Raw, RK, Wilkie, RM orcid.org/0000-0003-4299-7171, Mon-Williams, M orcid.org/0000-0001-7595-8545 et al. (4 more authors) (2017) Kinematic measures provide useful information after intracranial aneurysm treatment. Journal of Rehabilitation and Assistive Technologies Engineering, 4. pp. 1-11. ISSN 2055-6683
Abstract
Introduction; Current methods of assessing the outcomes of intracranial aneurysm treatment for aneurysmal subarachnoid haemorrhage are relatively insensitive, and thus unlikely to detect subtle deficits. Failures to identify cognitive and motor outcomes of intracranial aneurysm treatment might prevent delivery of optimal post-operative care. There are also concerns over risks associated with using intracranial aneurysm treatment as a preventative measure.
Methods; We explored whether our kinematic tool would yield useful information regarding motor/cognitive function in patients who underwent intracranial aneurysm treatment for aneurysmal subarachnoid haemorrhage or unruptured aneurysm. Computerised kinematic motor and learning tasks were administered alongside standardised clinical outcome measures of cognition and functional ability, in 10 patients, as a pilot trial. Tests at post-intracranial aneurysm treatment discharge and six-week follow-up were compared to see which measures detected changes.
Results; Kinematic tests captured significant improvements from discharge to six-week follow-up, indexed by reduced motor errors and improved learning. Increased Addenbrooke’s Cognitive Examination-Revised scores reflected some recovery of memory function for most individuals, but other standardised cognitive measures, functional outcome scores and a psychological questionnaire showed no changes.
Conclusions; Kinematic measures can identify variation in performance in individuals with only slightly improved abilities post-intracranial aneurysm treatment. These measures may provide a sensitive way to explore post-operative outcomes following intracranial aneurysm treatment, or other similar surgical procedures.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | (c) The Author(s) 2017. This article is distributed under the terms of the Creative Commons Attribution-Non Commercial 4.0 License (http://www. creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage) |
Keywords: | Stroke; Intracranial Aneurysm; Subarachnoid Haemorrhage; Kinematic Analysis; Stroke Rehabilitation |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Psychology (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 25 Oct 2017 13:05 |
Last Modified: | 27 Apr 2018 10:02 |
Status: | Published |
Publisher: | SAGE Publications |
Identification Number: | 10.1177/2055668317744999 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:123045 |