Related Experiment Video
Updated: Dec 19, 2025
07:42
Dual-Task Stroop Paradigm for Detecting Cognitive Deficits in High-Functioning Stroke Patients
Published on: December 16, 2022
3.5K
Which approach to measure cognitive functioning should be preferred when exploring the association between cognitive
J A de Graaf1, B Nijsse2, V P M Schepers1,3
1Center of Excellence for Rehabilitation Medicine, UMC Utrecht Brain Center, University Medical Center Utrecht and De Hoogstraat Rehabilitation, Utrecht, The Netherlands.
Neuropsychological Rehabilitation
|June 5, 2020
Summary
Assessing long-term cognitive functioning after stroke requires a combined approach. Measuring subjective cognitive complaints and objective visuospatial performance best predicts participation restrictions.
Area of Science:
- Neuroscience
- Rehabilitation Medicine
- Psychology
Background:
- Cognitive functioning and participation are crucial outcomes after stroke.
- Current methods for assessing this relationship vary, necessitating a clearer understanding of preferred measurement approaches.
- Long-term effects of stroke on cognition and participation require focused investigation.
Purpose of the Study:
- To determine the optimal method for measuring cognitive functioning in relation to long-term participation after stroke.
- To compare subjective cognitive complaints with objective cognitive performance measures.
- To identify which cognitive assessments best explain participation restrictions post-stroke.
Main Methods:
- Inception cohort study of 128 individuals assessed 3-4 years post-stroke.
- Participation measured using the Utrecht Scale for Evaluation of Rehabilitation-Participation (Restrictions subscale).
- Cognitive functioning assessed via subjective complaints (Checklist for Cognitive and Emotional Consequences - Cognition subscale [CLCE-24-C]) and objective tests (Montreal Cognitive Assessment [MoCA], neuropsychological test battery [NTB]).
Main Results:
- Participation showed a strong correlation with subjective cognitive complaints (CLCE-24-C, r=0.51).
- Moderate correlations were found between participation and objective measures of visuospatial perception (r=0.37) and mental speed (r=0.36).
- Backward linear regression identified CLCE-24-C and visuospatial perception as significant predictors of participation restrictions (R²=0.31).
Conclusions:
- A combination of subjective cognitive complaints and objective cognitive testing, particularly for visuospatial perception, is recommended for assessing long-term participation after stroke.
- This dual approach provides a more comprehensive understanding of the cognitive-participation relationship.
- Future research should consider this combined methodology to enhance stroke recovery assessments.
