The Use of the Neurobehavioral Cognitive Status Examination With Geriatric Rehabilitation Patients

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ABSTRACT.Objective:To provide normative data for 3 commonly encountered rehabilitation diagnostic groups and examine demographic influences on the Neurobehavioral Cognitive Status Examination (NCSE, now called Cognistat).Design:Normative data are presented along with correlational associations to demographic variables. Analysis of variance was used to examine test scores between the 3 diagnostic groups.Participants:Eighty-six urban geriatric rehabilitation patients (34 recent total joint replacements, 22 with general medical conditions, and 30 with diagnosed neurological disorders).Results:Scores on many of the NCSE scales are associated with level of education. Five subtests evidenced performance differences between the joint replacement and neurologic groups.Conclusions:The NCSE has utility in detecting cognitive dysfunction with geriatric rehabilitation patients, although caution is suggested in NCSE interpretation in a lesser educated, older population because of educational effects on test performance.

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