The influence of language comprehension proficiency on assessment of global cognitive impairment following Acquired Brain Injury: A comparison between MMSE, MoCA and CASP batteries

Crivelli, Davide; Spinosa, Claudia; Angelillo, Maria Teresa; Balconi, Michela

doi:10.1080/23279095.2021.1966430

“…We did not use a specific score on a cognitive screening measure as inclusion criteria for this study due to their heavy reliance on language skills. 19 This might have skewed some of the relationships between changes in the REACH to changes in other measures. Conversely, despite not restricting participants to high cognitive scores, we were still able to observe changes in the REACH that are consistent with many of our hypotheses and with known trajectories of upper limb impairment and capacity.…”

Section: Discussionmentioning

confidence: 99%

Responsiveness and trajectory of changes in the rating of everyday arm-use in the community and home (REACH) scale over the first-year post-stroke

Simpson

¹

,

Hayward

²

,

Boyd

³

et al. 2022

Clin Rehabil

1

0

View full text Add to dashboard Cite

Objective To examine the trajectory of the Rating of Everyday Arm-use in the Community and Home (REACH) scores over the first-year post-stroke, determine if REACH scores are modified by baseline impairment level and explore the responsiveness of the REACH scale through hypothesis testing. Design Consecutive sample longitudinal study. Setting Participants were recruited from an acute stroke unit and followed up at three, six, and 12 months post-stroke. Participants Seventy-three participants with upper limb weakness (Shoulder Abduction and Finger Extension score ≤ 8). Main Measures The REACH scale is a six-level self-report classification scale that captures how the affected upper limb is being used in one's own environment. The Fugl-Meyer Upper Limb Assessment (FMA-UL), Stroke Upper Limb Capacity Scale (SULCS), accelerometer-based activity count ratio and Global Rating of Change Scale (GRCS) were used to capture upper limb impairment, capacity, and use. Results The following proportions of participants improved at least one REACH level: 64% from baseline to three months, 37% from three to six months and 13% from six to 12 months post-stroke. The trajectory of REACH scores over time was associated with baseline impairment. Change in REACH had a moderate correlation to change in SULCS and the GRCS but not FMA-UL or the activity count ratio. Conclusions Results of hypothesis testing provide preliminary evidence of the responsiveness of the REACH scale. On average, individuals with severe impairment continued to show improvement in use over the first year, while those with mild/moderate impairment plateaued and a small proportion decreased in the early chronic phase.

show abstract

“…Additionally, on reaction time-based measures, time to move is partitioned from cognitive processing time to decide and react, enabling the separation of cognitive speed from impaired motor functions post-stroke. The subtests primarily utilise visual stimuli, reducing language dependent effects and allowing those with language impairment to participate in testing (Cacciamani et al, 2018; Crivelli et al, 2021). Additionally, the CANTAB platform uses embedded practice sessions to ensure participants can successfully perform the task before proceeding to the assessment phase of the test.…”

Section: Methodsmentioning

confidence: 99%

Mapping the trajectory of acute mild-stroke cognitive recovery using serial computerised cognitive assessment

Campbell

¹

,

Gustafsson

²

,

Grimley

³

et al. 2022

Brain Impairment

1

0

View full text Add to dashboard Cite

Introduction: Cognitive impairment is common post-stroke. There is a need to understand patterns of early cognitive recovery post-stroke to guide both clinical and research practice. The aim of the study was to map the trajectory of cognitive recovery during the first week to 90-days post-stroke using serial computerised assessment. Method: An observational cohort study recruited consecutive stroke patients admitted to a stroke unit within 48 hours of onset. Cognitive function was assessed using the computerised Cambridge Neuropsychological Test Automated Battery (CANTAB) daily for seven days, then 14, 30 and 90 days post-stroke. The CANTAB measured visual episodic memory and learning, information processing speed, visuo-spatial working memory, complex sustained attention and mental flexibility. Repeated measures MANOVA/ANOVA with Least Squares Difference post-hoc analyses were performed to ascertain significant change over time. Result: Forty-eight participants, mean age 73, primarily mild, ischaemic stroke, completed all assessment timepoints. There was a trajectory of early, global cognitive improvement, indicative of a post-stroke delirium, that largely stabilised between 6 and 14-days post-stroke. Change over time was examined within each cognitive test, with one measure stabilising by day 6 (Reaction Time) and others detecting improving performances up to 14 days post-stroke. Conclusions: Serial, computerised cognitive assessment can effectively map post-stroke cognitive recovery and revealed an early phase of global improvement over 14 days that is evidence for an acute post-stroke delirium. Resolution of post-stroke delirium in the second week following mild stroke indicates more extensive neuropsychological testing may be undertaken earlier than previously thought.

show abstract

“…Additionally, on reaction time-based measures, time to move is partitioned from cognitive processing time to decide and react, enabling the separation of cognitive speed from impaired motor functions post-stroke. The subtests primarily utilise visual stimuli, reducing language dependent effects and allowing those with language impairment to participate in testing (Cacciamani et al, 2018;Crivelli et al, 2021). Additionally, the CANTAB platform uses embedded practice sessions to ensure participants can successfully perform the task before proceeding to the assessment phase of the test.…”

Section: Cambridge Neuropsychological Test Automated Battery (Cantab)mentioning

confidence: 99%

Mapping the trajectory of acute mild-stroke cognitive recovery using serial computerised cognitive assessment

Campbell,

Gustafsson,

Grimley

et al. 2023

Brain Impairment

0

View full text Add to dashboard Cite

Introduction: Cognitive impairment is common post-stroke. There is a need to understand patterns of early cognitive recovery post-stroke to guide both clinical and research practice. The aim of the study was to map the trajectory of cognitive recovery during the first week to 90-days post-stroke using serial computerised assessment. Method: An observational cohort study recruited consecutive stroke patients admitted to a stroke unit within 48 hours of onset. Cognitive function was assessed using the computerised Cambridge Neuropsychological Test Automated Battery (CANTAB) daily for seven days, then 14, 30 and 90 days post-stroke. The CANTAB measured visual episodic memory and learning, information processing speed, visuo-spatial working memory, complex sustained attention and mental flexibility. Repeated measures MANOVA/ANOVA with Least Squares Difference post-hoc analyses were performed to ascertain significant change over time. Result: Forty-eight participants, mean age 73, primarily mild, ischaemic stroke, completed all assessment timepoints. There was a trajectory of early, global cognitive improvement, indicative of a post-stroke delirium, that largely stabilised between 6 and 14-days post-stroke. Change over time was examined within each cognitive test, with one measure stabilising by day 6 (Reaction Time) and others detecting improving performances up to 14 days post-stroke. Conclusions: Serial, computerised cognitive assessment can effectively map post-stroke cognitive recovery and revealed an early phase of global improvement over 14 days that is evidence for an acute post-stroke delirium. Resolution of post-stroke delirium in the second week following mild stroke indicates more extensive neuropsychological testing may be undertaken earlier than previously thought.

show abstract

The influence of language comprehension proficiency on assessment of global cognitive impairment following Acquired Brain Injury: A comparison between MMSE, MoCA and CASP batteries

Cited by 11 publications

References 23 publications

Responsiveness and trajectory of changes in the rating of everyday arm-use in the community and home (REACH) scale over the first-year post-stroke

Responsiveness and trajectory of changes in the rating of everyday arm-use in the community and home (REACH) scale over the first-year post-stroke

Mapping the trajectory of acute mild-stroke cognitive recovery using serial computerised cognitive assessment

Mapping the trajectory of acute mild-stroke cognitive recovery using serial computerised cognitive assessment

Contact Info

Product

Resources

About