Correlative study between attention deficits and upper extremity motor dysfunction after stroke

Rasha Hegazy; Maha M. Mokhtar; Elbadawy Ibrahim Elheneidi; Ibrahim Mohamed Hamoda

doi:10.53730/ijhs.v6nS2.6408

Authors

Rasha Hegazy
drrashahegazy@gmail.com
Lecturer, Department of physical therapy for neurology, Faculty of Physical Therapy, Cairo University, Egypt
Maha M. Mokhtar Lecturer, Department of Physical Therapy for Neuromuscular Disorders, Beni Suef University, Beni Suef, Egypt
Elbadawy Ibrahim Elheneidi Lecturer, Department of physical therapy for neurology, Faculty of Physical Therapy, Cairo University, Egypt & Lecturer, Department of Physical Therapy and Health Rehabilitation, college of applied medical sciences, Jouf University, Saudi Arabia
Ibrahim Mohamed Hamoda Lecturer, Department of Physical Therapy for Neurology and its Surgery, Kafr Elshiekh University, Kafr el-Sheikh, Egypt

Keywords:

attention deficits, motor impairment, stroke, upper extremity

Abstract

Background/aim: Motor dysfunction is one of the major byproducts of stroke; however, another domain that is severely affected yet mostly neglected is cognition. It is not certain yet whether a relationship between cognitive impairment (attention) and upper-limb motor impairment is present. The aim of our study was to investigate the correlation between attention deficits with upper limb motor dysfunction after stroke. Material and methods: Sixty stroke survivors were recruited in this correlational study. Upper limb motor function was evaluated by the Upper Limb Functional Index (ULFI). Attention deficits were evaluated by the Mini Mental State Examination (MMSE). For correlation, data were imported into Statistical Package for the Social Sciences (SPSS version 20.0). A result was considered statistically signiﬁcant when p was <0.05. Chi-Square testΧ² was used to test the association variables for categorical data. Results: There was significant correlation between Mini Mental State Examination with motor functions MMSE with ULFI (r=.295*, p=.022). Conclusion: There is a significant correlation between attention deficits and motor dysfunction of the upper extremities in patients after stroke.

Downloads

Download data is not yet available.

References

McGrath, E., Canavan, M., & O’Donnell, M. (2018). Stroke. In Hematology: Basic Principles and Practice (7th ed., pp. 2133–2141). Elsevier. DOI: https://doi.org/10.1016/B978-0-323-35762-3.00145-1

Novitzke, J. (2008). Privation of Memory: What can be done to help stroke patients remember? Journal of Vascular and Interventional Neurology, 1(4), 122–123.

Shim, H. (2014). Vascular Cognitive Impairment and Post-Stroke Cognitive Deficits. Current Neurology and Neuroscience Reports; Philadelphia, 14(1), 418. DOI: https://doi.org/10.1007/s11910-013-0418-4

Arsic, S., Konstantinovic, L., Eminovic, F., Pavlovic, D., Popovic, M. B., & Arsic, V. (2015). Correlation between the Quality of Attention and Cognitive Competence with Motor Action in Stroke Patients [Research Article]. BioMed Research International; Hindawi. DOI: https://doi.org/10.1155/2015/823136

Miller, E. K., & Buschman, T. J. (2013). Cortical Circuits for the Control of Attention. Current Opinion in Neurobiology, 23(2), 216–222. DOI: https://doi.org/10.1016/j.conb.2012.11.011

Murakami, T., Hama, S., Yamashita, H., Onoda, K., Hibino, S., Sato, H., Ogawa, S., Yamawaki, S., & Kurisu, K. (2014, January 28). Neuroanatomic pathway associated with attentional deficits after stroke- ClinicalKey. DOI: https://doi.org/10.1016/j.brainres.2013.11.029

Liu, J., Wang, C., Diao, Q., Qin, W., Cheng, J., & Yu, C. (2018). Connection Disruption Underlying Attention Deficit in Subcortical Stroke. Radiology, 288(1), 186–194. DOI: https://doi.org/10.1148/radiol.2018171730

Barker-Collo, S. L., Feigin, V. L., Lawes, C. M. M., Parag, V., Senior, H., & Rodgers, A. (2009). Reducing Attention Deficits After Stroke Using Attention Process Training. Stroke, 40(10), 3293–3298.

