Cognitive Recovery Outcome in a 12 Month Quasi-experimental Study Involving Sub-acute Stroke Survivors in Selected Hospitals in Nnewi, Anambra State, Nigeria
Journal Title: Asian Journal of Medicine and Health - Year 2017, Vol 7, Issue 1
Abstract
Background: Studies estimate that up to 85 percent of people who suffer a stroke will have cognitive impairments, including deficits in executive function, attention and working memory. New evidence indicates that exercise exerts its effects on cognition by affecting molecular events related to the management of energy metabolism and synaptic plasticity. Therefore, combining Proprioceptive Neuromuscular Facilitation (PNF) and Task-specific Balance Training (TSBT) to facilitate global cognitive recovery and maintenance on cognitive impaired and non-cognitive impaired sub-acute ischemic stroke subtype with first ever cerebral ischemia was the focus of study. Methods: The study was a 12-month quasi experimental study of cognitive recovery outcome following PNF and TSBT intervention involving 143 stroke survivors in selected hospitals in Nnewi, Nigeria. The ischemic stroke subtypes with first ever cerebral ischemia were recruited using convenience sampling technique after a neuropsychiatric test done under the supervision of a neurologist. About 100 participants that completed the study were allotted into a cognitive impaired group (Cog.) mean age 55.36±10.2 and non-cognitive impaired group (Non-cog.) mean age 50.20± 13. The PNF and TSBT were applied three times a week, 30mins per session, for 12 months. Four research assistants were trained to assist in each treatment session. The outcome measure applied was mini-mental state examination (MMSE) for determining the neuropsychiatric status of participants at baseline and after exercise intervention at 4th month, 8th month and 12th month. Results: The mean MMSE scores was significantly greater than the baseline values for both Cog.: (F (2.232, 109.366) = 68.671, p < 0.001 with large partial eta squared = .584 and Non. Cog.: (F (2.478, 121.409) = 5.787, p < 0.001 with large partial eta squared = .541 Conclusion: There was improvement in global cognitive status of the sub-acute stroke survivors after 12 months PNF and TSBT exercise adapted in this study.
Authors and Affiliations
U. P. Okonkwo, G. C. Okoye, A. O. Ezeukwu, M. J. Nwankwo, V. A. Egwuonwu, O. P. Ibikunle, C. O. Azubike, E. E. Okoye
Keywords
Related Articles
- EP ID EP336879
- DOI 10.9734/AJMAH/2017/36206
- Views 69
- Downloads 0
Plasmid Profile of Multidrug Resistant Bacteria Isolated from Wound Swabs from Hospital Patients in Akure, Nigeria
A total of 347 clinical wound swabs were obtained in Ondo State Specialist Hospital. Isolated pure cultures of bacteria were subjected to various morphology and biochemical tests. The isolates were identified using Berge...
Surveillance of Uterine Myomata Cases in Tradomedical Centres in Benin Metropolis, Nigeria
Aims: The information relating to uteri myomata in tradomedical centres (TMC) in Benin metropolis, Nigeria are lacking compared with the same from modern hospitals. The aim of this study is to assess the patterns of care...
Prevalence of Hypertension among Diabetic Patients in Benghazi: A Study of Associated Factors
Diabetes mellitus (DM) and hypertension are diseases reported to be the first and second leading cause of all deaths in both developed and developing countries, including Libya. Increasing age, the presence of obesity, a...
Plasmid Profile Analysis and Curing of Multidrug-resistant Bacteria Isolated from Two Hospital Environments in Calabar Metropolis, Nigeria
Objective: The objective of this study was to determine the plasmid profile and curing of environmental isolates from General and Infectious Disease hospitals showing multi-drug resistance. Methods: Isolates were obtain...
Aetiology and Outcome of Aki in Benue State University Teaching Hospital Makurdi, Nigeria - A Three (3) Year Review
Background: Acute Kidney Injury (AKI) is a global health problem associated with high morbidity and mortality. Information on the aetiology and outcomes of AKI will help to audit practice and advocate for policies that w...