Evaluation of dementia impact on therapeutic rehabilitation outcome in older stroke survivors
Keywords:
stroke, poststroke dementia, rehabilitationAbstract
Cognition impairment it is every kind of dementia that appears after stroke. It ranges approximately 30% survivors. Dementia makes barriers among family, social and job integration of patient. The aim of this research was to evaluate dementia impact on functional outcome in treated stroke survi-vors. On study showed 49 patients, 17 (35%) of them were diagnosed with dementia (Mini-Mental State Examination, ICD10). To evaluate the rehabilitation effects were used: Barthel Index for independence in activity of daily life, Motor Function Assessment for upper limb, sitting, standing and walking estimation, and walking test (10 m) to rate the velocity. Results: The functional outcome at the admission and at discharge as well in non-dementia group was better then in other group but wasn't statistically significant. Conclusions: Mild dementia doesn't have negative impact on rehabilitation outcome in older stroke survivors. It is indicated to continue such researches on numerous groups of patients to find the correla-tion between motor function and dementia severity.
Downloads
References
Desmond D.W., Moroney J.T., Frequency and clinical determinants of dementia after ischemic stroke, Neurology 2000;54:1124–31.
Tatemichi T.K., Desmond D.W., Mayeux R., Paik M., Stern Y., Sano M. i wsp., Dementia after stroke. Baseline frequency, risks, and clinical features in a hospitalized cohort, Neurology 1992;42:1185.
Desmond D.W., Moroney J.T., Mortality in patients with dementia after ischemic stroke, Neurology 2002;59:537–543.
Słowik A., Szczudlik A., Otępienie po udarze mózgu, Neurologica et Neurogeriatria. Wyd. specj. Wrzesień 2002; 28–29.
Lin J-H., Lin R.-T., Prediction of poststroke dementia. Neurology 2003; 61:343–8.
Coshall C., Rudd A.G., Natural history of cognitive impairment after stroke and factors associated with its recovery, Clinical Rehabilitation, 2003;17,2:158–166
Hénon H., Durieu I., Poststroke dementia. Incidence and relationship to prestroke cognitive decline, Neurology 2001; 57:1216–22.
Barba R., Martínez-Espinosa S., Rodríguez-García E., Pondal M., Vivancos J., Del Ser T., Poststroke Dementia. Clinical Features and Risk Factors, Stroke 2000; 31:1494–1511.
Verdelho A., Hénon H., Lebert F., Pasquier F., Leys D., Depressive symptoms after stroke and relationship with dementia: A three-year follow-up study, Neurology 2004; 62:905–11.
Appelros P., Characteristics of Mini-Mental State Examination 1 year after stroke, Acta Neurol Scand 2005; 112,2:88–92.
Hajek V.E, Gagnon S., Ruderman J.E., Cognitive and functional assessments of stroke patients: an analysis of their relation, Arch Phys Med Rehabil 1997; 78,12: 1331–7.
Hajek V.E., Gagnon S., Ruderman J.E., Cognitive and functional assessments of stroke patients: an analysis of their relation, Arch Phys Med Rehabil 1997; 78, 12:1331–7.
Tatemichi T.K., Paik M., Bagiella E., Desmond D.W., Pirro M., Hanzawa L.K., Dementia after stroke is a predictor of long-term survival, Stroke1994;25,10: 1915–9.
Sawa S., Iso H., Isaji T., Onaka K., Yasuoka T., Kamioka Y., i in., A follow-up study on mental and physical function among stroke patients: comparisons between admission and discharge status in a rehabilitation-specialized hospital, Japanese Journal of Public Health 2003; 50,4:325–38.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2008 Medical Journal of the Rzeszow University
This work is licensed under a Creative Commons Attribution 4.0 International License.
Our open access policy is in accordance with the Budapest Open Access Initiative (BOAI) definition: this means that articles have free availability on the public Internet, permitting any users to read, download, copy, distribute, print, search, or link to the full texts of these articles, crawl them for indexing, pass them as data to software, or use them for any other lawful purpose, without financial, legal, or technical barriers other than those inseparable from having access to the Internet itself.
All articles are published with free open access under the CC-BY Creative Commons attribution license (the current version is CC-BY, version 4.0). If you submit your paper for publication by the Eur J Clin Exp Med, you agree to have the CC-BY license applied to your work. Under this Open Access license, you, as the author, agree that anyone may download and read the paper for free. In addition, the article may be reused and quoted provided that the original published version is cited. This facilitates freedom in re-use and also ensures that Eur J Clin Exp Med content can be mined without barriers for the research needs.
