Journal of Taiwan Occupational Therapy Research and Practice
Objective: Little is know about the relation between memory impairments and functional performance in stroke. The purposes of the study were to examine memory impairments following stroke and to explore the impact of memory impairments on daily function. Methods: A total of 15 patients with stroke were recruited in this study. The Contextual Memory Test and two subtests of The Rivermead Behavioral Memory Test were used to examine different types of memory. The Functional Independence Measure and Nottingham Extended ADL Scale were used for evaluating ADL functions. Results: Sixty percent of participants demonstrated retrospective memory impairments. Most of participants revealed lack of self-awareness and 86.6% could not use of memory strategy, which indicating deficits in metamemory. All participants also showed poor time-based prospective memory. Retrospective memory and metamemory were associated with age, basic cognitive function and stroke severity. Significant correlations between impairments of retrospective memory and metamemory and ADL performances were also presented. Conclusion: The study revealed memory impairments in stroke with a negative impact on daily functions. Our findings suggest that comprehensive memory evaluation and intervention for stroke patients is needed to promote their daily functions.