| Titre : | Association Between 2 Measures of Cognitive Instrumental Activities of Daily Living and Their Relation to the Montreal Cognitive Assessment in Persons With Stroke (2017) |
| Auteurs : | Joan Toglia ; Gulce Askin ; Linda M. Gerber |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (2017/11, 2017) |
| Article en page(s) : | p. 2280-2287 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Activités de la vie quotidienne ; Dysfonctionnement cognitif ; Fonctions exécutives ; Rééducation et réadaptation |
| Mots-clés: | Activities of daily living ; Cognitive dysfunction ; Executive function ; Stroke |
| Résumé : |
Objectives To explore the relation between a computer adaptive functional cognitive questionnaire and a performance-based measure of cognitive instrumental activities of daily living (C-IADL) and to determine whether the Montreal Cognitive Assessment (MoCA) at admission can identify those with C-IADL difficulties at discharge. Design Prospective cohort study. Setting Acute inpatient rehabilitation unit of an academic medical center. Participants Inpatients (N=148) with a diagnosis of stroke (mean age, 68y; median, 13d poststroke) who had mild cognitive and neurological deficits. Interventions Not applicable. Main Outcome Measures Admission cognitive status was assessed by the MoCA. C-IADL at discharge was assessed by the Executive Function Performance Test (EFPT) bill paying task and Activity Measure of Post-Acute Care (AM-PAC) Applied Cognition scale. Results Greater cognitive impairment on the MoCA was associated with more assistance on the EFPT bill paying task (ρ=−.63; P<.01 and am-pac applied cognition scale p this relation was nonsignificant for higher moca scores efpt bill paying task scores. the had low agreement in classifying functional performance a receiver operating characteristic curve identified optimal cutoff of status respectively. values above sensitivity increased whereas specificity decreased deficits. approximately one third participants demonstrated c-iadl deficits on at least measure discharge despite having score admission.> Conclusions Questionnaire and performance-based methods of assessment appear to yield different estimates of C-IADL. Low MoCA scores ( |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999317302782 |
Bibliothèques HE Vinci
