Article

Post-stroke aphasia makes it difficult to assess cognitive
deficiencies. We thus developed the CASP, which can be administered without using
language. Our objective was to compare the feasibility of the CASP, the Mini
Mental State Examination (MMSE) and the Montreal Cognitive Assessment (MoCA) in
aphasic stroke patients.
METHODS: All aphasic patients consecutively
admitted to seven French rehabilitation units during a 4-month period after a
recent first left hemispheric stroke were assessed with CASP, MMSE and MoCA. We
determined the proportion of patients in whom it was impossible to administer at
least one item from these 3 scales, and compared their administration times.
RESULTS: Forty-four patients were included (age 64+/-15, 26 males). The CASP was
impossible to administer in eight of them (18%), compared with 16 for the MMSE
(36%, P=0.05) and 13 for the MoCA (30%, P=0.21, NS). It was possible to
administer the CASP in all of the patients with expressive aphasia, whereas the
MMSE and the MoCA could not be administered. Administration times were longer for
the CASP (13+/-4min) than for the MMSE (8+/-3min, P<10(-6)) and the MoCA
(11+/-5min, P=0.23, NS). CONCLUSION: The CASP is more feasible than the MMSE and
the MoCA in aphasic stroke patients.
CI - Copyright (c) 2014 Elsevier Masson SAS. All rights reserved.

Langue : ANGLAIS ; FRANCAIS