The impact of rehabilitation on the recovery of executive functions in stroke patients with different location of the ischemic focus
Objectives Cognitive dysfunction is part of the clinical picture of stroke. Most of the executive dysfunctions are diagnosed in the early stage of rehabilitation, a few weeks after the vascular incident. Coexistence of executive dysfunctions with other disorders in stroke patients may hinder patient...
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| Format: | Article |
| Language: | English |
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Nofer Institute of Occupational Medicine
2024-10-01
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| Series: | International Journal of Occupational Medicine and Environmental Health |
| Subjects: | |
| Online Access: | https://ijomeh.eu/The-impact-of-rehabilitation-on-the-recovery-of-executive-functions-in-stroke-patients,192856,0,2.html |
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| author | Agnieszka Jankowska Olga Hadław-Klimaszewska Jarosław Rakoczy Marta Woldańska-Okońska Robert Irzmański |
| author_facet | Agnieszka Jankowska Olga Hadław-Klimaszewska Jarosław Rakoczy Marta Woldańska-Okońska Robert Irzmański |
| author_sort | Agnieszka Jankowska |
| collection | DOAJ |
| description | Objectives
Cognitive dysfunction is part of the clinical picture of stroke. Most of the executive dysfunctions are diagnosed in the early stage of rehabilitation,
a few weeks after the vascular incident. Coexistence of executive dysfunctions with other disorders in stroke patients may hinder patient’s
functions, slow down the rehabilitation process, and disrupt self-awareness, interpersonal communication, and professional activity in everyday life.
Material and Methods
Ninety patients after ischemic stroke were examined (right hemisphere stroke: N = 33, left hemisphere stroke: N = 57). The
study group (N = 45) consisted of patients rehabilitated in the Department of Rehabilitation and Physical Medicine of the University Teaching Hospital
of the Military Medical Academy in Lodz, Łódź, Poland, in whom a comprehensive neurorehabilitation program was implemented, consisting
of motor and neuropsychological rehabilitation. The control group (N = 45) consisted of patients awaiting admission to the department, who were
covered by comprehensive environmental rehabilitation including exercise therapy and neuropsychological therapy. Executive function was measured
with 3 popular diagnostic tools: the Wisconsin Card Sorting Test (WCST), the Trail Making Test (TMT part A, TMT part B), and the letter test
and category test with the Verbal Fluency Test (VFT). The tests were carried out twice: the first time before the start of rehabilitation and 5 weeks
later after its completion.
Results
Although patients with right-hemispheric stroke showed better improvement in executive functions, stroke location
did not prove to have significant impact on how effective the rehabilitation was.
Conclusions
Right hemisphere stroke patients showed greater
improvement in restoring executive functions after rehabilitation compared to left hemisphere stroke patients. The location of the stroke did not
significantly correlate with the efficiency of the rehabilitation setting. Int J Occup Med Environ Health. 2024;37(4):452–67 |
| format | Article |
| id | doaj-art-e50ad92e683240598af5d8f9b7dfe73f |
| institution | Kabale University |
| issn | 1232-1087 1896-494X |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Nofer Institute of Occupational Medicine |
| record_format | Article |
| series | International Journal of Occupational Medicine and Environmental Health |
| spelling | doaj-art-e50ad92e683240598af5d8f9b7dfe73f2024-12-19T09:36:38ZengNofer Institute of Occupational MedicineInternational Journal of Occupational Medicine and Environmental Health1232-10871896-494X2024-10-0137445246710.13075/ijomeh.1896.02129192856The impact of rehabilitation on the recovery of executive functions in stroke patients with different location of the ischemic focusAgnieszka Jankowska0Olga Hadław-Klimaszewska1Jarosław Rakoczy2Marta Woldańska-Okońska3Robert Irzmański4Medical University of Lodz, Łódź, Poland (Department of Internal Diseases, Rehabilitation and Physical Medicine)Medical University of Lodz, Łódź, Poland (Department of Internal Diseases, Rehabilitation and Physical Medicine)Medical University of Lodz, Łódź, Poland (Psychosocial Rehabilitation Department, Department of Rehabilitation)Medical University of Lodz, Łódź, Poland (Department of Internal Diseases, Rehabilitation and Physical Medicine)Medical University of Lodz, Łódź, Poland (Department of Internal Diseases, Rehabilitation and Physical Medicine)Objectives Cognitive dysfunction is part of the clinical picture of stroke. Most of the executive dysfunctions are diagnosed in the early stage of rehabilitation, a few weeks after the vascular incident. Coexistence of executive dysfunctions with other disorders in stroke patients may hinder patient’s functions, slow down the rehabilitation process, and disrupt self-awareness, interpersonal communication, and professional activity in everyday life. Material and Methods Ninety patients after ischemic stroke were examined (right hemisphere stroke: N = 33, left hemisphere stroke: N = 57). The study group (N = 45) consisted of patients rehabilitated in the Department of Rehabilitation and Physical Medicine of the University Teaching Hospital of the Military Medical Academy in Lodz, Łódź, Poland, in whom a comprehensive neurorehabilitation program was implemented, consisting of motor and neuropsychological rehabilitation. The control group (N = 45) consisted of patients awaiting admission to the department, who were covered by comprehensive environmental rehabilitation including exercise therapy and neuropsychological therapy. Executive function was measured with 3 popular diagnostic tools: the Wisconsin Card Sorting Test (WCST), the Trail Making Test (TMT part A, TMT part B), and the letter test and category test with the Verbal Fluency Test (VFT). The tests were carried out twice: the first time before the start of rehabilitation and 5 weeks later after its completion. Results Although patients with right-hemispheric stroke showed better improvement in executive functions, stroke location did not prove to have significant impact on how effective the rehabilitation was. Conclusions Right hemisphere stroke patients showed greater improvement in restoring executive functions after rehabilitation compared to left hemisphere stroke patients. The location of the stroke did not significantly correlate with the efficiency of the rehabilitation setting. Int J Occup Med Environ Health. 2024;37(4):452–67https://ijomeh.eu/The-impact-of-rehabilitation-on-the-recovery-of-executive-functions-in-stroke-patients,192856,0,2.htmlstrokerehabilitationcognitive dysfunctionexecutive functionneurorehabilitationneuropsychological rehabilitation |
| spellingShingle | Agnieszka Jankowska Olga Hadław-Klimaszewska Jarosław Rakoczy Marta Woldańska-Okońska Robert Irzmański The impact of rehabilitation on the recovery of executive functions in stroke patients with different location of the ischemic focus International Journal of Occupational Medicine and Environmental Health stroke rehabilitation cognitive dysfunction executive function neurorehabilitation neuropsychological rehabilitation |
| title | The impact of rehabilitation on the recovery of executive functions in stroke patients with different location of the ischemic focus |
| title_full | The impact of rehabilitation on the recovery of executive functions in stroke patients with different location of the ischemic focus |
| title_fullStr | The impact of rehabilitation on the recovery of executive functions in stroke patients with different location of the ischemic focus |
| title_full_unstemmed | The impact of rehabilitation on the recovery of executive functions in stroke patients with different location of the ischemic focus |
| title_short | The impact of rehabilitation on the recovery of executive functions in stroke patients with different location of the ischemic focus |
| title_sort | impact of rehabilitation on the recovery of executive functions in stroke patients with different location of the ischemic focus |
| topic | stroke rehabilitation cognitive dysfunction executive function neurorehabilitation neuropsychological rehabilitation |
| url | https://ijomeh.eu/The-impact-of-rehabilitation-on-the-recovery-of-executive-functions-in-stroke-patients,192856,0,2.html |
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