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Medicina is published by MDPI from Volume 54 Issue 1 (2018). Articles in this Issue were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence. Articles are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Lithuanian Medical Association, Lithuanian University of Health Sciences, and Vilnius University.
Open AccessArticle

Effectiveness of the Second-Stage Rehabilitation in Stroke Patients With Cognitive Impairment

1
Viršužiglis Hospital of Rehabilitation, Affiliate of Hospital of Lithuanian University of Health Sciences
2
Department of Neurology, Medical Academy, Lithuanian University of Health Sciences
3
Department of Rehabilitation, Medical Academy, Lithuanian University of Health Sciences, Lithuania
*
Author to whom correspondence should be addressed.
Medicina 2011, 47(9), 74; https://doi.org/10.3390/medicina47090074
Received: 1 September 2011 / Accepted: 30 September 2011 / Published: 5 October 2011
The aim of this study was to evaluate the recovery of functional status and effectiveness of the second-stage rehabilitation depending on the degree of cognitive impairment in stroke patients.
Material and Methods
. The study sample comprised 226 stroke patients at the Viršužiglis Hospital of Rehabilitation, Hospital of Lithuanian University of Health Sciences. Functional status was evaluated with the Functional Independence Measure, cognitive function with the Mini-Mental Status Examination scale, and severity of neurologic condition with the National Institutes of Health Stroke Scale. The patients were divided into 4 study groups based on cognitive impairment: severe, moderate, mild, or no impairment.
Results.
More than half (53%) of all cases were found to have cognitive impairment, while patients with different degree of cognitive impairment were equally distributed: mild impairment (18%), moderate impairment (17%), and severe impairment (18%). Improvement of functional status was observed in all study groups (P<0.001). In the patients with moderate and severe cognitive impairment, cognitive recovery was significantly more expressed than in other study groups (P<0.001). Insufficient recovery of functional status was significantly associated with hemiplegia (OR, 11.15; P=0.015), urinary incontinence (OR, 14.91; P<0.001), joint diseases (OR, 5.52; P=0.022), heart diseases (OR, 4.10; P=0.041), and severe cognitive impairment (OR, 15.18; P<0.001), while moderate and mild cognitive impairment was not associated with the recovery of functional status.
Conclusions
. During the second-stage rehabilitation of stroke patients, functional status as well as cognitive and motor skills were improved both in patients with and without cognitive impairment; however, the patients who were diagnosed with severe or moderate cognitive impairment at the beginning of second-stage rehabilitation showed worse neurological and functional status during the whole second-stage rehabilitation than the patients with mild or no cognitive impairment.
Keywords: stroke; rehabilitation; functional status; cognitive impairment; predictive factors stroke; rehabilitation; functional status; cognitive impairment; predictive factors
MDPI and ACS Style

Milinavičienė, E.; Rastenytė, D.; Kriščiūnas, A. Effectiveness of the Second-Stage Rehabilitation in Stroke Patients With Cognitive Impairment. Medicina 2011, 47, 74.

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