Assessing Need for Couples Post-Stroke: Negative and Positive Factors Associated With Relationship Satisfaction

Research Posters Results: Quantitative results varied, but an overall improvement was noted from baseline to immediately after the intervention, and changes were mostly maintained or continued to improve after one month. Four qualitative themes summarized important structures of the lived experience of the participants, including: Salience of the tasks within the environment, Just right challenge in occupations, Adaptation by independent problem solving, and Self-perception and desire for mastery. Conclusion/Discussion: Quantitative measures captured the physical changes in movement and qualitative data provided insights into the lived experience of people going through task oriented training. The application of motor practice to areas of function was evident. This adaptive problem solving requires further exploration within functional recovery following stroke. Key Words: Neurological Rehabilitation, Paresis, Upper Extremity, Stroke Disclosures: None disclosed. Research Poster 304757 Assessing Need for Couples Post-Stroke: Negative and Positive Factors Associated With Relationship Satisfaction Meghan Berry (University of Utah), Raelynn Perez, Eliza Young, Alexandra Terrill Research Objectives: To examine how positive and negative relationship changes post-stroke are associated with a couple’s relationship satisfaction and assess the need for support. Design: Cross-sectional survey study. Setting: Surveys were completed in-person or online. Participants: Participants were recruited through University-affiliated outpatient rehabilitation and neurology clinics, and a participant database (ResearchMatch). Participants included 25 stroke survivors (68% female) and 7 caregivers (71% female). The mean age was 54 years (range 30 to 75). Time since stroke ranged from 3 months to 25 years. Interventions: Not applicable. Main Outcome Measure(s): 10 Likert-scale items that included questions about current relationship satisfaction and changes in relationship satisfaction, as well as 5 negative and 3 positive relationship factors that changed since stroke. Results: Of the positive and negative relationship factors assessed, 3 were significantly correlated (p < .005) to current relationship satisfaction: Growing further apart since the stroke (rZ-.55), not taking as much time to enjoy each other’s company (rZ-.57), and growing closer since the stroke (rZ.59). In addition, in women only, intimacy and supporting health habits were related to current relationship satisfaction. These same factors were significantly associated with changes in relationship satisfaction since the stroke for the entire sample (p < .05); in addition, women who felt more grateful for their partners reported feeling more satisfied with their relationship since the stroke. Over 80% of respondents indicated a need for more information and more support for couples after stroke. Conclusion/Discussion: These preliminary results show that there are a number of relationship changes post-stroke that affect relationship satisfaction. There is a need for more support for couples coping with stroke. Key Words: Stroke, Cross-Sectional Studies, Couples, Psychosocial Factors Disclosures: None. Research Poster 310232 Assessment Of Measures Used To Study Cognition In Patients With Central Nervous System Trauma Fiza Javed (University of Toronto, UHN-Toronto Rehabilitation Institute), Andrea D’Souza, Angela Colantonio, Tatyana Mollayeva

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e35 Research Objectives: To provide a systematic consideration, solid description, and in-depth understanding of the strengths and limitations of the whole range of measurements utilized in the assessment of cognitive function In patients with central nervous system (CNS) trauma (i.e., traumatic brain injury, spinal cord injury, or both). Design: A review. Setting: Any (general community, a primary care or referral center, private or institutional practice, or ambulatory or hospitalized care). Participants: Patients with central nervous system trauma (traumatic brain injury, traumatic spinal cord injury, or both). Interventions: Not applicable. Main Outcome Measure(s): Any measure to assess cognition in patients with CNS trauma, utilized in longitudinal studies. Cognition was defined as a mental action or process of acquiring knowledge and understanding through thought, experience, and the senses, involving processes such as knowledge, attention, memory, judgement, reasoning, problem solving and languages. Results: We comprehensively descried psychometric properties of 23 instruments utilised in evaluative assessment of cognitive function in patients with CNS trauma. Until now, research on cognition after CNS trauma focused on patients’ (1) capacity; (2) perceived ability; and (3) cognitive activity. Of all measurements evaluated, only three evaluated multiple domains of cognitive functioning, the rest were designed to study only one or several aspects of cognition. Few measures were sensitive to change over time. Conclusion/Discussion: Different domains of cognitive functioning require a wide range of evaluative properties to consider, when assessing patients’ CNS trauma-related deficits in language, perception, memory, reasoning, attention among others. Key Words: Measurements, Cognition, Central Nervous System, Trauma Disclosures: This research was supported by the Alzheimer’s Association Grant (AARF-16-442937). Research Poster 328531 Association Between Gait Speed and Cognitive Function in Adults with Cerebral Palsy Patricia Heyn (University of Colorado Anschutz Medical Campus), Alex Tagawa, Zhaoxing Pan, Amy Bodkin, James Carollo Research Objectives: To investigate the association between gait speed and cognitive function in individuals with Cerebral Palsy (CP) since gait speed is shown to be a reliable and valid performance measure reflective of both physical and cognitive function. Monitoring for gait speed in individuals with mobility impairment can help identify modifiable health risk factors associate to sedentarism, including cognitive decline. Gait and cognition are controlled by brain circuits that are vulnerable to multiple age-related pathologies such as vascular and neurodegenerative diseases. Design: Prospective cross-sectional cohort. Setting: A nationally accredited clinical motion laboratory at a regional children’s hospital. Participants: We evaluated 72 adults with CP (age range 18-48 years old) on measures of instrumented gait analysis (IGA) and selected cognitive outcomes from the WAIS-IV scale. Interventions: NA. Main Outcome Measure(s): Comprehensive health assessment, instrumented gait analysis (IGA) evaluation, and selected cognitive outcomes from the WAIS-IV scale. Results: The results of the analysis showed a positive association between walking speed and selected cognitive outcomes (Symbol Search, rZ.52, p < .001; Visual Reproduction, rZ.33, pZ.006; Block Design, rZ0.37, pZ.002; Digit Symbol, rZ.40, p < .001) from the Wechsler Adult Intelligence Scale-Fourth Edition (WAIS-IV). Conclusion/Discussion: The results support the effectiveness of performance-based measures to evaluate and monitor for gait and cognitive ability decline in individuals with mobility impairment. It is important to