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- Title
Alterações cognitivas em portadores de doenças crônicas e sua relação com a classificação internacional de funcionalidade, incapacidade e saúde.
- Authors
Malezan Fleig, Tânia Cristina; Rezende Oliveira, Murilo; da Luz Goulart, Cássia; Gonçalves da Silva, Andréa Lúcia
- Abstract
Aim: To analyze the cognitive changes of elderly patients with Chronic Obstructive Pulmonary Disease (COPD), Stroke (CVA) and Alzheimer, and their impact on functionality. Methods: 52 elderly, grouped according to the underlying disease in Group 01 (G1, COPD=21), Group 02 (G2, CVA=10), Group 03 (G3, Alzheimer =21). The mental and cognitive status was assessed using the Mini-Mental State Examination (MMSE) and functionality by the International Classification of Functioning, Disability and Health (ICF), for the components body functions and structures, activities and participation, environmental factors and personal. Results: We found significant differences between G1/G2 to G3 for the variables: total MMSE (G1: 24.8 ± 3.4 vs. G2: 26.3 ± 3.7 vs. G3: 13.1 ± 6.6 p < 0.001), spatial orientation (G1: 9.3 ± 1.0 vs. G2: 9.2 ± 0.9 vs. G3: 3.2 ± 2.5 p < 0.001), attention and calculation (G1: 3.8 ± 1.7 vs G2: 3.8 ± 1.7 vs. G3: 1.3 ± 2.0 p = 0.001), and calculation record (G1: 6.1 ± 2.0 vs. G2: 7.9 ± 1.5 vs. G3: 5.2 ± 1.7 p = 0.018). The simple linear regression model identified that age influences 40% in the general index of the MMSE. Conclusion: Patients with Alzheimer's disease presented significant cognitive impairment compared to patients with COPD and stroke. The MMSE has a direct relationship with all areas of the ICF.
- Subjects
COGNITION disorders diagnosis; AGING; ALZHEIMER'S disease; CHRONIC diseases; HEALTH; OBSTRUCTIVE lung diseases; MEDICAL needs assessment; STROKE; VOCATIONAL rehabilitation; SOCIAL services case management; CONTROL groups; DESCRIPTIVE statistics; DISEASE complications
- Publication
Fisioterapia Brasil, 2017, Vol 18, Issue 6, p687
- ISSN
1518-9740
- Publication type
Article