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Review paper

Association between working memory impairment and activities of daily living in post-stroke patients

By
Fasihah Irfani Fitri Orcid logo ,
Fasihah Irfani Fitri
Contact Fasihah Irfani Fitri

Department of Neurology, School of Medicine, Universitas Sumatera Utara Indonesia

Aida Fithrie ,
Aida Fithrie

Department of Neurology, School of Medicine, Universitas Sumatera Utara Indonesia

Aldy S Rambe
Aldy S Rambe

Department of Neurology, School of Medicine, Universitas Sumatera Utara Indonesia

Abstract

Aim
Stroke is one of the leading causes of adult disability and functional impairment worldwide. Cognitive impairments including memory dysfunction are common after stroke and may have a negative impact to the functional status and activities of daily living (ADL). The study aimed to determine the impact of working memory impairment after stroke on ADL.
Methods
This cross-sectional study involved post-stroke patients who underwent neurologic examination and mini mental state examination (MMSE), forward digit span (FDS) and backward digit span (BDS) to assess cognitive function, and assessment of daily life activities (ADL) and instrumental activities of daily living (IADL) scales.
Results
This study included 38 patients, 23 (60.5%) males and 15 (39.5%) females. The mean MMSE, FDS and BDS scores were 24.60±4.49, 4.87±1.166 and 3.47±1.158, respectively. There were 17 (44.7%) patients with cognitive impairment (MMSE Score was lower than 24). The mean ADL and IADL scores were significantly higher in patients with cognitive impairment, showing greater dependency in this group of patients. There was a significant negative correlation between global cognitive function, working memory and ADL and IADL scores in post-stroke patients.
Conclusion
Cognitive impairment has a negative impact on daily life activities in post-stroke patients.

References

1
Levine D, Galecki A, Langa K, Unverzagt F, Kabeto M, Giordani B, et al. Trajectory of cognitive decline after incident stroke. JAMA 2015:41–51.
2
Chellappan K, Mohsin N, Ali S, Islam S. IEEE-EMBS Conference on Biomedical Engineering and Sciences. IEE 2012:189–94.
3
Lawton M, Brody E. Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist 1969:179–86.
4
Katz S, Ford A, Moskowitz R, Jackson B, Jaffe M. Studies of illness in the aged. The index of ADL: a standardized measure of biological and psychological function. JAMA 1963:914–9.
5
Joshi A, Kale S, Chandel S, Pal D. Likert scale: explored and explained. British Journal of Applied Science and Technology 2015:396–403.
6
Kessels R, Overbeek A, Bouman Z. Assessment of verbal and visuospatial working memory in mild cognitive impairment and Alzheimer’s dementia. Dement Neuropsychol 2015:301–5.
7
Woods D, Kishiyama M, Yund E, Herron T, Edwards B, Poliva O, et al. Improving digit span assessment of short-term verbal memory. J Clin Exp Neuropsychol 2011:101–11.
8
Folstein M, Folstein S, Mchugh P. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975:189–98.
9
Nakling A, Aarsland D, Naess H, Wollschlaeger D, Fladby T, Hofstad H, et al. Cognitive deficits in chronic stroke patients: neuropscyhological assessment, depression, and self-reports. Dement Geriatr Cogn Disord Extra 2017:283–96.
10
Goldstein L, Adams R, Alberts M, Appel L, Brass L, Bushnell C, et al. Primary prevention of ischemic stroke: a guideline from the. Stroke 2006:1583–633.
11
Shigaki C, Frey S, Barrett A. Rehabilitation of poststroke cognition. Semin Neurol 2014:496–503.
12
Malouin J, Belleville S, Richards C, Desrosiers J, Doyon J. Working memory and mental practice outcomes after stroke. Arch Phys Med Rehab 2004:177–83.
13
Snaphaan L, Leeuw F. Poststroke memory function in nondemented patients: a systematic review on frequency and neuroimaging correlates. Stroke 2007:198–203.
14
Paker N, Bugdayci B, Tekdos D, Kaya B, Dere C. Impact of cognitive impairment on functional outcome in stroke. Stroke Res Treat 2010.
15
Ferreira M, Moro C, Franco S. Cognitive performance after ischemic stroke. Dement Neuropsychol 2015:165–75.
16
Oros R, Popescu C, Iova C, Mihancea P, Iova S. The impact of cognitive impairment after stroke on activities of daily living. HVM Bioflux 2016:41–4.
17
Mijajlovic M, Pavlovic A, Brainin M, Heiss W, Quinn T, Hansen H, et al. Post-stroke dementia a comprehensive review. BMC Med 2017:11.
18
Nk A-Q, Ali S, Ahmad S, Islam S. Mohamad K. Cognitive impairment and memory dysfunction after a stroke diagnosis: a post-stroke memory assessment. Neuropsychiatr Dis Treat 2014:1677–91.

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