Research Information System
Karya Journal of Health Science, vol.5, no.1, pp.22-27, 2024 (Peer-Reviewed Journal)
ABSTRACT Objective: Cognitive impairment and loss of upper limb functions
are common after stroke and these two components can influence each other in
anatomical and functional contexts. In this study, it was aimed to examine the
relationship between cognitive level and upper extremity functions in patients
with chronic stroke.
Method: The
study included 39 individuals diagnosed with stroke, in the chronic phase and
with a mean age of 61.33±12.71 years, who were evaluated at Pamukkale
University Hospital. Standardized Mini Mental Test (SMMT) and Stroop Test Basic
Sciences Research Group (TBAG) Form were used to evaluate the cognitive levels
of individuals. Fugl Meyer Upper Extremity Rating Scale, Frenchay Arm Test and
Box-Block Test were used to evaluate upper extremity functions.
Results: When the findings of the study were examined,
statistically significant relationships were found between the Standardized
Mini Mental Test and the Fugl Meyer Upper Extremity Rating Scale, Frenchay Arm
Test and Box-Block Test (p<0.05). Between SMMT and ‘Flexor synergy’ and
‘Normal reflex activity’, which are sub-titles of Fugl Meyer Upper Extremity
Rating Scale a statistically significant correlation was found (p<0.05). In
addition, between the subtitles of the Stroop Test TBAG form ‘Chapter 3 Error’
and the subtitles of the Fugl Meyer Upper Extremity Evaluation Scale ‘Reflex
Activity’; statistically significant relationships were also found between
‘Chapter 2 Correction’ and ‘Reflex activity’, ‘Extensor synergy’ and
‘Non-synergy movement’(p<0.05). No statistically significant correlation was
found between the other parts of the Stroop Test TBAG Form and the scales
assessing upper extremity functions (p>0.05).
Conclusion: The results
obtained from this study show that there is a relationship between the
cognitive level and upper extremity functions in patients with chronic
stroke. More efficiency can be obtained
by taking ocnsider these two components as two components that may affect each
other in the evaluation stages of patients and may help to create more
personalized and successful programs.