Objective     To study the application of Loewenstein occupational therapy in assessment of cognitive function and in observation of its curative effect in patients with cerebral stroke.      Methods     Thirty patients with cerebral stroke admitted to Department of Rehabilitation

Xuzhou Central Hospital

from September 2009 to October 2010

were enrolled in this study as a treatment group

and 30 matched healthy individuals served as a control group. Cerebral stroke patients with cognitive disorder were screened with the mini-mental state examination (MMSE) scale. Their cognitive function was evaluated with the Loewenstein occupational therapy cognitive assessment (LOTCA) before and after treatment and compared with that of control group.      Results     The total LOTCA score was significantly lower in treatment group than in control group (P0.01)

and higher in treatment group 2 months after treatment than before treatment (P0.01).      Conclusion     LOTCA can evaluate the overall severity of cognitive disorder and characteristics of cerebral stroke patients and show their cognitive level

and is of a rather good value for its clinical application.