Evaluation of the functional state and mobility of patients after stroke depending on their cognitive state

Abstract

The study aimed to analyze the effectiveness of rehabilitation in stroke patients depending on their cognitive state. Methods: 180 patients were divided into four groups: 48 patients without symptoms of cognitive impairment (G1); 38 with mild cognitive impairment without dementia (G2); 47 with mild dementia (G3); 47 with moderate dementia (G4). The Mini Mental State Examination (MMSE), Barthel Index (BI), Sitting Assessment Scale (SAS), Berg Balance Scale (BBS), Trunk Control Test (TCT) and Test Up & Go (TUG) were used. The tests were carried out at the time of admission to the ward (T1) and at the time of discharge (T2). Results: A statistically significant improvement was demonstrated in all parameters in the G1 group as well as in the G2 group. In the G3 group, a significant improvement was noted in the SAS-hand function, BI and BBS. In the G4 group, a significant improvement concerned only SAS - hand function. Regression analysis showed that MMSE and BI at T1 and MMSE score at T2 explained the functional status at T2. Conclusions: Cognitive dysfunction at the time of admission to the ward and discharge may determining the patient's functional status at the time of discharge from the ward.