ГоловнаArchive of numbers2021Volume 29, issue 3 (108)Cognitive and psychoemotional impairment dynamics in patients with hemorrhagic hemispheric stroke at the early rehabilitation stage
Title of the article Cognitive and psychoemotional impairment dynamics in patients with hemorrhagic hemispheric stroke at the early rehabilitation stage
Authors Medvedkova Svitlana
Dronova Anastasiia
In the section MECHANISMS OF FORMATION AND MODERN PRINCIPLES OF TREATMENT OF NEUROLOGICAL DISORDERS
Year 2021 Issue Volume 29, issue 3 (108) Pages 27-31
Type of article Scientific article Index UDK 616.831-005.1-06:616.89-008.44]-085 Index BBK -
Abstract DOI : https://doi.org/10.36927/2079-0325-V29-is3-2021-5

The aim of the study was to establish the dynamics of cognitive and psychoemotional disorders under comprehensive rehabilitation in patients with hemorrhagic hemispheric stroke (HHS) during the recovery period of the disease. 46 patients with HHS during the recovery period (31 males and 15 females) were examined on the 30th, 90th, and 180th day. For this purpose, the following modern clinical scales and tests were used: National Institutes of Health Stroke Scale (NIHSS), Modified Rankin Scale (mRS), Barthel Index (BI), Montreal Cognitive Assessment (MoCA), Mini-Mental State Examination (MMSE), “10 words remembering” test (by Luriya A.), memory self-evaluation scale, State-Trait Anxiety Inventory scale (STAI) and Beck's Depression Inventor (BDI). It was found that 89,13 % of patients with HHS had cognitive impairment. It was also determined signifi‑cant cognitive improvement during the recovery period of the disease. Additionally, the correlation analysis of values on the 30th day of the condition showed the credible impact of the neurological deficit severity by NIHSS on the MMSE, MoCA, and memory self-evaluation scale rates (p < 0.05). As well correlation between neurological impairment and Beck's somatic sings subscale was established (p < 0.05). It was additionally evaluated the impact of neurology deficit level on the BDI overall score (both subscales) on the 180th day of the disease (p < 0.05). It was estimated the age influenced on both the situational anxiety and patient gender on the personal anxiety level (p < 0.05). In addition, it was revealed the impact of lesion location on the presence and severity of depressive disorders (p < 0.05).
Key words hemorrhagic stroke, rehabilitation, cognitive functioning, anxiety, depression.
Access to full text version of the article pdf download
Bibliography 1. Verdelho, A., Wardlaw, J., Pavlovic, A., Pantoni, L., Godefroy, O., Duering, M., Charidimou, A., Chabriat, H., & Biessels, G. J. (2021). Cognitive impairment in patients with cerebrovascular disease: A white paper from the links between stroke ESO Dementia Committee. European stroke journal, 6(1), 5–17. https://doi.org/10.1177/23969873211000258
2. De Luca, R., Leonardi, S., Spadaro, L., Russo, M., Aragona, B., Torrisi, M., Maggio, M. G., Bramanti, A., Naro, A., De Cola, M. C., & Calabrò, R. S. (2018). Improving Cognitive Function in Patients with Stroke: Can Computerized Training Be the Future? Journal of stroke and cerebrovascular diseases: the official journal of National Stroke Association, 27(4), 1055–1060. https://doi.org/10.1016/j.jstrokecerebrovasdis.2017.11.008
3. Delva, M. Y., Delva, I. I., & Lytvynenko, N. V. (2018). Post-stroke fatigue and its dimensions over the second half year after stroke. Wiadomosci lekarskie (Warsaw, Poland : 1960), 71(2 pt 2), 314–317. PMID: 29786577.
