Article

OBJECTIVE: To examine associations between cognitive and affective impairments
and rehabilitation participation during stroke rehabilitation. DESIGN: Secondary
analyses of stroke patients who received acetylcholinesterase inhibitors during
inpatient rehabilitation. SETTING: University-affiliated inpatient rehabilitation
facilities. PARTICIPANTS: Patients (N=44) admitted to inpatient stroke
rehabilitation with impairment in attention, memory, or executive functions.
INTERVENTIONS: Secondary analysis of patients receiving inpatient stroke
rehabilitation care plus random assignment to one of two acetylcholinesterase
inhibitors or no drug at rehabilitation admission. MAIN OUTCOME MEASURES:
Correlations between measures of cognitive (Digit Span, Hopkins Verbal Learning
Test, Executive Interview) and affective impairments (Hamilton Rating Scale for
Depression, Apathy Evaluation Scale) and participation (Pittsburgh Rehabilitation
and Participation Scale) were examined. Significant correlates of participation
were examined in a linear multiple regression model. RESULTS: Executive functions
and depressive symptoms were significant correlates of participation. After
controlling for baseline disability, executive functions predicted participation,
but depressive symptoms did not (F(4,32)=9.35; R(2)=.54, P<.001). CONCLUSIONS:
These findings are an important first step toward understanding potentially
modifiable clinical factors that contribute to rehabilitation participation and
overall functional status after rehabilitation. A better understanding of
cognitive impairment and rehabilitation participation may be used to develop
strategies for improving functional outcomes after stroke.
CI - Copyright 2010 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS