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Journal of the Korean Academy of Rehabilitation Medicine 1997;21(4):669-678.
The Relationship between Loewenstein Occupational Therapy Cognitive Assessment and Functional Assessments in Brain-Injured Patients.
Kim, Yoon Tae , Kang, Sae Yoon , Choe, Su Jeong
Department of Rehabilitation Medicine, Catholic University Medical College, Korea.
뇌손상 환자에서 Loewenstein Occupational Therapy Cognitive Assessment와 기능적 평가와의 연관성
김윤태, 강세윤, 최수정
가톨릭대학교 의과대학 재활의학교실
Abstract

The Loewenstein Occupational Therapy Cognitive Assessment(LOTCA) battery provides an initial profile of the cognitive abilities of the brain-injured patient that can be used as a starting point for occupational therapy intervention and as a screening test for further assessment. Reliability and validity for the LOTCA have been reported in the literatures. This study investigated the relationship between LOTCA scores and functional assessments in 34 brain-injured patients, consisting of 21 stroke patients and 13 traumatic brain injury patients.

Subjects were administered the LOTCA and, as functional assessment tools, the Cognitive Capacity Screening Examination(CCSE) and the Modified Barthel Index(MBI) upon referral to occupational therapy initially, and again at discharge.

The initial and the last LOTCA scores were significantly related to the initial and the last CCSE scores and the MBI scores, respectively, in brain-injured patients. Each of the last LOTCA scores, CCSE scores, and MBI scores increased significantly compared to the initial scores. There were no significant differences in the initial and the last LOTCA scores, CCSE scores, and MBI scores between stroke patients and traumatic brain injury patients. Greater LOTCA gain was significantly related to greater MBI gain.

These results suggest that the LOTCA battery for brain-injured patients is related not only to cognitive function, but also to functional evaluation as activities of daily living and functional recovery at discharge.

Key Words: Brain injury, Loewenstein Occupational Therapy Cognitive Assessment battery, Cognitive Capacity Screening Examination, Modified Barthel Index


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