A comparative clinical study of the effectiveness of computer cognitive training in patients with post-stroke cognitive impairments without dementia

Semen, V Prokopenko; Farrell, Anna; Mozheyko, E. Yu.; Marina, M Petrova

doi:10.11621/pir.2018.0205

Cited by 8 publications

(19 citation statements)

References 22 publications

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“…Ten studies (De Luca et al, 2018; Jiang et al, 2015, 2016; Kang et al, 2009; Park & Park, 2015; Park & Yoon, 2015; Prokopenko et al, 2013; Prokopenko et al, 2018; Xiao, 2018; Ye, 2015) reported the effects of CCT on global cognition. The meta‐analysis showed that global cognition was significantly improved in the intervention group (SMD = 0.62, 95%CI = 0.31 to 0.92, P < 0.0001) when compared to the control group with moderate heterogeneity ( I 2 = 51%) (Figure 3).…”

Section: Resultsmentioning

confidence: 99%

“…Eight studies (Cho et al, 2016; Jiang et al, 2016; Kang et al, 2009; Prokopenko et al, 2013; Prokopenko et al, 2018; Van De Ven, Murre, et al, 2017; Xiao, 2018; Yoo et al, 2015) reported the effects of CCT on ADL, and four studies (De Luca et al, 2018; Prokopenko et al, 2013; Prokopenko et al, 2018; Van De Ven, Murre, et al, 2017) reported the effects of CCT on depression. The meta‐analysis showed that there was no significant difference in ADL (SMD = 0.14, 95%CI = −0.07 to 0.34, P = 0.19) and depression (SMD = −0.07, 95%CI = −0.39 to 0.25, P = 0.68) between two groups with low heterogeneity ( I 2 = 25% and 35% respectively) (Figures 7 and 8).…”

Section: Resultsmentioning

confidence: 99%

“…This result may be attributed to the short duration of the training in most of the included studies. The improvement in patients' cognitive and neurological condition may not enough to influence ADL (Prokopenko et al, 2018) since it would be difficult for short‐term cognitive rehabilitation to confirm the significant difference in functional conditions. This conclusion has also been reflected in other studies (Cicerone et al, 2011; Zucchella et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

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Efficacy of computerized cognitive training on improving cognitive functions of stroke patients: A systematic review and meta‐analysis of randomized controlled trials

Zhou

Feng

et al. 2021

Int J of Nursing Practice

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Aim To evaluate the effects of computerized cognitive training on the cognitive functions of stroke patients. Background With increased publications on computerized cognitive training, a meta‐analysis is essential to determine the effects of computerized cognitive training among stroke patients. Design A systematic review and meta‐analysis of randomized controlled studies. Data Sources Cochrane Library, Pubmed, EBSCO, Scopus, China National Knowledge Infrastructure, China Biology Medicine disc and Wanfang Database were explored to search for research studies from inception to January 2020. Review Methods Six outcomes indicators were considered to determine the effects of computerized cognitive training. Two reviewers were selected to search and independently appraise the available articles from various databases. Meta‐analysis was performed using the RevMan 5.3 software. Results A total of 622 patients with 17 studies were included. Computerized cognitive training significantly improves global cognition, working memory, attention and executive function of stroke patients. However, there was inadequate evidence to demonstrate any effects of computerized cognitive training on activities of daily living and depression. Conclusion Computerized cognitive training improves the cognitive functions of stroke patients. However, further research studies are needed to confirm its efficacy in activities of daily living as well as on alleviating depression.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Efficacy of computerized cognitive training on improving cognitive functions of stroke patients: A systematic review and meta‐analysis of randomized controlled trials

Zhou

Feng

et al. 2021

Int J of Nursing Practice

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“…A combined program with Rehacom and acupuncture showed better effects on executive functions, attention, planning, short-term memory, and spatial and temporal orientation processes than with cognitive training alone [ 221 , 222 ]. The computerized complex of neuropsychological correction KtasSmu showed that both the training group and the entertainment games group activated the patients' attention, accelerated their reaction time, improved their visuospatial orientation and their memory, which seems to show that any nonspecific cognitive stimulation is effective for cognitive correction in early recovery from a stroke [ 223 ].…”

Section: Resultsmentioning

confidence: 99%

Artificial Cognitive Systems Applied in Executive Function Stimulation and Rehabilitation Programs: A Systematic Review

