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Journal of the Korean Academy of Rehabilitation Medicine 2002;26(1):9-13.
Influence of Aphasia on the Cognitive Screening Test in Stroke Patients with Unilateral Cerebral Hemispheric Lesion.
Kwon, Jeong Yi , Kim, Joon Sung , Park, Si Woon , Jang, Soon Ja , Kim, Byung Sik
1Department of Rehabilitation Medicine, College of Medicine, The Catholic University of Korea, Korea. jeong_yi@hotmail.com
2National Rehabilitation Hospital
뇌졸중 환자들에서 실어증이 인지 선별 검사에 미치는 영향
권정이, 김준성, 박시운1, 장순자1, 김병식1
가톨릭대학교 의과대학 재활의학교실, 1국립재활병원 재활의학과

To evaluate the influence of aphasia on the cognitive screening test in stroke patients with unilateral cerebral hemispheric lesions.

We evaluated 51 hemiplegic patients with unilateral cerebral hemispheric lesions using CT or MRI. We divided the subjects into three groups according to the presence of aphasia and motor weakness: right hemiplegic patients with aphasia, right hemiplegic patients without aphasia, and left hemiplegic patients. Functional Independence Measure (FIM), Mini-Mental Status Examination (MMSE) and Neurobehavioral Cognitive Screening (NCSE) Tests were applied in all patients.

No differences were observed in motor FIM scores between three groups. Total FIM and cognitive FIM scores

of the right hemiplegic patients with aphasia were lower than those of the other two groups. MMSE and several sub-items of NCSE (orientation, attention, comprehension, repetition, naming and calculation) showed the same results. But the mean scores of memory, similarity, and judgement items in NCSE were higher in the left hemiplegic patients than the right hemiplegic patients. No differences were observed in the construction score.

All three cognitive screening tests used in this study were remarkably influenced by the ability of the language function of the patients. Lack of adequate items to detect right cerebral hemispheric lesions were also noticed. (J Korean Acad Rehab Med 2002; 26: 9-13)

Key Words: Functional independence measure, Mini-mental status examination, Stroke


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