Cognitive Impairment, Stroke Sequelae
Conditions
Keywords
stroke, stroke sequelae, Cognitive Impairement
Brief summary
The objective of this study was to evaluate the cognitive effectiveness of somatotherapy and occupational therapy in post-stroke patients by measuring their cognitive potential outcomes using the Montreal Cognitive Assessment (MoCA) test.
Detailed description
Stroke is a leading cause of death and long-term disability worldwide. Cognitive impairment is a common and disabling consequence of stroke that significantly affects patients' functional independence and quality of life. Somatotherapy (targeted physical and sensorimotor therapy) and occupational therapy (focused on activities of daily living) are frequently used rehabilitation approaches, but their combined effect on cognitive recovery in post-stroke patients requires further evaluation. This was a single-center, retrospective observational study conducted at the department of physical therapy, King Hospital, Swat, Pakistan. Medical records of 50 post-stroke patients (30 males, 20 females; age range 30-60 years) who received inpatient rehabilitation between 2018 and 2019 were analyzed. Participants
Interventions
OTHERSomatotherapy and Occupational Therapy
Combined somatotherapy and occupational therapy delivered during inpatient hospitalization. Somatotherapy consisted of structured sensorimotor and physical therapy targeting body awareness, movement, balance, and coordination. Occupational therapy focused on patient-specific, task-oriented training in activities of daily living (ADLs) such as self-care, functional mobility, and cognitive integration during daily tasks. Patients received 35-minute sessions, 5 days per week for 4 consecutive weeks. Therapy was customized according to individual patient needs and used equipment including adjustable tables, chairs, wheelchairs, and assistive aids (splints, glasses, etc.).
Sponsors
Iqra National University
Study design
Observational model
COHORT
Time perspective
OTHER
Eligibility
Sex/Gender
ALL
Age
30 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adults aged 30 years and above * Diagnosed with ischemic or hemorrhagic stroke (first-ever or recurrent) * Referred to physical therapy department for cognitive rehabilitation * Received somatotherapy and occupational therapy during hospitalization * Able to undergo MoCA (Montreal Cognitive Assessment) testing
Exclusion criteria
* Severe speech impairment (aphasia) that prevents reliable cognitive testing * Significant visual impairment that interferes with MoCA testing * Significant hearing impairment that interferes with MoCA testing * Inability to participate in therapy sessions.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Montreal Cognitive Assessment | 4 weeks | To detect mild cognitive impairment and assess for early stages of dementia. This scale utilizes a minimum value of 0 and a maximum value of 30, where higher scores mean a better outcome (a score of 26 or above is considered normal, while a score of 22 suggests mild cognitive impairment. |
Countries
Pakistan
Outcome results
None listed