2022

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This article presents a systematic review of studies on cognitive training programs based on artificial cognitive systems and digital technologies and their effect on executive functions. The aim has been to identify which populations have been studied, the characteristics of the implemented programs, the types of implemented cognitive systems and digital technologies, the evaluated executive functions, and the key findings of these studies. The review has been carried out following the PRISMA protocol; five databases have been selected from which 1889 records were extracted. The articles were filtered following established criteria, to give a final selection of 264 articles that have been used for the purposes of this study in the analysis phase. The findings showed that the most studied populations were school-age children and the elderly. The most studied executive functions were working memory and attentional processes, followed by inhibitory control and processing speed. Many programs were commercial, customizable, gamified, and based on classic tasks. Some more recent initiatives have begun to incorporate user-machine interfaces, robotics, and virtual reality, although studies on their effects remain scarce. The studies recognize multiple benefits of computerized neuropsychological stimulation and rehabilitation programs for executive functions in different age groups, but there is a lack of studies in specific population sectors and with more rigorous research designs. Supplementary Information The online version contains supplementary material available at 10.1007/s13369-022-07292-5.

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“…A high significance of restoring cognitive functions and difficulties emerging during this process give rise to a reasonable question about how to correct them. One of the most actively developing areas today is a cognitive training technique and its positive impact has been confirmed in numerous studies (Prokopenko et al, 2014;Prokopenko et al, 2017;Gamito et al, 2017;Jaeggi, Karbach, & Strobach, 2017;Zlobina, Epaneshnikova, & Zinov' eva, 2018;Prokopenko, Bezdenezhnykh, Mozheyko, & Petrova, 2018). The appearance of a large number of computer programs for implementing this method indicates its availability and effectiveness (Prokopenko et al, 2014;Prokopenko et al, 2017;Gamito et al, 2017).…”

Section: Introductionmentioning

confidence: 96%

An Impact of Biofeedback Training on the Effectiveness of Cognitive Training in Stroke Patients

Kozlova

Cexmejstruk

Atamanova

et al. 2020

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Introduction. The clinical significance of cognitive impairments remaining in patients with acute cerebrovascular accidents (stroke) in the second rehabilitation period actualizes the need for their correction. The technique of cognitive training shows a high degree of cognitive function recovery, but negative emotional states that may occur in patients during rehabilitation may reduce its positive effect. In this regard, the use of biofeedback (BFB) training to stabilize the patients’ psycho-emotional state before cognitive training can increase its effectiveness.Purpose. To evaluate the impact of BFB-training on the effectiveness of cognitive training in patients with acute cerebrovascular disorders in the second rehabilitation period.Design. 41 post-stroke patients (ischemic stroke) in their late recovery period with varying degrees of cognitive impairments, not reaching the level of dementia, completed a course of standard rehabilitation and psychological treatment, including cognitive training sessions. Of these, 20 patients (the experimental group), before cognitive training, additionally underwent a BFB-training based on the skin conductance parameter. Psychodiagnostic evaluation conducted before and after the rehabilitation course included a study of visual and auditory-speech memory, volume, distribution, and attention switching, the level of depression, as well as unconscious and conscious anxiety.Results. After the course of rehabilitation and psychological treatment, the experimental group showed a statistically significant improvement in all cognitive functions and indicators of psycho-emotional state. Positive dynamics in the control group is observed only in the cognitive sphere. The level of cognitive functions in the experimental group after the rehabilitation course was significantly higher than in the control one.Conclusions. An additional inclusion of BFB-training in the course of rehabilitation and psychological treatment helps to increase the effectiveness of cognitive training by stabilizing the psycho-emotional state, as well as by providing a positive impact of biofeedback methods on cognitive functions.

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A comparative clinical study of the effectiveness of computer cognitive training in patients with post-stroke cognitive impairments without dementia

Cited by 8 publications

References 22 publications

Efficacy of computerized cognitive training on improving cognitive functions of stroke patients: A systematic review and meta‐analysis of randomized controlled trials

Efficacy of computerized cognitive training on improving cognitive functions of stroke patients: A systematic review and meta‐analysis of randomized controlled trials

Artificial Cognitive Systems Applied in Executive Function Stimulation and Rehabilitation Programs: A Systematic Review

An Impact of Biofeedback Training on the Effectiveness of Cognitive Training in Stroke Patients

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