Retentissement des troubles cognitifs sur la récupération fonctionnelle et autonomie motrice des patients hémiplégiques vasculaires en cours de rééducation

Abstract

ObjectiveTo determine the level of these cognitive disorders and evaluate its impact on motor recovery and autonomy as a function of age and sex. Material and methodWe opted for the descriptive method and conducted a cross-sectional study that consisted in evaluating the impact of cognitive disorders on the functional recovery and autonomy of the 40 patients in post stroke with an average age of 58, 4±10.1 divided according to level of cognitive impairment, age and sex. It was conducted for a period of 3 months from January to March 2018. The Folstein index of motor home (IMD), barthel index and mini mental state examination (MMSE) were used to evaluate the influence of cognitive disorders on functional recovery. ResultsAfter 3 months of evaluation, we found a significant difference between the level of cognitive deterioration and that of autonomy for all patients (P=0.004.) Older patients who had a normal MMSE score had an IMD better than those with mild cognitive impairment (P=0.03) In men, there was a significant difference in levels of motor development between patients at different levels of cognitive impairment (P=0.01). A significant relationship between the level of cognitive deterioration and motor development was noted (P=0.000). The same relationship was observed between the overall MMSE score and IMD (P=0.03). ConclusionIt appears from this study that cognitive disorders have a positive influence on the motor and functional recovery of hemiplegic patients ; however, the disorders had more influence in the lower ages and men.