Deans' stroke musings

Changing stroke rehab and research worldwide now.Time is Brain!Just think of all the trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 493 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It's quite disgusting that this information is not available from every stroke association and doctors group.
My back ground story is here:http://oc1dean.blogspot.com/2010/11/my-background-story_8.html

Sunday, July 31, 2016

Differences in cognitive profiles between traumatic brain injury and stroke: a comparison of the Montreal Cognitive Assessment and Mini-Mental State Examination

What is your doctor going to do with this to get you cognitively back to normal?
http://www.sciencedirect.com/science/article/pii/S100812751630219X
Open Access funded by Daping Hospital and the Research Institute of Surgery of the Third Military Medical University
Under a Creative Commons license

Abstract

Purpose

To investigate the profiles of cognitive impairment through Montreal Cognitive Assessment (MoCA) and Mini-Mental State Examination (MMSE) in patients with chronic traumatic brain injury (TBI) or stroke and to evaluate the sensitivity of the two scales in patients with TBI.

Methods

In this cohort study, a total of 230 patients were evaluated, including TBI group (n=103) and stroke group (n=127). The cognitive functions of two groups were evaluated by designated specialists using Moca (Beijing version) and MMSE (Chinese version).

Results

Compared with the patients with stroke, the patients with TBI received significantly lower score in orientation subtest and recall subtest in both tests. MoCA abnormal rates in the TBI group and stroke group were 94% and 87% respectively, while MMSE abnormal rates were 70% and 57%, respectively. In the TBI group, 87% patients with normal MMSE score had abnormal MoCA score and in the stroke group, about 70% patients with normal MMSE score had abnormal MoCA score. The diagnostic consistency of two scales in the TBI group and the stroke group were 72% and 69%, respectively.

Conclusion

In our rehabilitation center, patients with TBI may have more extensive and severe cognitive impairments than patients with stroke, prominently in orientation and recall domain. In screening post-TBI cognitive impairment, MoCA tends to be more sensitive than MMSE.

1 comment:

  1. It never ceases to amaze me that some people who study cognitive impairment can't write clearly. The Results section is incoherent. After reading it several times I found no data about orientation and recall.

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