Thesis (M.Sc.) - Cairo University - Faculty of Physical Therapy - Department of Physical Therapy For Neuromuscular and Neurosurgery

Background: Screening tests are necessary tools in detecting post-stroke cognitive dysfunction. Montreal cognitive assessment is a sensitive scale for cognitive impairment. However, assessing its capability for detecting patient improvement after cognitive training is still unknown. Purpose: The study was conducted to examine montreal cognitive assessment capability for detecting patient improvement after cognitive rehabilitation in stroke patients. Methods: Forty right sided Egyptian male stroke patients participated in the study. They were evaluated through using montreal cognitive assessment (MoCA) and computer-based cognitive assessment device (RehaCom) before, after cognitive training and after three months as a follow up. Cognitive training was performed by RehaCom system for six weeks, three sessions every other day. Data were collected using the RehaCom system and MoCA scale. Results: It was revealed that RehaCom training significantly improved patient executive functions and working memory. The result revealed also that the mean values of RehaCom percentage of improvements are significantly higher than mean values of MoCA percentage of improvements. Conclusion: Montreal cognitive assessment has a lower capability than RehaCom device for evaluating patient progression after Cognitive Rehabilitation in stroke patients

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