Observational studyArchives of physical medicine and rehabilitation2020
Subgroups Defined by the Montreal Cognitive Assessment Differ in Functional Gain During Acute Inpatient Stroke Rehabilitation.
Observational study in Archives of physical medicine and rehabilitation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 12 papers.
What it found
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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.
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.
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Who cites it
12 citing papers in PubMed, 23 citations in OpenAlex.
- Intradialytic Cognitive and Aerobic Exercise Training to Preserve Cognitive Function: IMPCT, a Multi-Dialysis Center 2 × 2 Factorial Block-Randomized Controlled Trial.American journal of nephrology · 2026Trial
- A prospective cohort study on longitudinal trajectories of cognitive function after stroke.Scientific reports · 2021Trial
- Evaluating cognitive impairment among a geriatric population in India using the Indian Council of Medical Research (ICMR)-multilingual dementia research and assessment (MUDRA) toolbox.Indian journal of psychiatry · 2025Article
- Impact of treatment modality on cognition in older adults with type 2 diabetes mellitus.Journal of family medicine and primary care · 2025Article
- Cognitive Correlates of a Large Time Differential between Timed Up and Go and Gait Speed during In-Patient Stroke Rehabilitation.Physiotherapy Canada. Physiotherapie Canada · 2025Article
- Association of Temporalis Muscle Mass with Early Cognitive Impairment in Older Patients with Acute Ischemic Stroke.Journal of clinical medicine · 2023Article
- The impact of cognitive function deficits and their recovery on functional outcome in subjects affected by ischemic subacute stroke: results from the Italian multicenter longitudinal study CogniReMo.European journal of physical and rehabilitation medicine · 2023Observational
- A Silver Lining of Neuropathic Pain: Predicting Favorable Functional Outcome in Spinal Cord Injury.Journal of pain research · 2023Article
- COMIRESTROKE-A clinical study protocol for monitoring clinical effect and molecular biological readouts ofFrontiers in neurology · 2022Article
- Cognitive Impairment and Its Associated Factors in Older Adults Living in High and Low Altitude Areas: A Comparative Study.Frontiers in psychiatry · 2022Article
- Cognitive Demands Influence Upper Extremity Motor Performance During Recovery From Acute Stroke.Neurology · 2021Article
- Impaired Performance on a Cognitively-Based Instrumental Activities of Daily Living Task, the 10-Item Weekly Calendar Planning Activity, in Individuals With Stroke Undergoing Acute Inpatient Rehabilitation.Frontiers in neurology · 2021Article
Corrections and comments
- Erratum issuedCorrection.2020
Authors and funding
4 authors at 4 institutions in 1 country.
Funding
Abstract
objectiveTo validate subgroups of cognitive impairment on the Montreal Cognitive Assessment (MoCA)-defined as normal (score of 25-30), mildly impaired (score of 20-24), and moderately impaired (score less than 19)-by determining whether they differ in rehabilitation gain during inpatient stroke rehabilitation.
designObservational study. Linear regression models were conducted and predictors included MoCA subgroups and relevant baseline demographic and clinical covariates. Separate models included the cognitive subscale of the FIM instrument as a predictor.
settingInpatient rehabilitation facility of an urban, academic medical center.
participantsInpatients (N=334) with mild-moderate strokes who were administered the MoCA on admission.
interventionsNot applicable.
main outcome measuresThe mean relative functional gain (mRFG) and mean relative functional efficiency (mRFE, which adjusts for length of stay) on the FIM total.
resultsMoCA subgroups significantly predicted mRFG and mRFE after accounting for age, sex, education, stroke severity, and recurrent vs first stroke. The normal group exhibited greater mRFG and mRFE than the mildly impaired group, while the moderately impaired group had significantly worse mRFG and mRFE than the mildly impaired group. The moderately impaired group had a significantly smaller proportion of individuals who made a clinically meaningful change on the total-FIM than the mildly impaired and normal groups. MoCA subgroups better accounted for mRFG and mRFE than a standard-of-care cognitive assessment (cognitive-FIM).
conclusionsUse of MoCA-defined subgroups can assist providers in predicting functional gain in survivors of stroke being treated in inpatient rehabilitation.
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Registered trials
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.