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Dual-Task Stroop Paradigm for Detecting Cognitive Deficits in High-Functioning Stroke Patients
Published on: December 16, 2022
Correlations among impairment, daily activities and thinking operations after stroke
Shadi Akbari1, Patrick D Lyden, Mohamad Kamali
1Rehabilitation Department, Amal Rehabilitation Centre, Tehran, Iran.
Neurorehabilitation
|August 17, 2013
Summary
Instrumental Activities of Daily Living (IADL) tests, which rely on cognitive functions, can effectively assess stroke patient recovery. These tests correlate with cognitive abilities, unlike the Barthel Index (BI), which primarily measures motor function.
Area of Science:
- Neuroscience
- Rehabilitation Medicine
- Cognitive Science
Background:
- Stroke often results in cognitive impairments affecting daily activities.
- Assessing cognitive function post-stroke is crucial for rehabilitation planning.
- Existing outcome measures may not fully capture cognitive deficits impacting daily living.
Purpose of the Study:
- To test if Activities of Daily Living (ADL) tests dependent on cortical functions can assess stroke patient outcomes.
- To explore the relationship between cognitive assessments and functional outcome measures in stroke survivors.
Main Methods:
- 27 right-handed stroke patients were assessed.
- Evaluated using the National Institute of Health Stroke Scale (NIHSS), Barthel Index (BI), Instrumental Activities of Daily Living (IADL) Scale, and Lowenstein Occupational Therapy Cognitive Assessment (LOTCA) thinking process items.
Main Results:
- LOTCA thinking process subtests significantly correlated with NIHSS items (consciousness, arm movement, aphasia, ataxia, inattention).
- Thinking process showed a strong relationship with IADL total score (p = 0.004).
- NIHSS total score significantly correlated with BI and IADL total scores.
Conclusions:
- Higher-order cognitive functions (categorization, sorting, reasoning) are linked to IADL performance.
- The BI, primarily motor-dependent, does not correlate with higher-order cognitive functions.
- IADL tests show potential as valid and reliable measures for cognitive impairment and recovery in stroke patients.
