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

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Published on: December 16, 2022

Association between Baseline Cognitive Function and Longitudinal Functional Outcome Change after Ischemic Stroke.

Yeshin Kim¹, Jaekyung Chung², Jeong Yun Song²

¹Department of Neurology, Kangwon National University School of Medicine, Chuncheon, Republic of Korea, yeshins@gmail.com.

Dementia and Geriatric Cognitive Disorders

|April 21, 2022

Summary

This summary is machine-generated.

Higher cognitive function predicts better recovery after minor ischemic stroke, independent of depression. This finding highlights the importance of cognitive assessment in stroke rehabilitation planning.

Keywords:

Brain ischemia Cognition Recovery of function Stroke

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Area of Science:

Neurology
Cognitive Science
Rehabilitation Medicine

Background:

Ischemic stroke often leads to impairments in daily and cognitive functions.
While higher cognitive function is linked to better outcomes, longitudinal evidence is scarce.
The influence of cognitive function on functional recovery post-stroke requires further investigation.

Purpose of the Study:

To investigate the association between cognitive function and longitudinal changes in functional outcomes after ischemic stroke.
To examine this association based on stroke severity.
To determine if cognitive function's effect persists after controlling for depression.

Main Methods:

Longitudinal analysis of 423 ischemic stroke patients (minor, moderate, severe).
Baseline Mini-Mental State Examination (MMSE) scores predicted changes in modified Rankin Scale (mRS) scores over 12 months.
Linear mixed-effects models were used, with adjustments for Geriatric Depression Scale (GDS) scores.

Main Results:

In minor stroke patients, higher baseline MMSE scores correlated with improved functional outcomes (decreased mRS).
This association remained significant even after adjusting for depression (GDS).
No significant association was found between cognitive function and functional recovery in moderate or severe stroke groups.

Conclusions:

Baseline global cognitive function is a significant predictor of functional recovery in patients with minor ischemic stroke.
This predictive relationship is independent of depression symptoms.
Cognitive function's impact on recovery varies by stroke severity.