Cognitive impairment predicts engagement in inpatient stroke rehabilitation.

IF 1.3 4区医学 Q3 REHABILITATION International Journal of Rehabilitation Research Pub Date : 2022-12-01 DOI:10.1097/MRR.0000000000000552

Ryan J Lowder, Abhishek Jaywant, Chaya B Fridman, Joan Toglia, Michael W O'Dell

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引用次数: 2

Abstract

Patient engagement during inpatient rehabilitation is an important component of rehabilitation therapy, as lower levels of engagement are associated with poorer outcomes. Cognitive deficits may impact patient engagement during inpatient stroke rehabilitation. Here, we assess whether patient performance on the cognitive tasks of the 30-min National Institute of Neurologic Disorders and Stroke - Canadian Stroke Network (NINDS-CSN) screening battery predicts engagement in inpatient stroke rehabilitation. Prospective data from 110 participants completing inpatient stroke rehabilitation at an academic medical center were utilized for the present analyses. Cognitive functioning was assessed at inpatient stroke rehabilitation admission using the NINDS-CSN cognitive battery. Patient engagement was evaluated at discharge from an inpatient rehabilitation unit using the Hopkins Rehabilitation Engagement Rating Scale. The results demonstrate that the NINDS-CSN cognitive battery, specifically subtests measuring executive functioning, attention and processing speed, predicts patient engagement in inpatient stroke rehabilitation. Cognitively impaired patients undergoing rehabilitation may benefit from modifications and interventions to increase engagement and improve functional outcomes.

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认知障碍预测住院中风康复的参与。

住院康复期间患者的参与是康复治疗的重要组成部分，因为较低的参与水平与较差的结果相关。认知缺陷可能影响住院中风康复期间患者的参与。在这里，我们评估患者在30分钟国家神经疾病和卒中研究所-加拿大卒中网络(NINDS-CSN)筛查电池中的认知任务表现是否预测住院卒中康复的参与。来自110名在学术医疗中心完成住院中风康复的参与者的前瞻性数据被用于本分析。脑卒中康复住院患者认知功能评估采用NINDS-CSN认知电池。在出院时使用霍普金斯康复参与评定量表评估患者的参与程度。结果表明，NINDS-CSN认知电池，特别是测量执行功能、注意力和处理速度的子测试，可以预测住院卒中康复患者的参与程度。接受康复治疗的认知障碍患者可能受益于修改和干预，以增加参与和改善功能结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Rehabilitation Research REHABILITATION-

CiteScore

3.10

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： International Journal of Rehabilitation Research is a quarterly, peer-reviewed, interdisciplinary forum for the publication of research into functioning, disability and contextual factors experienced by persons of all ages in both developed and developing societies. The wealth of information offered makes the journal a valuable resource for researchers, practitioners, and administrators in such fields as rehabilitation medicine, outcome measurement nursing, social and vocational rehabilitation/case management, return to work, special education, social policy, social work and social welfare, sociology, psychology, psychiatry assistive technology and environmental factors/disability. Areas of interest include functioning and disablement throughout the life cycle; rehabilitation programmes for persons with physical, sensory, mental and developmental disabilities; measurement of functioning and disability; special education and vocational rehabilitation; equipment access and transportation; information technology; independent living; consumer, legal, economic and sociopolitical aspects of functioning, disability and contextual factors.