Associations between post-stroke motor and cognitive function: a cross-sectional study

BMC Geriatrics, Journal Year: 2021, Volume and Issue: 21(1)

Published: Feb. 5, 2021

Abstract Background Motor and cognitive impairments are frequently observed following stroke, but often managed as distinct entities, there is little evidence regarding how they related. The aim of this study was to describe the prevalence concurrent motor 3 months after stroke examine performance associated with memory, executive function global cognition. Methods Norwegian Cognitive Impairment After Stroke (Nor-COAST) a prospective multicentre cohort including patients hospitalized acute between May 2015 March 2017. National Institutes Health Scale (NIHSS) used measure severity at admission. Level disability assessed by Modified Rankin (mRS). functions were post-stroke using Montreal Assessment (MoCA), Trail Making Test Part B (TMT-B), 10-Word List Recall (10WLR), Short Physical Performance Battery (SPPB), dual-task cost (DTC) grip strength (Jamar®). Cut-offs set according current recommendations. Associations examined linear regression tests dependent variables domains covariates, adjusted for age, sex, education severity. Results Of 567 participants included, 242 (43%) women, mean (SD) age 72.2 (11.7) years, 416 (75%) had an NIHSS score ≤ 4 475 (84%) mRS ≤2. Prevalence impairment ranged from 9.5% DTC 10WLR 22.9% TMT-B. SPPB MoCA (regression coefficient = 0.465, 95%CI [0.352, 0.578]), TMT-B (B -9.494, [− 11.726, − 7.925]) 0.132, [0.054, 0.211]). Grip 0.075, [0.039, 0.112]), -1.972, 2.672, 1.272]) 0.041, [0.016, 0.066]). Higher more time needed complete 0.475, [0.075, 0.875]) not or 10WLR. Conclusion Three suffering mainly minor strokes, 30–40% impairments, while 20% impairments. identification could be relevant preventing functional decline. Trial registration ClinicalTrials.gov Identifier: NCT02650531 .

Language: Английский

---

A Decade of Dedication: Pioneering Perspectives on Neurological Diseases and Mental Illnesses

Biomedicines, Journal Year: 2024, Volume and Issue: 12(5), P. 1083 - 1083

Published: May 13, 2024

Welcome to

Language: Английский

---

Leveraging Factors of Self-Efficacy and Motivation to Optimize Stroke Recovery

Frontiers in Neurology, Journal Year: 2022, Volume and Issue: 13

Published: Feb. 24, 2022

The International Classification of Functioning, Disability and Health framework recognizes that an individual's functioning post-stroke reflects interaction between their health condition contextual factors encompassing personal environmental factors. Personal significantly impact rehabilitation outcomes as they determine how individual evaluates situation copes with in daily life. A key factor is self-efficacy—an belief capacity to achieve certain outcomes. Self-efficacy influences motivational state execute behaviors necessary for achieving desired Stroke practice research now acknowledge self-efficacy motivation critical elements recovery, increasing evidence highlights contributions motor (re)learning. Given the informative value neuroimaging-based biomarkers stroke, elucidating neurological underpinnings may optimize recovery. In this review, we examine role stroke identify potential neural substrates underlying these from current neuroimaging literature, discuss leveraging associated has advance field rehabilitation.

Language: Английский

---

Human–Robot Interactions: A Pilot Study of Psychoaffective and Cognitive Factors to Boost the Acceptance and Usability of Assistive Wearable Devices

Multimodal Technologies and Interaction, Journal Year: 2025, Volume and Issue: 9(1), P. 5 - 5

Published: Jan. 9, 2025

Robotic technology to assist rehabilitation provides practical advantages compared with traditional treatments, but its efficacy is still disputed. This controversial effectiveness due different factors, including a lack of guidelines adapt devices users’ individual needs. These needs include the specific clinical conditions people disabilities, as well their psychological and cognitive profiles. pilot study aims investigate relationships between psychological, cognitive, robot-related factors playing role in human–robot interaction promote human-centric approach robotic rehabilitation. Ten able-bodied volunteers were assessed for anxiety, experienced workload, reserve, perceived exoskeleton usability before after task lower-limb (i.e., 10 m path walking trials). Pre-trial anxiety levels higher than post-trial ones (p < 0.01). While trait predictive effort (Adjusted-r2 = 0.43, p 0.02), state score was overall workload 0.45, 0.02). High–average reserve scores perception A negative correlation emerged personal identification (r −0.67, p-value 0.03). preliminary evidence impact psychoaffective on device appreciation training. It also suggests pragmatic measures such familiarization time reduce end-user selection based assessments may provide guidance personalization

Language: Английский

---

Effects of virtual reality‐based cognitive interventions on cognitive function and activity of daily living among stroke patients: Systematic review and meta‐analysis

Journal of Clinical Nursing, Journal Year: 2024, Volume and Issue: 33(3), P. 1169 - 1184

Published: Jan. 18, 2024

To examine the effects of virtual reality-based cognitive interventions on function and activities daily living among stroke patients, to identify optimal design for such intervention.

