{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T04:38:31Z","timestamp":1760243911185,"version":"build-2065373602"},"reference-count":39,"publisher":"MDPI AG","issue":"19","license":[{"start":{"date-parts":[[2022,9,25]],"date-time":"2022-09-25T00:00:00Z","timestamp":1664064000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Background: In patients after experiencing stroke, the cognitive-behavioral deficits and disorders of verbal communication limit the effectiveness of rehabilitation. The key is to diagnose them at an early stage of rehabilitation and to implement appropriate psychological and speech therapy. Objective: Identify differences in the frequency and effectiveness of cognitive-behavioral disorder therapy depending on the clinical type of stroke, assessed before and after rehabilitation treatment, and their presentation using the ICF (International Classification of Functioning, Disability, and Health) classification. Materials and Methods: The study was prospective and included the analysis of cognitive-behavioral and verbal communication disorders. The study consisted of 47 patients after intracerebral hemorrhage (ICH) and 47 patients after an ischemic stroke (IS) before the implementation of rehabilitation and after completing a 4-week rehabilitation. Results: In the group after ICH, psychological therapy significantly reduced the disturbances of consciousness and orientation (p &lt; 0.001) and improved the speed of performing tasks in tests (p &lt; 0.001). In patients after IS and ICH, memory and attention function improved significantly (p &lt; 0.001). Moreover, in patients after ICH, language function deficits decreased significantly (p = 0.018). Mood disturbances were maintained in 17% of patients after ICH and 40% of patients after IS (p = 0.007). Speech therapy reduced speech articulation disorders and aphasia in 85% of patients after ICH (p = 0.001) and in 68% of patients after IS (p = 0.033). Conclusions: The frequency and type of cognitive-behavioral and verbal communication disorders vary depending on the history of ICH or IS. The ICF classification may be useful in assessing and analyzing cognitive-behavioral and verbal communication disorders, which may lead to the implementation of appropriate psychological and speech therapy at an early stage of rehabilitation and increase the effectiveness of the therapy.<\/jats:p>","DOI":"10.3390\/ijerph191912127","type":"journal-article","created":{"date-parts":[[2022,9,25]],"date-time":"2022-09-25T23:13:27Z","timestamp":1664147607000},"page":"12127","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Use of the ICF Classification Sheet to Assess Cognitive-Behavioral Disorders and Verbal Communication in Patients after Ischemic and Hemorrhagic Stroke during Rehabilitation"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8248-2247","authenticated-orcid":false,"given":"Ewa","family":"Lucka","sequence":"first","affiliation":[{"name":"Department of Rehabilitation and Physiotherapy, University of Medical Sciences, 28 Czerwca 1956 Str., No 135\/147, 60-545 Pozna\u0144, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6788-6067","authenticated-orcid":false,"given":"Mateusz","family":"Lucki","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation and Physiotherapy, University of Medical Sciences, 28 Czerwca 1956 Str., No 135\/147, 60-545 Pozna\u0144, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5492-9558","authenticated-orcid":false,"given":"Marcin","family":"Cybulski","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology, University of Medical Sciences, Bukowska 70 Str., 60-812 Pozna\u0144, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Przemys\u0142aw","family":"Daroszewski","sequence":"additional","affiliation":[{"name":"Department of Organization and Management in Healthcare, University of Medical Sciences, 60-545 Pozna\u0144, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3551-7347","authenticated-orcid":false,"given":"Przemys\u0142aw","family":"Lisi\u0144ski","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation and Physiotherapy, University of Medical Sciences, 28 Czerwca 1956 Str., No 135\/147, 60-545 Pozna\u0144, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,9,25]]},"reference":[{"key":"ref_1","unstructured":"Eurostat (2016, July 31). Causes of Death in 2013, Pressrelease, 91\/2016\u20134 May 2016. Available online: https:\/\/ec.europa.eu\/eurostat\/documents\/2995521\/7247552\/3-04052016-BP-EN.pdf\/fd9d9755-e9d0-4389-a0e8-8fa879efa375."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"552","DOI":"10.5114\/aoms.2016.59928","article-title":"Improvement of survival in Polish stroke patients is related to reduced stroke severity and better control of risk Factors: The Krakow Stroke Database","volume":"12","author":"Swarowska","year":"2016","journal-title":"Arch. Med. Sci."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1712","DOI":"10.1161\/STROKEAHA.110.606277","article-title":"Is the Montreal Cognitive Assessment superior to the Mini-Mental State Examination to detect poststrokecognitive impairment? A study with neuropsychological evaluation","volume":"42","author":"Godefroy","year":"2011","journal-title":"Stroke"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"519","DOI":"10.1016\/j.apmr.2010.11.015","article-title":"Evidence-based cognitive rehabilitation: Updated review of the literature from 2003 through 2008","volume":"92","author":"Cicerone","year":"2011","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1191\/0269215503cr596oa","article-title":"Natural history of cognitive impairment after stroke and factors associated with its recovery","volume":"17","author":"Pater","year":"2003","journal-title":"Clin. Rehabil."