Relationship of Cognitive and Perceptual Abilities to Functional Independence in Adults Who Have Had a Stroke.

Most individuals who have had a stroke present with some degree of residual cognitive and/or perceptual impairment. Occupational therapists often utilize standardized cognitive and perceptual assessments with clients to establish a baseline of skill performance as well as to inform goal setting and...

Descripción completa

Detalles Bibliográficos
Publicado en:Occupational Therapy International Vol. 20; no. 1; pp. 11 - 23
Autores principales: Brown, Ted, Mapleston, Jennifer, Nairn, Allison, Molloy, Andrew
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Mar2013
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104310781&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 104310781
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        09667903
        GPF
      jtl: Occupational Therapy International
      issn: 09667903
      maglogo: Y
    pubinfo:
      dt: Mar2013
      vid: 20
      iid: 1
      pid: 480
      pub: Wiley-Blackwell
      place: Malden, Massachusetts
    artinfo:
      ui:
        104310781
        85293709
        10.1002/oti.1334
        NLM22711647
        104310781
      ppf: 11
      ppct: 12
      formats:
        fmt:
          @attributes:
            type: P
      tig:
        atl: Relationship of Cognitive and Perceptual Abilities to Functional Independence in Adults Who Have Had a Stroke.
      aug:
        au:
          Brown, Ted
          Mapleston, Jennifer
          Nairn, Allison
          Molloy, Andrew
        affil: Monash University Peninsula Campus, Department of Occupational Therapy,
      sug:
        subj:
          Stroke Patients
          Cognition Evaluation
          Functional Assessment Evaluation
          Occupational Therapy Assessment Evaluation
          Human
          Middle Age
          Aged
          Aged, 80 and Over
          Male
          Female
          Clinical Assessment Tools
          Barthel Index
          Victoria
          Descriptive Statistics
          Data Analysis, Statistical
          Data Analysis Software
          Pearson's Correlation Coefficient
          Multiple Linear Regression
          P-Value
          Convenience Sample
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Most individuals who have had a stroke present with some degree of residual cognitive and/or perceptual impairment. Occupational therapists often utilize standardized cognitive and perceptual assessments with clients to establish a baseline of skill performance as well as to inform goal setting and intervention planning. Being able to predict the functional independence of individuals who have had a stroke based on cognitive and perceptual impairments would assist with appropriate discharge planning and follow-up resource allocation. The study objective was to investigate the ability of the Developmental Test of Visual Perception - Adolescents and Adults (DTVP-A) and the Neurobehavioural Cognitive Status Exam (Cognistat) to predict the functional performance as measured by the Barthel Index of individuals who have had a stroke. Data was collected using the DTVP-A, Cognistat and the Barthal Index from 32 adults recovering from stroke. Two standard multiple regression models were used to determine predictive variables of the functional independence dependent variable. Both the Cognistat and DTVP-A had a statistically significant ability to predict functional performance (as measured by the Barthel Index) accounting for 64.4% and 27.9% of each regression model, respectively. Two Cognistat subscales (Comprehension [beta = 0.48; p < 0.001)] and Repetition [beta = 0.45; p < 0.004]) and one DTVP-A subscale (Copying [beta = 0.46; p < 0.014]) made statistically significant contributions to the regression models as independent variables. On the basis of the regression model findings, it appears that DTVP-A's Copying and the Cognistat's Comprehension and Repetition subscales are useful in predicting the functional independence (as measured by the Barthel Index) in those individuals who have had a stroke. Given the fundamental importance that cognition and perception has for one's ability to function independently, further investigation is warranted to determine other predictors of functional performance of individuals with a stroke. Copyright © 2012 John Wiley & Sons, Ltd.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N