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Understanding the Connection between Cognitive Impairment and Mobility: What Can Be Gained from Neuropsychological Assessment?
Joint Authors
Pavol, Marykay A.
Stein, Joel
Kabir, Foyruz M.
Yip, Jonathan
Sorkin, Lyssa Y.
Marshall, Randolph S.
Lazar, Ronald M.
Source
Rehabilitation Research and Practice
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-04-27
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
The ability of neuropsychological tests to predict rehabilitation outcome is unclear, particularly when other ratings of cognition are available.
Neuropsychological test scores and functional ratings of cognition (Functional Independence Measure (FIM) Cognition score) were used to predict improvement in patient mobility and self-care skill, as measured by the FIM Motor score.
Regression models used both raw neuropsychology test scores and age-adjusted scores.
Retrospective chart review was performed for patients on an inpatient rehabilitation unit and referred for neuropsychological assessment.
The group included 126 subjects (average age 64.2 ± 17.1 years) and a variety of medical diagnoses.
Neuropsychological tests included the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS).
After forcing the Admission FIM Cognition score into the model, RBANS scores and duration of rehabilitation predicted FIM Motor improvements (F=11.42, p<0.0001).
Raw neuropsychological test scores performed better than the model with age-adjusted test scores.
FIM Cognition alone did not predict FIM Motor improvements.
Neuropsychological tests, combined with duration of rehabilitation, predicted mobility gains for patients undergoing inpatient rehabilitation beyond what was predicted by another, readily available, assessment of cognition.
Neuropsychology raw scores performed better than age-adjusted scores, raising questions about the standard use of demographic adjustments for predicting real-world function.
American Psychological Association (APA)
Pavol, Marykay A.& Stein, Joel& Kabir, Foyruz M.& Yip, Jonathan& Sorkin, Lyssa Y.& Marshall, Randolph S.…[et al.]. 2017. Understanding the Connection between Cognitive Impairment and Mobility: What Can Be Gained from Neuropsychological Assessment?. Rehabilitation Research and Practice،Vol. 2017, no. 2017, pp.1-7.
https://search.emarefa.net/detail/BIM-1197630
Modern Language Association (MLA)
Pavol, Marykay A.…[et al.]. Understanding the Connection between Cognitive Impairment and Mobility: What Can Be Gained from Neuropsychological Assessment?. Rehabilitation Research and Practice No. 2017 (2017), pp.1-7.
https://search.emarefa.net/detail/BIM-1197630
American Medical Association (AMA)
Pavol, Marykay A.& Stein, Joel& Kabir, Foyruz M.& Yip, Jonathan& Sorkin, Lyssa Y.& Marshall, Randolph S.…[et al.]. Understanding the Connection between Cognitive Impairment and Mobility: What Can Be Gained from Neuropsychological Assessment?. Rehabilitation Research and Practice. 2017. Vol. 2017, no. 2017, pp.1-7.
https://search.emarefa.net/detail/BIM-1197630
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1197630