Cognitive performance of people with traumatic spinal cord injury: a cross-sectional study comparing people with subacute and chronic injuries
Autor: | J. P. Serrano, Y. A. Pérez-Borrego, L. Molina, F. J. Alonso, B. Molina, M. I. Ugarte, A. Segura, A. Oliviero |
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Rok vydání: | 2018 |
Předmět: |
Adult
Male 030506 rehabilitation medicine.medical_specialty medicine.medical_treatment Poison control Neuropsychological Tests 03 medical and health sciences Cognition 0302 clinical medicine Physical medicine and rehabilitation Prevalence medicine Humans Cognitive Dysfunction Neuropsychological assessment Effects of sleep deprivation on cognitive performance Spinal cord injury Spinal Cord Injuries Rehabilitation medicine.diagnostic_test business.industry Age Factors Neuropsychology General Medicine Middle Aged medicine.disease Executive functions Cross-Sectional Studies Neurology Chronic Disease Disease Progression Educational Status Female Neurology (clinical) 0305 other medical science business 030217 neurology & neurosurgery |
Zdroj: | Spinal Cord. 56:796-805 |
ISSN: | 1476-5624 1362-4393 |
DOI: | 10.1038/s41393-018-0076-0 |
Popis: | Cross-sectional study. To assess the impact of spinal cord injury (SCI) on cognitive function in individuals with subacute and chronic SCI. National Hospital for SCI patients (Spain). The present investigation was designed to determine the nature, pattern, and extent of cognitive deficits in a group of participants with subacute (n = 32) and chronic (n = 34) SCI, using a comprehensive battery of reliable and validated neuropsychological assessments to study a broad range of cognitive functions. Twenty-seven able-bodied subjects matched to the groups with SCI for age and educational level formed the control group. The neuropsychological assessment showed alterations in the domain of attention, processing speed, memory and learning, executive functions, and in recognition in participants with SCI. The prevalence of cognitive dysfunction in the chronic stage was also confirmed at the individual level. The comparison of the neuropsychological assessment between the groups with subacute and chronic SCI showed a worsening of cognitive functions in those with chronic SCI compared to the group with subacute SCI. In participants with SCI, cognitive dysfunctions are present in the subacute stage and worsen over time. From a clinical point of view, we confirmed the presence of cognitive dysfunction that may interfere with the first stage of rehabilitation which is the most intense and important. Moreover, cognitive dysfunction may be important beyond the end of the first stage of rehabilitation as it can affect an individual’s quality of life and possible integration to society. |
Databáze: | OpenAIRE |
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