Language: Английский

---

Canadian Stroke Best Practice Recommendations: Vascular cognitive impairment, 7th edition practice guidelines update, 2024

Alzheimer s & Dementia, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 16, 2025

The Canadian Stroke Best Practice Recommendations (CSPR) 7th edition includes this new module on the diagnosis and management of vascular cognitive impairment (VCI) with or without neurodegenerative disease. An expert writing group people VCI lived experience (PWLE) reviewed current evidence. Existing recommendations were revised, added. Sections include definitions, signs symptoms, screening, assessment, diagnosis, pharmacological non-pharmacological management, secondary prevention, rehabilitation, end-of-life care. PWLE actively involved in all aspects development, ensuring their experiences are integrated. A unique journey map, developed by PWLE, is included, helped to motivate anchor recommendations. We encourage it be displayed across healthcare settings raise awareness support persons VCI. These CSBPRs emphasize need for integrated multidisciplinary care continuum. Evidence continues emerge gaps knowledge should drive future research. HIGHLIGHTS: This focuses specifically using a structured framework validated methodology. comprehensive set evidence-based presented that addresses continuum from symptom onset end life. consider individuals who because stroke other pathologies such as atrial fibrillation heart failure. map an individual's has been experience. It valuable guide inform educational content, approaches caring families VCI, systems planning.

Language: Английский

---

Stroke Recovery During the COVID-19 Pandemic: A Position Paper on Recommendations for Rehabilitation

Archives of Physical Medicine and Rehabilitation, Journal Year: 2022, Volume and Issue: 103(9), P. 1874 - 1882

Published: May 6, 2022

Language: Английский

---

The impact of cognitive function deficits and their recovery on functional outcome in subjects affected by ischemic subacute stroke: results from the Italian multicenter longitudinal study CogniReMo

European Journal of Physical and Rehabilitation Medicine, Journal Year: 2023, Volume and Issue: 59(3)

Published: May 15, 2023

The recovery of independence in activities daily living is a fundamental goal rehabilitation programs subjects affected by subacute stroke. Rehabilitation focused both on motor and cognitive aspects, some evidence has reported deficits as prognostic factors recovery. However, dynamic process during which executive functions should be improved.The aim the study to evaluate relationships between impairments functional stroke patients phase.Multicenter observational study.Intensive units.A sample 319 phase (70.6±11.6 years, 40.4% females), consecutively admitted from November 2019 July 2021 at sixteen centers were enrolled this observational, prospective multicentric with longitudinal assessments.Cognitive assessments performed hospital admission discharge, including Oxford Cognitive Screen, modified Barthel Index, Functional Independent Measure, Fugl-Meyer assessment scale National Institutes Health Stroke Scale.A regression analysis identified five predictors (out about 200 tested variables) related four aspects assessed admission: status (P<0.001), lower limb functioning (P=0.002), attention (P=0.011), (P=0.017). Furthermore, who recovered had same those without deficits, whereas maintained smaller (P=0.019).The relationship increasingly highlighted seems contribute recovery.Our results suggest that may promote outcome patient Future treatment protocols benefit paying more functions.

Language: Английский

---

Effects of Hand Motor Interventions on Cognitive Outcomes Post-stroke: A Systematic Review and Bayesian Network Meta-analysis

Archives of Physical Medicine and Rehabilitation, Journal Year: 2024, Volume and Issue: 105(9), P. 1770 - 1783

Published: Jan. 10, 2024

Language: Английский

---

Synergistic efficacy of repetitive peripheral magnetic stimulation on central intermittent theta burst stimulation for upper limb function in patients with stroke: a double-blinded, randomized controlled trial

Journal of NeuroEngineering and Rehabilitation, Journal Year: 2024, Volume and Issue: 21(1)

Published: April 8, 2024

Non-invasive techniques such as central intermittent theta burst stimulation (iTBS) and repetitive peripheral magnetic (rPMS) have shown promise in improving motor function for patients with stroke. However, the combined efficacy of rPMS iTBS has not been extensively studied. This randomized controlled trial aimed to investigate synergistic effects

Language: Английский

---