4. Sensenbrenner, B., Rouaud, O., Graule-Petot, A., Guillemin, S., Piver, A., Giroud, M., Béjot, Y., & Jacquin-Piques, A. (2020). High Prevalence of Social Cognition Disorders and Mild Cognitive Impairment Long Term After Stroke. Alzheimer disease and associated disorders, 34(1), 72–78. https://doi.org/10.1097/WAD.0000000000000355
5. Noe-Sebastian, E., Balasch-Bernat, M., Colomer-Font, C., Moliner-Munoz, B., Rodriguez Sanchez-Leiva, C., Ugart, P., Llorens, R., & Ferri-Campos, J. (2017). Ictus y discapacidad: estudio longitudinal en pacientes con discapacidad moderada-grave tras un ictus incluidos en un programa de rehabilitacion multidisciplinar [Disability after stroke: a longitudinal study in moderate and severe stroke patients included in a multidisciplinary rehabilitation program]. Revista de Neurologia, 64(9), 385–392.
6. Cumming, T. B., Churilov, L., Collier, J., Donnan, G., Ellery, F., Dewey, H., Langhorne, P., Lindley, R. I., Moodie, M., Thrift, A. G., Bernhardt, J., & AVERT Trial Collaboration group (2019). Early mobilization and quality of life after stroke: Findings from AVERT. Neurology, 93(7), e717–e728. https://doi.org/10.1212/WNL.0000000000007937
7. García-Rudolph, A., García-Molina, A., Cegarra, B., Opisso, E., Saurí, J., Tormos, J. M., & Bernabeu, M. (2021). Subacute ischemic stroke rehabilitation outcomes in working-age adults: The role of aphasia in cognitive functional independence. Topics in stroke rehabilitation, 28(5), 378–389. https://doi.org/10.1080/10749357.2020.1818479
8. Hubacher, M., Calabrese, P., Bassetti, C., Carota, A., Stöcklin, M., & Penner, I. K. (2012). Assessment of post-stroke fatigue: the fatigue scale for motor and cognitive functions. European neurology, 67(6), 377–384. https://doi.org/10.1159/000336736
9. Ilut, S., Stan, A., Blesneag, A., Vacaras, V., Vesa, S., & Fodoreanu, L. (2017). Factors that influence the severity of post-stroke depression. Journal of medicine and life, 10(3), 167–171. PMID: 29075345.
10. Zhang, L., Zhang, T., & Sun, Y. (2019). A newly designed intensive caregiver education program reduces cognitive impairment, anxiety, and depression in patients with acute ischemic stroke. Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologicas, 52(9), e8533. https://doi.org/10.1590/1414-431X20198533
11. Tollár, J., Nagy, F., Csutorás, B., Prontvai, N., Nagy, Z., Török, K., Blényesi, E., Vajda, Z., Farkas, D., Tóth, B. E., Repa, I., Moizs, M., Sipos, D., Kedves, A., Kovács, Á., & Hortobágyi, T. (2021). High Frequency and Intensity Rehabilitation in 641 Subacute Ischemic Stroke Patients. Archives of physical medicine and rehabilitation, 102(1), 9–18. https://doi.org/10.1016/j.apmr.2020.07.012
12. Seo, K. C., Ko, J. Y., Kim, T. U., Lee, S. J., Hyun, J. K., & Kim, S. Y. (2020). Post-stroke Aphasia as a Prognostic Factor for Cognitive and Functional Changes in Patients with Stroke: Ischemic Versus Hemorrhagic. Annals of rehabilitation medicine, 44(3), 171–180. https://doi.org/10.5535/arm.19096
13. Banerjee, G., Summers, M., Chan, E., Wilson, D., Charidimou, A., Cipolotti, L., & Werring, D. J. (2018). Domain-specific characterisation of early cognitive impairment following spontaneous intracerebral haemorrhage. Journal of the neurological sciences, 391, 25–30. https://doi.org/10.1016/j.jns.2018.05.015
14. Andersen, K. K., Olsen, T. S., Dehlendorff, C., & Kammersgaard, L. P. (2009). Hemorrhagic and ischemic strokes compared: stroke severity, mortality, and risk factors. Stroke, 40(6), 2068–2072. https://doi.org/10.1161/STROKEAHA.108.540112
15. Chiu, D., Peterson, L., Elkind, M., Rosand, J., Gerber, L. M., Silverstein, M. D., & Glycine Antagonist in Neuroprotection(GAIN) Americas Trial Investigators (2010). Comparison of outcomes after intracerebral hemorrhage and ischemic stroke. Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 19(3), 225–229. https://doi.org/10.1016/j.jstrokecerebrovasdis.2009.06.002