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1252","DOI":"10.1161\/CIRCRESAHA.122.319951","article-title":"Post-Stroke Cognitive Impairment and Dementia","volume":"130","author":"Rost","year":"2022","journal-title":"Circ. Res."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"358","DOI":"10.1161\/01.STR.25.2.358","article-title":"Medical and neurological complications during inpatient stroke rehabilitation","volume":"25","author":"Dromerick","year":"1994","journal-title":"Stroke"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"987","DOI":"10.1161\/01.STR.0000062343.64383.D0","article-title":"Intensity of aphasia therapy, impact on recovery","volume":"34","author":"Bhogal","year":"2003","journal-title":"Stroke"},{"key":"ref_9","unstructured":"World Health Organization (2020, January 01). International Classification of Diseases (ICD-10). Available online: http:\/\/www.who.int\/classifications\/icd\/en\/."},{"key":"ref_10","first-page":"178","article-title":"A comparison of five stroke scales with measures of disability, handicap, and quality of life","volume":"24","author":"Horn","year":"1993","journal-title":"Stroke"},{"key":"ref_11","first-page":"37","article-title":"Por\u00f3wnanie skal uszkodzenia stosowanych w ocenie pacjent\u00f3w po udarze m\u00f3zgu","volume":"13","author":"Brola","year":"1999","journal-title":"Post\u0119py Rehabil."},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Prodinger, B., Stucki, G., Coenen, M., and Tennant, A. (2017). The measurement of functioning using the International Classification of Functioning, Disability and Health: Comparing qualifier ratings with existing health status instruments. Disabil. Rehabil., 1\u20138.","DOI":"10.1080\/09638288.2017.1381186"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1665","DOI":"10.1589\/jpts.27.1665","article-title":"Evaluation of post-stroke functionality based on the International Classification of Functioning, Disability, and Health: A proposal for use of assessment tools","volume":"27","author":"Silva","year":"2015","journal-title":"J. Phys. Ther. Sci."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"551","DOI":"10.3109\/09638280903186335","article-title":"Functioning of stroke survivors\u2014A validation of the ICF core set for stroke in Sweden","volume":"32","author":"Sunnerhagen","year":"2010","journal-title":"Disabil. Rehabil."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"16","DOI":"10.23736\/S1973-9087.21.06706-X","article-title":"Functional profiles derived from the ICF Generic set and the responsiveness and validity of the Generic-6 set\u2019s Functioning score among persons after stroke","volume":"58","author":"Jonsdottir","year":"2022","journal-title":"Eur. J. Phys. Rehabil. Med."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"1920","DOI":"10.1161\/01.ATV.0000229694.97827.38","article-title":"Genetic Risk for Ischemic and Hemorrhagic Stroke","volume":"26","author":"Yamada","year":"2006","journal-title":"Arterioscler. Thromb. Vasc. Biol."},{"key":"ref_17","first-page":"436125","article-title":"The Incidence, Prevalence, and Mortality of Stroke in France, Germany, Italy, Spain, the UK and the US: A Literature Review","volume":"2012","author":"Zhang","year":"2012","journal-title":"Stroke Res. Treat."},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Perin, C., Bolis, M., Limonta, M., Meroni, R., Ostasiewicz, K., Cornaggia, C.M., Alouche, S.R., da Silva Matuti, G., Cerri, C.G., and Piscitelli, D. (2020). Differences in Rehabilitation Needs after Stroke: A Similarity Analysis on the ICF Core Set for Stroke. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17124291"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"183","DOI":"10.3988\/jcn.2010.6.4.183","article-title":"Gender differences in the functional recovery after acute stroke","volume":"6","author":"Kim","year":"2010","journal-title":"J. Clin. Neurol."},{"key":"ref_20","first-page":"A13","article-title":"Sex differences in stroke recovery","volume":"2","author":"Lai","year":"2005","journal-title":"Prev. Chronic Dis."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"779","DOI":"10.1002\/pmrj.12660","article-title":"Sex differences in the outcomes of adults admitted to inpatient rehabilitation after stroke","volume":"14","author":"MacDonald","year":"2021","journal-title":"PM&R"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"823","DOI":"10.1080\/09638280500534861","article-title":"Impact of intensity of practice after stroke: Issues for consideration","volume":"28","author":"Kwakkel","year":"2006","journal-title":"Disabil. Rehabil."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1097\/00002060-199605000-00004","article-title":"Functional outcome of hemorrhagic and nonhemorrhagic stroke patients after in-patient rehabilitation","volume":"75","author":"Chae","year":"1996","journal-title":"Am. J. Phys. Med. Rehabil."