de Graaf J A, Nijsse B, Schepers V P M, van Heugten C M, Post M W M, Visser-Meily J M A
Center of Excellence for Rehabilitation Medicine, UMC Utrecht Brain Center, University Medical Center Utrecht and De Hoogstraat Rehabilitation, Utrecht, The Netherlands.
Department of Neurology, Elisabeth-Tweesteden Hospital, Tilburg, The Netherlands.
Neuropsychol Rehabil. 2021 Sep;31(8):1207-1223. doi: 10.1080/09602011.2020.1769687. Epub 2020 Jun 4.
A variety of approaches are currently used to explore the relationship between cognitive functioning and participation after stroke. We aimed to gain insight into the preferred approach to measure cognitive functioning when exploring the association between cognitive functioning and participation in the long term after stroke. In this inception cohort study 128 individuals with stroke participated and were assessed at a single time point three to four years after the event. Participation was measured using the Restrictions subscale of the Utrecht Scale for Evaluation of Rehabilitation-Participation. Subjective cognitive complaints were assessed using the Cognition subscale of the Checklist for Cognitive and Emotional Consequences (CLCE-24-C). Objective cognitive performance was measured using the Montreal Cognitive Assessment (MoCA) and a neuropsychological test battery (NTB) testing multiple cognitive domains. Participation showed a strong correlation ( = 0.51) with the CLCE-24-C and moderate correlations with the domains of visuospatial perception ( = 0.37) and mental speed ( = 0.36). Backward linear regression analyses showed that participation restrictions were best explained by the combination of the CLCE-24-C and a test for visuospatial perception (= 0.31). Our findings suggest the use of a combination of subjective cognitive complaints and objective cognitive performance to explore the relationship between cognitive functioning and participation after stroke.
目前有多种方法用于探究中风后认知功能与参与度之间的关系。我们旨在深入了解在探究中风后长期认知功能与参与度之间的关联时，测量认知功能的首选方法。在这项初始队列研究中，128名中风患者参与其中，并在中风事件发生三到四年后的单一时间点接受评估。使用乌得勒支康复参与评估量表的限制分量表来测量参与度。使用认知与情绪后果清单（CLCE - 24 - C）的认知分量表来评估主观认知主诉。使用蒙特利尔认知评估量表（MoCA）和测试多个认知领域的神经心理测试组合（NTB）来测量客观认知表现。参与度与CLCE - 24 - C显示出强相关性（r = 0.51），与视觉空间感知领域（r = 0.37）和心理速度（r = 0.36）显示出中度相关性。向后线性回归分析表明，参与限制最好由CLCE - 24 - C和视觉空间感知测试的组合来解释（r = 0.31）。我们的研究结果表明，可使用主观认知主诉和客观认知表现的组合来探究中风后认知功能与参与度之间的关系。
