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Dual-Task Stroop Paradigm for Detecting Cognitive Deficits in High-Functioning Stroke Patients

Dual-Task Stroop Paradigm for Detecting Cognitive Deficits in High-Functioning Stroke Patients

Published on: December 16, 2022

Cognitive performance and poor long-term functional outcome after young stroke.

Nathalie E Synhaeve¹, Pauline Schaapsmeerders¹, Renate M Arntz¹

¹From the Department of Neurology, Centre for Neuroscience (N.E.S., P.S., R.M.A., N.A.M.M., L.C.A.R.-J., H.C.S., E.J.v.D., R.P.C.K., F.-E.d.L.), and Centre for Cognition (R.P.C.K.), Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center; the Department of Neurology (N.E.S., P.L.M.d.K.), Elisabeth Hospital Tilburg, the Netherlands; the Department of Clinical Neurosciences (L.C.A.R.-J.), Neurology Unit, University of Cambridge, UK; and the Department of Neurology (L.D.A.D.), Medisch Spectrum Twente, the Netherlands.

|August 7, 2015

Summary

Cognitive deficits after ischemic stroke in young adults showed limited long-term impact on daily function. Further research is needed to refine prognostic measures for stroke survivors.

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Area of Science:

Neurology
Neuropsychology
Rehabilitation Medicine

Background:

Ischemic stroke (IS) in young adults (18-50 years) presents unique challenges for long-term recovery.
Understanding the relationship between cognitive function and functional outcomes is crucial for effective rehabilitation.

Purpose of the Study:

To investigate the influence of cognitive performance on long-term functional outcomes in young adults following ischemic stroke.
To identify specific cognitive domains that predict functional recovery after young IS.

Main Methods:

Prospective cohort study of 277 young IS survivors.
Functional outcomes assessed using modified Rankin Scale (mRS) and Instrumental Activities of Daily Living (IADL) scales.
Extensive neuropsychological testing and logistic regression analysis to determine associations between cognitive domains and functional outcomes.

Main Results:

Decline in working memory was associated with poor mRS outcomes.
Decline in processing speed and working memory showed a relation to poor IADL outcomes.
Global cognitive impairment, but not individual domain impairment, was linked to poor IADL outcomes.

Conclusions:

A clear relationship between long-term cognitive deficits and functional outcomes (mRS, IADL) was not established 11 years post-stroke in young adults.
The study highlights the need for further prospective research with more sensitive measures to predict functional prognosis after young IS.