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"2861","DOI":"10.1161\/01.STR.0000102902.39759.D3","article-title":"Functional outcome of ischemic and hemorrhagic stroke patients after inpatient rehabilitation: A matched comparison","volume":"34","author":"Paolucci","year":"2003","journal-title":"Stroke"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"1700","DOI":"10.1161\/STROKEAHA.121.034218","article-title":"Rehabilitation of Cognitive Deficits Poststroke: Systematic Review and Meta-Analysis of Randomized Controlled Trials","volume":"53","author":"Leahy","year":"2022","journal-title":"Stroke"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1007\/s00415-012-6625-0","article-title":"Domain-specific trends in cognitive impairment after acute ischaemic stroke","volume":"260","author":"Hurford","year":"2013","journal-title":"J. Neurol."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1111\/j.1747-4949.2012.00972.x","article-title":"Stroke, cognitive deficits, and rehabilitation: Still an incomplete picture","volume":"8","author":"Cumming","year":"2013","journal-title":"Int. J. Stroke"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1075","DOI":"10.1136\/jnnp.2004.055541","article-title":"Cognitive performance after first ever stroke related to progression of vascular brain damage; a 2 year follow up CT scan study","volume":"76","author":"Rasquin","year":"2005","journal-title":"J. Neurol. Neurosurg. Psychiatry"},{"key":"ref_29","first-page":"833","article-title":"The prognostic effects of post stroke cognitive impairment no dementia and domain-specific cognitive impairments in nondisabled ischemic stroke patients","volume":"42","author":"Narasimahalu","year":"2011","journal-title":"Stroke"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1037\/0090-5550.48.1.14","article-title":"Cognitive screening in geriatric rehabilitation","volume":"48","author":"Ruchinskas","year":"2003","journal-title":"Rehabil. Psychol."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1097\/JGP.0b013e3180590bca","article-title":"Rates of depression at 3 and 15 months post stroke and their relationship with cognitive decline: The Sydney Stroke Study","volume":"15","author":"Brodaty","year":"2007","journal-title":"Am. J. Geriatr. Psychiatry"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1161\/01.STR.0000069161.35736.39","article-title":"Increased risk of cognitive impairment 3 months after mild to moderate first-ever stroke: A community-based prospective study of nonaphasic English-speaking survivors","volume":"34","author":"Srikanth","year":"2003","journal-title":"Stroke"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"246","DOI":"10.1097\/MRR.0000000000000235","article-title":"Responsiveness of the functioning and disability parts of the International Classification of Functioning, Disability, and Health core sets in postacute stroke patients","volume":"40","author":"Kinoshita","year":"2017","journal-title":"Int. J. Rehabil. Res."},{"key":"ref_34","unstructured":"Bickenbach, J., Cieza, S., Rauch, S., and Stucki, G. (2012). ICF Core Sets Manual for Clinical Practice, Hogrefe."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"1397","DOI":"10.3109\/09638281003611037","article-title":"Validation of the International Classification of Functioning Disability and Health framework using multidimensional item response modeling","volume":"32","author":"Ewert","year":"2010","journal-title":"Disabil. Rehabil."},{"key":"ref_36","first-page":"9","article-title":"Development of ICF Core Sets for patients with chronic Condition","volume":"44","author":"Cieza","year":"2004","journal-title":"J. Rehabil. Med."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"1475","DOI":"10.1080\/09638280601129181","article-title":"Two steps forward, one step back? A commentary on the disease-specific core sets of the International Classification of Functioning, Disability and Health (ICF)","volume":"29","author":"McIntyre","year":"2007","journal-title":"Disabil. Rehabil."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"1763","DOI":"10.1016\/j.apmr.2018.03.002","article-title":"Conceptual Underpinnings of the Quality of Life in Neurological Disorders (Neuro QoL): Comparisons of Core Sets for Stroke, Multiple Sclerosis, Spinal Cord Injury, and Traumatic Brain Injury","volume":"99","author":"Wong","year":"2018","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"805","DOI":"10.2340\/16501977-1062","article-title":"International Society of Physical and Rehabilitation Medicine, Sub-Committee Implementation of the ICF Practipications of the Sao Paulo","volume":"10","author":"Kohler","year":"2012","journal-title":"J. Rehabil. Med."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/19\/12127\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T00:39:11Z","timestamp":1760143151000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/19\/12127"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9,25]]},"references-count":39,"journal-issue":{"issue":"19","published-online":{"date-parts":[[2022,10]]}},"alternative-id":["ijerph191912127"],"URL":"https:\/\/doi.org\/10.3390\/ijerph191912127","relation":{},"ISSN":["1660-4601"],"issn-type":[{"type":"electronic","value":"1660-4601"}],"subject":[],"published":{"date-parts":[[2022,9,25]]}}}