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Updated: Mar 2, 2026

Dual-Task Stroop Paradigm for Detecting Cognitive Deficits in High-Functioning Stroke Patients
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Prediction of post-stroke functional mobility from the initial assessment of cognitive function.

Jihong Park1, Shi-Uk Lee2, Se Hee Jung2

  • 1Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Gyeonggi-do, Korea.

Neurorehabilitation
|May 17, 2017
PubMed
Summary

Early cognitive impairment after stroke predicts mobility recovery. Neuropsychological tests in the acute phase can identify patients at risk for poor functional mobility outcomes.

Keywords:
Strokecognitionlocomotionpatient outcome assessmentrehabilitation

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Area of Science:

  • Neuroscience
  • Rehabilitation Medicine
  • Clinical Neurology

Background:

  • Cognitive impairment is common post-stroke.
  • The link between early cognition and mobility recovery is understudied.

Purpose of the Study:

  • To determine if acute cognitive function predicts stroke mobility recovery.
  • To establish cognitive test cut-off values for community ambulation at six months.

Main Methods:

  • 72 stroke patients assessed using word list memory, construction praxis, verbal fluency, and Boston naming tests at two weeks post-stroke.
  • Functional Ambulation Category and ambulatory zone measured at six months.
  • Regression analysis used to identify predictors of functional mobility.

Main Results:

  • Word list memory and verbal fluency scores predicted independent ambulation.
  • Verbal fluency and construction praxis scores predicted community ambulation.
  • Specific cut-off values were identified for verbal fluency and construction praxis.

Conclusions:

  • Acute cognitive impairment is an independent predictor of functional mobility after stroke.
  • Domain-specific cognitive tests are valuable for predicting mobility recovery in acute stroke patients.