The Cognitive Assessment scale for Stroke Patients (CASP) vs. MMSE and MoCA in non-aphasic hemispheric stroke patients

被引：30

作者：

Benaim, C. ^{[1
,2
,3
]}

Barnay, J. L. ^{[1
]}

Wauquiez, G. ^{[1
]}

Bonnin-Koang, H. Y. ^{[4
]}

Anquetil, C. ^{[4
]}

Perennou, D. ^{[5
,6
]}

Piscicelli, C. ^{[5
]}

Lucas-Pineau, B. ^{[7
]}

Muja, L. ^{[8
]}

le Stunff, E. ^{[8
]}

de Boissezon, X. ^{[9
,10
,11
]}

Terracol, C. ^{[9
]}

Rousseaux, M. ^{[12
]}

Bejot, Y. ^{[13
]}

Antoine, D. ^{[1
]}

Binquet, C. ^{[2
]}

Devilliers, H. ^{[2
]}

机构：

[1] CHU Dijon, Pole Reeducat & Readaptat, 23 Rue Gaffarel, F-21079 Dijon, France

[2] CHU Dijon, Ctr Invest Clin Module Epidemiol Clin CIC1432, INSERM, Dijon, France

[3] INSERM, U1093, Dijon, France

[4] CHU Nimes, Unite Reducat Neurol, Dept MPR, F-30240 La Grau Du Roi, France

[5] CHU Grenoble, Hop Sud, Clin MPR, Inst Reeducat, F-38434 Echirolles, France

[6] Univ Joseph Fourier, Lab TimC CNRS, F-1 Grenoble, France

[7] CRF COS DIVIO, F-21000 Dijon, France

[8] Ctr Hosp Tonnerre, Pole Soins Suites & Readaptat, F-89700 Tonnerre, France

[9] CHU Purpan, Pole Neurosci, F-31059 Toulouse, France

[10] INSERM, Imagerie Cerebrale & Handicaps Neurol, UMR 825, F-31059 Toulouse, France

[11] Univ Toulouse, CHU Purpan, Imagerie Cerebrale & Handicaps Neurol, UMR 825, F-31059 Toulouse, France

[12] CHRU Lille, Hop Swynghedauw, Serv Reeducat Neurol, F-59037 Lille, France

[13] CHU Dijon, Ser Neurol, F-21379 Dijon, France

来源：

ANNALS OF PHYSICAL AND REHABILITATION MEDICINE | 2015年 / 58卷 / 02期

关键词：

Comparison; Feasibility; CASP; MMSE; MoCA;

D O I：

10.1016/j.rehab.2014.12.001

中图分类号：

R49 [康复医学];

学科分类号：

100232 [康复医学];

摘要：

Introduction: CASP specifically assesses post-stroke cognitive impairments. Its items are visual and as such can be administered to patients with severe expressive aphasia. We have previously shown that the CASP was more suitable than the Mini Mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA) in aphasic patients. Our objective was to compare the above scales in non-aphasic stroke patients, and assess to what extent the solely visual items of the CASP were problematic in cases of neurovisual impairments. Methods: Fifty non-aphasic patients admitted to Physical Medicine and Rehabilitation (PM&R) units after a recent left- or right-hemisphere stroke were evaluated with the CASP, MMSE and MoCA. We compared these three scales in terms of feasibility, concordance, and influence of neurovisual impairments on the total score. Results: Twenty-nine men and 21 women were included (mean age 63 +/- 14). For three patients, the MoCa was impossible to administer. It took significantly less time to administer the CASP (10 +/- 5 min) than the MoCA (11 +/- 5 min, P=0.02), yet it still took more time than MMSE administration (7 +/- 3 min, P<10(-6)). Neurovisual impairments affected equally the total scores of the three tests. Concordance between these scores was poor and only the CASP could specifically assess unilateral spatial neglect. Conclusion:The sole visual format of the CASP scale seems suitable for administration in post-stroke patients. (C) 2015 Elsevier Masson SAS. All rights reserved.

引用

页码：78 / 85

页数：8

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