The Correlation between the domains of montreal cognitive assessment questionnaire - Philippines (MOCA-P) and stroke related factors among patients 3-6 months post-cerebral stoke in tertiary hospitals in Quezon City : a pilot study /

The Correlation between the domains of montreal cognitive assessment questionnaire - Philippines (MOCA-P) and stroke related factors among patients 3-6 months post-cerebral stoke in tertiary hospitals in Quezon City : a pilot study / Angela Joy C. Garcia, Nicole Anne D. Lanuza, Derek Marco S. Lopez, Christine Nicole C. Lumberio, Jericho Alfonso A. Madura, Beverlyn E. Malalad, Mark Randolf H. Mana-ay; Christopher James V. Dimla. - Fairview, Quezon City: School of Physical Therapy, FEU-NRMF, 2020. - 63 pages: illustrations, tables; 28 cm.

Includes appendices and bibliographical references.

Abstract: Stroke comes with immense cognitive impairments which further affect recovery. In clinical settings, self-reports of cognitive impairments are common in the stroke population, yet few studies are conducted in evaluating domain-specific cognition in the post-ischemic stroke population. This pilot study aims to determine the prevalence of cognitive impairment among 3-6 months post-ischemic stroke patients of tertiary hospitals in Quezon City. The researchers performed a pilot study which included thirteen participants who had ischemic cerebral stroke within 3-6 months ages 65 years old or above. A Montreal Cognitive Assessment-Philippines (MoCA-P) was administered to screen the cognitive abilities of the participants which is designed to detect mild cognitive dysfunction. From there, the domains that participants had the most difficulty with were identified as well as the correlation of risk factors to these domains. Thirteen respondents had a score within the range of 18-25 using MoCA-P and were classified to have mild cognitive impairment. Half of the participants fall below 1 standard deviation on domains of attention I and abstraction. A subtest in the visuospatial domain (cube drawing) resulted in marked difficulty in majority of the participants, 11 out of 13 also fell below one standard deviation. Strong correlations between domains were also found wherein performance of one domain has significant impact on another (p<0.001). There were no statistical differences in the participants MoCA-P scores to their sex. There was no statistically significant difference between sex and MoCA-P scores. In addition, there was no correlation between hypertension and sudden numbness or weakness of the face, arm, or leg, especially on one side of the body. It was shown in the descriptive statistics of the MoCA-P cognitive domains that almost half of the total participants (6 out of 13) had difficulty in performing specific tasks related to attention I and abstraction, whereas in the cube subdomain of the visuospatial, they (11 out of 13) had marked difficulty signifying it to be the most affected amongst all cognitive domains. It was also seen that the older the stroke participants is, the lower the score will be. Therefore, elderly 3-6 months post-cerebral stoke patients are more susceptible to mild cognitive impairment.

Thesis - School of Physical Therapy

PT 2020 0003