Stroke Clinical Trial
After a CVA, all of the cognitive functions can be affected and analysed, but the presence of
a language disorder may considerably hamper the evaluation of other functions.
The battery of rapid tests to screen for and quantify cognitive disorders, including the
MMSE, the MOCA, the R-CAMCOG or the RBANS, are not suitable for aphasic patients because they
contain items with a strictly verbal response. Because of this, inexperienced doctors cannot
evaluate higher functions (other than language) of aphasics in routine practice. For the same
reason, aphasics are regularly excluded from post-cva therapeutic protocols, whether or not
the trial bears on the evolution of cognitive functions.
Nonetheless, it is possible to evaluate, at least roughly, all of the cognitive functions
without resorting to language.
The investigator have developed , from validated tests and classical clinical manoeuvers, the
Cognitive Assessment for Stroke Patients (CASP) :
- for the rapid screening (less than 15 minutes) and quantification of post-cva cognitive
disorders (6 functions: language, apraxia, short-term memory, temporal orientation,
impaired spatial/visio-construction and executive functions);
- the CASP can be used in most patients, including those with severe disorders of
expression and moderate problems with comprehension, The format of these tests has been
adapted so that severe disorders of expression (essentially left-hemisphere CVA), and
left spatial impairment (right-hemisphere CVA) do not affect the ability to take the
test. Its validity in terms of appearance and content were verified in 2011.
n/a
| Status | Clinical Trial | Phase | |
|---|---|---|---|
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||
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