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Updated: Mar 20, 2026

Dual-Task Stroop Paradigm for Detecting Cognitive Deficits in High-Functioning Stroke Patients
Published on: December 16, 2022
Cognition in relation to independency in older, comorbid stroke patients in a stroke unit
Marleen Huijben-Schoenmakers1,2, Arno Rademaker2, Erik Scherder3
1Avans University of Applied Sciences, Breda, The Netherlands.
Objective:
The objective of this study was to ascertain if cognition helps to predict functional outcome in older comorbid stroke patients with severe loss of independence.
Design:
This is a cross-sectional study.
Subjects:
The subjects of this study are patients who have suffered a stroke and who rehabilitated in the nursing homes' rehabilitation units and patients (n = 160) (mean age: 77; SD: 9.5) with a mean Barthel Index of 11.02.
Method:
Demographic, illness-related, functional and cognitive data were selected at baseline.
Main Assessment Measures:
Functional abilities were tested using the Barthel Index. Cognitive functions were assessed using a wide variety of neuropsychological tests.
Results:
Patients faced cognitive impairments especially in executive functioning and memory. Stepwise linear regression analysis shows that executive functioning (p = 0.050) and memory (p = 0.000; confidence interval -1.255, -0.403) are significantly associated with functional outcome.
Conclusion:
From a clinical point of view, we suggest combining physical and cognitive training from the very early phase of recovery.
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