Physical Performance and Cognitive Functions in Patients With Chronic Stroke

This study aims to investigate the impact of cognitive impairment on upper extremity physical performance, cognitive skills, and functional independence in individuals with chronic stroke. A total of 66 chronic stroke survivors will be enrolled and categorized into two groups based on their Montreal Cognitive Assessment (MoCA) scores: the Cognitive Impairment Group (n=33) and the Control Group (n=33). Upper extremity performance, cognitive functions, and functional independence will be comprehensively evaluated using standardized clinical outcome measures.

Inclusion Criteria: * History of ischemic or hemorrhagic stroke diagnosed at least 6 months prior to the study, * First-ever stroke * Absence of communication or language disorders that would prevent understanding and cooperation * Ability to read and write * Not currently receiving psychotropic medication treatment * Willingness to participate and provision of signed informed consent Exclusion Criteria: * Having a chronic and severe medical condition (e.g., epilepsy, cerebral palsy) * Presence of any other concurrent orthopedic or neurological disease affecting physical or cognitive performance * History of recent surgery * History of any pre-existing condition affecting cognitive status (e.g., dementia, neurodegenerative diseases) * Complete loss of vision or hearing