Cognitive impairment predicts engagement in inpatient stroke rehabilitation.

Patient engagement during inpatient rehabilitation is an important component of rehabilitation therapy, as lower levels of engagement are associated with poorer outcomes. Cognitive deficits may impact patient engagement during inpatient stroke rehabilitation. Here, we assess whether patient performa...

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Publicado en:International Journal of Rehabilitation Research Vol. 45; no. 4; pp. 359 - 366
Autores principales: Lowder, Ryan J., Jaywant, Abhishek, Fridman, Chaya B., Toglia, Joan, O'Dell, Michael W.
Formato: research tables/charts Journal Article
Publicado: Lippincott Williams & Wilkins Dec2022
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: International Journal of Rehabilitation Research
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    pubinfo:
      dt: Dec2022
      vid: 45
      iid: 4
      pid: 433
      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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        159976542
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        10.1097/MRR.0000000000000552
        159976542
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        atl: Cognitive impairment predicts engagement in inpatient stroke rehabilitation.
      aug:
        au:
          Lowder, Ryan J.
          Jaywant, Abhishek
          Fridman, Chaya B.
          Toglia, Joan
          O'Dell, Michael W.
        affil: Department of Rehabilitation Medicine, Weill Cornell Medicine
      sug:
        subj:
          Stroke Patients
          Inpatients
          Cognition Disorders
          Stroke Rehabilitation
          Task Performance and Analysis Evaluation
          Cognition
          Human
          Male
          Female
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Clinical Assessment Tools
          Scales
          Questionnaires
          Data Analysis Software
          Comparative Studies
          Descriptive Statistics
          Funding Source
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Patient engagement during inpatient rehabilitation is an important component of rehabilitation therapy, as lower levels of engagement are associated with poorer outcomes. Cognitive deficits may impact patient engagement during inpatient stroke rehabilitation. Here, we assess whether patient performance on the cognitive tasks of the 30-min National Institute of Neurologic Disorders and Stroke – Canadian Stroke Network (NINDS-CSN) screening battery predicts engagement in inpatient stroke rehabilitation. Prospective data from 110 participants completing inpatient stroke rehabilitation at an academic medical center were utilized for the present analyses. Cognitive functioning was assessed at inpatient stroke rehabilitation admission using the NINDS-CSN cognitive battery. Patient engagement was evaluated at discharge from an inpatient rehabilitation unit using the Hopkins Rehabilitation Engagement Rating Scale. The results demonstrate that the NINDS-CSN cognitive battery, specifically subtests measuring executive functioning, attention and processing speed, predicts patient engagement in inpatient stroke rehabilitation. Cognitively impaired patients undergoing rehabilitation may benefit from modifications and interventions to increase engagement and improve functional outcomes.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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