Čengić, L., Vuletić, V., Karlić, M., Dikanović, M., & Demarin, V. (2011). Motor and cognitive impairment after stroke. Acta Clin Croat, 50 (4), 6.

Copeland, J. R. M., Abou-Saleh, M. T., & Blazer, D. G. (Eds.). (2002). Principles and practice of geriatric psychiatry (2nd ed). Wiley. DOI: https://doi.org/10.1002/0470846410

Hill, B. D. (2015). 43—Neuropsychology. 21. DOI: https://doi.org/10.1097/00152193-199108000-00013

Gabel, C. P., Michener, L. A., Melloh, M., & Burkett, B. (2010). Modification of the Upper Limb Functional Index to a Three-point Response Improves Clinimetric Properties. Journal of Hand Therapy, 23(1), 41–52. DOI: https://doi.org/10.1016/j.jht.2009.09.007

Cuesta-Vargas, A. I., & Gabel, P. C. (2013). Cross-cultural adaptation, reliability and validity of the Spanish version of the upper limb functional index. Health and Quality of Life Outcomes, 11(1), 126. DOI: https://doi.org/10.1186/1477-7525-11-126

Stapleton, T., Ashburn, A., & Stack, E. (2001). A pilot study of attention deficits, balance control and falls in the subacute stage following stroke. Clinical Rehabilitation, 15(4), 437– 444. DOI: https://doi.org/10.1191/026921501678310243

Van der Fels, I. M. J., te Wierike, S. C. M., Hartman, E., Elferink-Gemser, M. T., Smith, J., & Visscher, C. (2015). The relationship between motor skills and cognitive skills in 4–16 year old typically developing children: A systematic review. Journal of Science and Medicine in Sport, 18(6), 697–703. DOI: https://doi.org/10.1016/j.jsams.2014.09.007

Prakoso, K., Vitriana, V., & Ong, A. (2016). Correlation between Cognitive Functions and Activity of Daily Living among Post-Stroke Patients. Althea Medical Journal, 3 (3), 329–333. DOI: https://doi.org/10.15850/amj.v3n3.874

Mullick, A. A., Subramanian, S. K., & Levin, M. F. (2015). Emerging evidence of the association between cognitive deficits and arm motor recovery after stroke: A meta-analysis. Restorative Neurology and Neuroscience, 33(3), 389–403. DOI: https://doi.org/10.3233/RNN-150510

Verstraeten, S., Mark, R. E., & Sitskoorn, M. M. (2016). Motor and Cognitive Impairment after Stroke: A Common Bond or a Simultaneous Deficit?

Al-Qazzaz, N. K., Ali, S. H., Ahmad, S. A., Islam, S., & Mohamad, K. (2014). Cognitive impairment and memory dysfunction after a stroke diagnosis: A post-stroke memory assessment. Neuropsychiatric Disease and Treatment, 10, 1677–1691. DOI: https://doi.org/10.2147/NDT.S67184

Barker-Collo, S. L., Feigin, V. L., Lawes, C. M. M., Parag, V., Senior, H., & Rodgers, A. (2009). Reducing Attention Deficits After Stroke Using Attention Process Training. Stroke, 40(10), 3293–3298. DOI: https://doi.org/10.1161/STROKEAHA.109.558239

Spaccavento, S., Marinelli, C. V., Nardulli, R., Macchitella, L., Bivona, U., Piccardi, L., Zoccolotti, P., & Angelelli, P. (2019). Attention Deficits in Stroke Patients: The Role of Lesion Characteristics, Time from Stroke, and Concomitant Neuropsychological Deficits. Behavioural Neurology, 2019.

Veldsman, M., Churilov, L., Werden, E., & Cumming, T. (2016). Physical Activity After Stroke Is Associated With Increased Interhemispheric Connectivity of the Dorsal Attention Network—Michele Veldsman, Leonid Churilov, Emilio Werden, Qi Li, Toby Cumming, Amy Brodtmann, 2017. DOI: https://doi.org/10.1177/1545968316666958

Spaccavento, S., Marinelli, C. V., Nardulli, R., Macchitella, L., Bivona, U., Piccardi, L., Zoccolotti, P., & Angelelli, P. (2019). Attention Deficits in Stroke Patients: The Role of Lesion Characteristics, Time from Stroke, and Concomitant Neuropsychological Deficits. Behavioural Neurology, 2019. DOI: https://doi.org/10.1155/2019/7835710