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Clinical Rehabilitation, Vol. 16, No. 2, 129-136 (2002)
DOI: 10.1191/0269215502cr479oa
© 2002 SAGE Publications

Evaluation of cognitive assessment in stroke rehabilitation

M McKinney

H Blake

K A Treece

N B Lincoln

School of Psychology, University of Nottingham, Nottingham, UK

E D Playfordand

J RF Gladman

Division of Rehabilitation and Ageing, University of Nottingham, Nottingham, UK

Objective: To assess the effect of cognitive assessment on the functional outcome of stroke patients and quality of life for both patients and their carers.

Design: A multicentre, single-blind, randomized controlled trial.

Setting and participants: Two hundred and twenty-eight stroke patients were recruited from hospital wards in three UK centres.

Interventions: Patients were screened for cognitive impairment and randomly allocated to either routine care (116 patients) or routine care plus a detailed cognitive assessment (112 patients).

Main outcome measures: Outcome was assessed three and six months after recruitment by an independent assessor blind to the intervention on Extended ADL, Cognitive Failures Questionnaire, General Health Questionnaire-28 for patients and carers and Carer Strain Index.

Results: There was no signi"cant difference between the two groups in patients’ functional outcome, perceived cognitive ability, level of psychological distress or satisfaction with care. There was a trend for the assessment group to have lower levels of carer strain (p = 0.06).

Conclusions: The provision of information about cognitive assessment in stroke rehabilitation may decrease carer strain.


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