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Cognitive-physical-functional correlates in chronic brain injury: a pilot study Cover

Cognitive-physical-functional correlates in chronic brain injury: a pilot study

Open Access
|Dec 2022

Figures & Tables

Cognitive, physical, and functional assessments

Cognitive Assessments
DomainMeasure: brief description
Reasoning, Concept formation
  • Number Series: The examinee is presented with a series of numbers with one number missing. The examinee must determine the missing number.

  • Concept Formation: The examinee is presented with a complete stimulus set from which to derive a rule for each item. Except on the last several items, the examinee is given immediate feedback regarding the correctness of each response before a new item is presented, thus providing a controlled learning task.

Attention and Working Memory
  • Verbal attention: The task requires the examinee to listen to an intermingled series of animals and digits presented on the audio recording. The examinee is asked to answer a specific question regarding the sequence.

  • Object number sequencing: The examinee is asked to listen to a series of digits and words on the audio recording, such as “dog, 1 shoe, 8, 2, apple.” The examinee is asked to answer a specific question regarding the sequence – for example: “Say the animal that came before the 5.

Fluency
  • Rapid picture naming: The examinee names a series of stimulus pictures in a 2-minute period (verbal fluency).

  • Retrieval fluency: The examines names as many examples as possible from a given category within a 1 minute time period (e.g. things to eat or drink).

Memory
  • Story recall: The test requires the examinee to recall increasingly complex stories that are presented from an audio recording. After listening to a passage, the individual is asked to recall as many details of the story as he or she can remember.

Learning, Associative Memory
  • Visual auditory learning: The examinee is asked to learn, store, and retrieve a series of visual-auditory associations (rebuses) that are eventually combined into phrases of increasing length and complexity.

Processing Speed
  • Pair cancellation: In a 3-minute time period, the examinee is asked to locate and mark a repeated pattern as quickly as possible. This task provides information about interference control, sustained attention, and processing speed.


Physical Assessments

DomainMeasure: brief description
Gait• The FGA: Assesses postural stability during various walking tasks [15].
Balance• The BBS: A 14-item objective measure designed to assess static balance and fall risk in adult populations [16].
Mobility• The CBMS: Detects ‘high level’ balance and mobility deficits based on tasks that are commonly encountered in community environments [17].
Muscle strength• The MMT: Is a standardized set of assessments that measure muscle strength and function [18].

Functional Assessments

DomainMeasure: brief description
Daily life activities• The BI: Assesses the ability of an individual with a neuromuscular or musculoskeletal disorder to care for him/herself [19]. The CIQ : Self-report of a general overview of an individual's functioning based on responses to 15 questions related to participation in activities at home, social, and education or vocation settings., and productivity [20].
Life satisfactionThe SWLS: A five-question questionnaire that asks to rate overall satisfaction on a scale of 1 (strongly disagree) to 7 (strongly agree) [21].

Correlation between physical and functional performances by injury type

Stroke (N = 5)TBI (N = 4)

VariableCBMSFGBBSCBMSFGBBS
CIQ-total.359.359.342−.500−.316−.400
BI.051.051.789<.001<.001.258
SWLS<.001<.001.564<.001<.001.738

Descriptive measures of the participant sample

N%
Gender

Female635.3
Male1164.7

Injury type

Stroke847.1
TBI952.9

NMSDMedian

Age1744.6615.0248.83
Time since injury176.535.824.33

Descriptive statistics on outcome measures

Continuous variableNMSDMedianMinMax
Cognitive performance

Number Series1099.2012.93103.5074.00115.00
Verbal Attention1095.2018.21101.0071.00123.00
Story Recall1081.3031.1693.5040.00117.00
Concept Formation1094.8020.6588.5069.00127.00
Visual Audi Learning974.6716.8974.0050.00104.00
Object Num Seq1196.0920.75100.0049.00117.00
Pair Cancellation1161.8213.0164.0040.0080.00
Rapid Pic Naming1170.2714.5572.0049.0093.00
Retrieval fluency1169.0918.8972.0040.0093.00

Physical performance

CBMS831.5025.6727.00.0080.00
FGA917.678.1217.005.0029.00
BBS947.116.8647.0034.0056.00

Functional performance

CIQ-Home174.542.195.001.258.75
CIQ-Social177.062.778.003.0010.00
CIQ-Productivity174.120.704.003.005.00
CIQ-total1715.723.5416.5010.2521.50
BI1795.126.3295.0078.00100.00
SWLS1719.717.5821.008.0033.00

Correlation of cognitive scores with physical and functional performances in the overall sample

Physical (N = 4−6)Functional (N = 9−11)

CBMFGABBSCIQ_totalCIQ_HCIQ_SlCIQ_PBISWLS
Number Series−0.4−0.56−0.70.30.310.030.16−0.07−0.26
Verbal Attention−0.2−0.410.10.04−0.070.040.240.210.19
Story Recall−0.10.26−0.56−0.29−0.22−0.320.590.01−0.02
Concept Formation−1**0.15−0.4−0.260.04−0.520.68*−0.190.35
Visual Audi Learning0.9*0.230.03−0.28−0.490.030.06−0.320.17
Object Num Seq0.5−0.12−0.430−0.020.060.090.35−0.14
Pair Cancellation−0.9*−0.40.310.130.050.080.320.2−0.08
Rapid Pic Naming−0.6−0.290.31−0.12−0.290.10.210.22−0.17
Retrieval Fluency−0.20.58−0.09−0.230.02−0.460.530.01−0.12
Language: English
Page range: 33 - 39
Submitted on: Oct 19, 2022
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Accepted on: Dec 12, 2022
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Published on: Dec 19, 2022
In partnership with: Paradigm Publishing Services

© 2022 Asha K Vas, Stephen Spees, Wanyi Wang, Keatyn Chambers, published by University of Physical Education in Warsaw
This work is licensed under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License.