The Cognitive Assessment scale for Stroke Patients (CASP) vs. MMSE and MoCA in non-aphasic hemispheric stroke patients - 14/04/15

Doi : 10.1016/j.rehab.2014.12.001

C. Benaim ^a,^b,^c,^⁎ , J.L. Barnay ^a, G. Wauquiez ^a, H.Y. Bonnin-Koang ^d , C. Anquetil ^d, D. Pérennou ^e,^f , C. Piscicelli ^e, B. Lucas-Pineau ^g , L. Muja ^h , E. le Stunff ^h, X. de Boissezon ^i,^j,^k , C. Terracol ⁱ, M. Rousseaux ^l , Y. Bejot ^m , D. Antoine ^a, C. Binquet ^b, H. Devilliers ^b
^a Pôle de rééducation et réadaptation, CHU de Dijon, 23, rue Gaffarel, 21079 Dijon, France
^b Inserm, centre d’investigation clinique, module épidémiologie clinique (CIC1432), CHU de Dijon, Dijon, France
^c Inserm, U1093, Dijon, France
^d Département de MPR, unité de rééducation neurologique, CHU de Nîmes, 30240 Le Grau-du-Roi, France
^e Institut de rééducation, clinique MPR, hôpital sud, CHU de Grenoble, BP 338, avenue de Kimberley, 38434 Echirolles, France
^f Laboratoire TimC CNRS, université Joseph-Fourier, Grenoble 1, France
^g CRF COS DIVIO, 12, rue Saint-Vincent-de-Paul, 21000 Dijon, France
^h Pôle de soins de suites et de réadaptation, centre hospitalier Tonnerre, chemin des Jumeriaux, 89700 Tonnerre, France
ⁱ Pole neurosciences, CHU Purpan, place du Dr-Baylac, 31059 Toulouse, France
^j Inserm, imagerie cérébrale et handicaps neurologiques UMR 825, 31059 Toulouse, France
^k Imagerie cérébrale et handicaps neurologiques UMR 825, université de Toulouse, CHU Purpan, place du Dr-Baylac, 31059 Toulouse, France
^l Service de rééducation neurologique, hôpital Swynghedauw, CHRU de Lille, 59037 Lille, France
^m Service de neurologie, CHU de Dijon, 1, boulevard Jeanne-d’Arc, 21379 Dijon, France

^⁎Corresponding author at: Pôle de rééducation et réadaptation, CHU de Dijon, 23, rue Gaffarel, 21079 Dijon, France. Tel.: +33 3 80 29 33 71.

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Abstract

Introduction

CASP specifically assesses post-stroke cognitive impairments. Its items are visual and as such can be administered to patients with severe expressive aphasia. We have previously shown that the CASP was more suitable than the Mini Mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA) in aphasic patients. Our objective was to compare the above scales in non-aphasic stroke patients, and assess to what extent the solely visual items of the CASP were problematic in cases of neurovisual impairments.

Methods

Fifty non-aphasic patients admitted to Physical Medicine and Rehabilitation (PM&R) units after a recent left- or right-hemisphere stroke were evaluated with the CASP, MMSE and MoCA. We compared these three scales in terms of feasibility, concordance, and influence of neurovisual impairments on the total score.

Results

Twenty-nine men and 21 women were included (mean age 63±14). For three patients, the MoCa was impossible to administer. It took significantly less time to administer the CASP (10±5min) than the MoCA (11±5min, P=0.02), yet it still took more time than MMSE administration (7±3min, P<10⁻⁶). Neurovisual impairments affected equally the total scores of the three tests. Concordance between these scores was poor and only the CASP could specifically assess unilateral spatial neglect.

Conclusion

The sole visual format of the CASP scale seems suitable for administration in post-stroke patients.

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Keywords : Comparison, Feasibility, CASP, MMSE, MoCA

Plan

Administration of the three tests

Collected data

Data treatment

Results

Administration of the three batteries

Influence of neurovisual disorders on total scores’ performance (outside of neurovisual items)

Relationship between the scores of the three batteries

Information yielded by the line bisection test (CASP6)

Discussion

Conclusion

Disclosure of interest

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Vol 58 - N° 2

P. 78-85 - avril 2015 Retour au numéro

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The Cognitive Assessment scale for Stroke Patients (CASP) vs. MMSE and MoCA in non-aphasic hemispheric stroke patients - 14/04/15

Abstract

Introduction

Methods

Results

Conclusion

Plan

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