Evaluation and significance of cognitive dysfunction after cerebrovascular disease with convalescent rehabilitation. Assessment based on FIM, MMSE and HDS-R

Abstract

To analyze the effectiveness of rehabilitation for patients with cognitive dysfunction after cerebrovascular disease at a rehabilitation hospital. 200 patients with cerebrovascular diseases who underwent rehabilitation were divided into two groups: 128 patients with cognitive dysfunction and 72 patients without cognitive dysfunction. The degree of the impro-vement was analyzed using FIM, MMSE and HDS-R. Cognitive dysfunction was classified in three groups: ①aphasia, ②disorders other than aphasia and ③aphasia + other disorders. The FIM scores (61.1±26.8) of patients with cognitive dysfunction at admission were significantly lower than those (71.5±30.4) of patients without cognitive dysfunction, but conversely, the improvement in FIM scores (24.8±17.5) of patients with cognitive dysfunction at discharge was signifi-cantly higher than that (19.7±14.7) of patients without cognitive dysfunction. Similar results were obtained for MMSE and HDS-R tests, and the improvement in MMSE and HDS-R scores of patients with cognitive dysfunction at discharge was remarkably, significantly higher than those of patients without cognitive dysfunction. The improvement of FIM scores at discharge tended to be lower for patients with aphasia and a FIM score is not enough for the assessment. MMSE and HDS-R can capture changes of cognitive dysfunction, especially aphasia. FIM, MMSE and HDS-R scores were efficient for cognitive dysfunction.

Keywords

• cognitive dysfunction
• higher brain dysfunction
• mini-mental state examination (mmse)
• hasegawa dementia scale-revised (hds-r)