19, 2011
PubMed
Summary

Older adults in rehabilitation showed functional improvement irrespective of cognitive status. However, lower cognitive scores were linked to longer hospital stays, increased institutionalization, and higher mortality rates.

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Development of a Virtual Reality Assessment of Everyday Living Skills
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Published on: December 29, 2023

Development of a Virtual Reality Assessment of Everyday Living Skills
10:32

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Published on: April 23, 2014

Area of Science:

  • Gerontology
  • Rehabilitation Medicine
  • Cognitive Science

Background:

  • Cognitive impairment is common in older adults undergoing rehabilitation.
  • Understanding its impact on recovery is crucial for optimizing care.

Purpose of the Study:

  • To evaluate the effect of cognitive impairment on rehabilitation outcomes.
  • To determine if all patients benefit from rehabilitation, regardless of cognitive function.

Main Methods:

  • Prospective observational study of 241 older adults in rehabilitation wards.
  • Cognitive function assessed using the Mini-Mental State Examination (MMSE), categorizing participants into four groups.
  • Functional status measured by the Barthel activity of daily living score, along with data on mortality, discharge destination, and length of stay.

Main Results:

  • All cognitive groups demonstrated significant functional improvement (Barthel score) from admission to discharge.
  • Severely impaired individuals also showed significant gains (P = .01).
  • Lower cognitive scores correlated with longer length of stay, higher institutionalization rates, and increased mortality (P = .02).

Conclusions:

  • Functional improvement in rehabilitation is achievable for all older adults, irrespective of their cognitive impairment level.
  • Cognitive status significantly influences outcomes such as length of stay, mortality, and discharge destination.