Evidence map›Paper›PMID 30358815›Full record

ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2019

The Relationship Between Cognitive Impairment and Upper Extremity Function in Older Primary Care Patients.

Sarah Seligman Rycroft, Lien T Quach, Rachel E Ward, Mette M Pedersen, Laura Grande, Jonathan F Bean

Abstract read
In one paragraph

Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Sarah Seligman RycroftPsychology Service, VA Boston Healthcare System, Massachusetts.
Lien T QuachNew England Geriatric Research Education and Clinical Center, VA Boston Healthcare System, Massachusetts.
Rachel E WardNew England Geriatric Research Education and Clinical Center, VA Boston Healthcare System, Massachusetts.
Mette M PedersenClinical Research Centre and Physical Medicine & Rehabilitation Research, Copenhagen, Copenhagen University Hospital Hvidovre, Denmark.
Laura GrandePsychology Service, VA Boston Healthcare System, Massachusetts.
Jonathan F BeanNew England Geriatric Research Education and Clinical Center, VA Boston Healthcare System, Massachusetts.

Funding

Developing Rehabilitative Strategies for Disability Prevention in Primary CareR01AG032052 · NIA · SPAULDING REHABILITATION HOSPITAL · PI BEAN, JONATHAN F · 2009 to 2013
$3.2M
A Research Mentoring Program in the Rehabilitative Care of Older AdultsK24HD070966 · NICHD · SPAULDING REHABILITATION HOSPITAL · PI BEAN, JONATHAN F · 2012 to 2016
$793k
NIA NIH HHS R01 AG032052NICHD NIH HHS K24 HD070966
6 · The paper itself

Abstract

backgroundIndividuals with mild cognitive impairment (MCI), often a precursor to dementia, experience limitations in completing daily activities. These limitations are particularly important to understand, as they predict risk for dementia. Relations between functional changes and both cognitive decline and upper extremity motor impairments have been reported, but the contribution of motor function to relations between cognitive function and functional independence remains poorly understood. We examined the relationship between cognition and upper extremity activities, and whether this relation was mediated by motor function.

methodsA total of 430 community-dwelling primary care patients aged at least 65 years from the Boston Rehabilitative Impairment Study of the Elderly completed self-report measures of upper extremity function, tests of neuromuscular attributes to measure motor function (reaction time, pronosupination of the hands), and neuropsychological measures. Participants were classified based on cognitive performance into groups: MCI and without MCI, with MCI further classified by cognitive subtype. Regression and mediation analyses examined group differences and relations between cognitive function, upper extremity function, and neuromuscular attributes.

resultsMCI participants demonstrated poorer neuromuscular attributes and self-reported upper extremity function, and neuromuscular attributes significantly mediated positive relations between cognitive status and self-reported upper extremity function. Poorer self-reported upper extremity function was most prominent for groups with executive dysfunction.

conclusionsTogether with previous research, results suggest that the relationship between cognitive function, motor function, and functional activities is not confined to mobility tasks but universally related to body systems and functional activities. These findings inform new approaches for dementia risk screening and rehabilitative care.

Indexed as

Primary Health CareActivities of Daily LivingAgedAged, 80 and overCognitive DysfunctionCohort StudiesFemaleHumansIndependent LivingMaleMotor ActivitySelf ReportUpper ExtremityCognitive agingFunctional performanceMotor control

Identifiers

PMID30358815
PMCPMC6417442

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.