The effect of early cognitive training and rehabilitation for patients with cognitive dysfunction in stroke

Liu, Xuefang; Wang, Guihua; Miao, Fengru

doi:10.1002/mpr.1882

Cited by 31 publications

(21 citation statements)

References 20 publications

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“…[ 2 ] The incidence of cognitive impairment is six-to-nine times higher in stroke survivors than that in survivors without stroke, with adverse repercussions for themselves, their families, and society at a large. [ 3 ]…”

Section: B Ackgroundmentioning

confidence: 99%

A Scoping Review of Recent Advancements in Intervention and Outcome Measures for Post-Stroke Cognitive Impairments

Dawar¹,

Kamalakannan²,

Chawla³

et al. 2023

Annals of Indian Academy of Neurology

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Background: Cognitive deficit is one of the common impairments that occur post stroke and have a major effect on the quality of life of stroke survivors. However, the intervention and outcome measures used to remediate post-stroke cognitive impairments are diverse and highly heterogeneous. Therefore, a review of intervention and outcome measures for post-stroke cognitive impairments was carried out. Objectives: To review all available information on the recent advancements in intervention and outcome measures for post-stroke cognitive impairments. Methods: An electronic database search was conducted in PubMed, Medline, Google Scholar, and the Cochrane Library with key search terms between 2001 and 2021. The search results were systematically screened, and data was independently extracted by three reviewers. The data was thematically analyzed and narratively synthesized. Results: The search retrieved 2018 records, and we included 12 studies that met the inclusion criteria. Most of the studies targeted global cognitive deficits in ischemic stroke patients in the chronic phase. We categorized data based on the type of cognitive impairment, cognitive- domain targeted, intervention, and available outcome measures for post-stroke cognitive rehabilitation. Attention, memory, executive function, and global cognition were the common cognitive components targeted, managed, and assessed using an outcome measure. We found that technology is replacing conventional approaches to improve cognitive impairment. Conclusion: Regardless of many new developments in post-stroke cognitive rehabilitation interventions driven by technology, there is limited data available on actual implementation as a scalable solution. There is an extensive need for future research for evidence-based assessment and management of cognitive impairments in post-stroke rehabilitation.

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Section: B Ackgroundmentioning

confidence: 99%

A Scoping Review of Recent Advancements in Intervention and Outcome Measures for Post-Stroke Cognitive Impairments

Dawar¹,

Kamalakannan²,

Chawla³

et al. 2023

Annals of Indian Academy of Neurology

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“…Users can interact with objects in the virtual world naturally, through special input and output devices, and experience the same feelings as in the real world through vision, hearing and touch (Mishkind et al, 2017; Perpiñá‐Galvañ et al, 2021). At present, VR technology is mainly applied in clinical teaching, stomatology, surgical simulation, telemedicine, rehabilitation healthcare, psychological treatment and other aspects of the medical field (Clerc et al, 2021; Knaust et al, 2020; Nunna et al, 2019; Qi et al, 2021; Vieira et al, 2018; Xuefang et al, 2021). As a relatively novel intervention measure, VR technology on adult preoperative anxiety is mainly achieved through distraction and virtual reality exposure (VRE) (Han et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of virtual reality in reducing preoperative anxiety in adults: A systematic review and meta‐analysis

Gao

Wang

Liu

2023

Journal of Advanced Nursing

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AimTo evaluate the impact of a virtual reality (VR) intervention on adult patients' preoperative anxiety, heart rate, respiration rate and blood pressure.DesignA systematic review and meta‐analysis of randomized controlled trials (RCTs).Data SourcesA librarian‐designed search of the Cochrane Library, PubMed, Web of Science, EMBASE, CINAHL, CBM, CNKI and Wanfang databases was conducted to identify research studies in English or Chinese on RCTs from their inception to 31 May 2022. Detailed search strategies and the checklist are provieded in Supplementary files S1 and S2.Review MethodsTwo researchers independently screened eligible studies. The Cochrane Handbook for Systematic Reviews of Interventions was used to assess the risk of bias in the included studies. A fixed‐ or random‐effects meta‐analysis model was used to determine the pooled mean difference based on the results of the heterogeneity test.ResultsThis study included 11 articles with a total of 892 participants. VR distraction comprised five studies, and VR exposure consisted of six studies. The results indicated that VR could reduce preoperative anxiety in adult patients and VR exposure seems to be more effective. The results also indicated that VR intervention can effectively reduce patients' heart rate and blood pressure compared to traditional intervention methods, but had no significant effect on respiration rate.ConclusionVR technology could relieve preoperative anxiety in adult patients through distraction or exposure. More well‐designed RCTs containing a wider range of surgical types are needed to verify our findings before we can make strong recommendations.ImpactOur systematic review and meta‐analysis show a positive effect of VR distraction and exposure interventions in reducing preoperative anxiety in adult patients. We suggest incorporating VR into preoperative procedures as an auxiliary way to reduce negative emotions in eligible patients.No Patient or Public ContributionOur paper is a systematic review and meta‐analysis and such details do not apply to our work.

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“…In recent years, cognitive training based on arti cial intelligence has been applied to the cognitive treatment of dementia patients and psychiatric patients at home and abroad. Studies have shown that the effect of cognitive training based on arti cial intelligence can achieve the same effect as that of arti cial cognitive training [11] , which can solve problems such as insu cient and uneven distribution of rehabilitation resources and repetitive and boring contents of traditional arti cial cognitive training that rely on therapist techniques, which makes it di cult to achieve the best prognosis [12] .…”

Section: Introductionmentioning

confidence: 99%

Computer-aided Cognitive Training Combined with tDCS Can Improve Cognitive Function and Cerebrovascular Reactivity After Ischemic Stroke: A Randomized Controlled Trial

Chen

Zhao

Huang

et al. 2023

Preprint

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Background Cognitive impairment after stroke is one of the main functional disorders after stroke, with an incidence of up to 80%, which is the focus and difficulty of poststroke rehabilitation intervention. Computer-aided cognitive training (CACT) refers to the use of smartphones, tablet computers and other electronic devices to provide targeted training content for different cognitive function impairments. Transcranial direct current stimulation (tDCS), as a noninvasive brain stimulation technique, has shown some efficacy in the rehabilitation of cognitive impairment after stroke. This study examined the effectiveness of computer-assisted cognitive training and tDCS in the treatment of poststroke cognitive dysfunction and explored whether the combination of the two is better than any single therapy. Methods A total of 72 patients with PSCI admitted to the Department of Rehabilitation Medicine, West China Hospital, Sichuan University from November 2021 to September 2022 were randomly divided into the control group (n=18) that patients received conventional cognitive training, tDCS group (n=18), CACT group (n=18), and CACT plus tDCS group (n=18). All four groups were given conventional drugs and rehabilitation treatment. Each group received corresponding 20-minute treatment 15 times a week for 3 consecutive weeks. The main outcome was the Montreal Cognitive Assessment (MoCA) to assess patients' cognitive function, and the secondary outcomes were the Instrumental Activities of Daily Living Scale (IADL) to assess activities of daily living and cerebral vesselfunction tested by transcranial Doppler ultrasound (TCD). Assessment is at baseline and posttreatment. Results Compared with baseline, the MoCA and IADL scores significantly increased after treatment (P<0.01) in all groups, but thecombined group showed better improvement than the other three groups (P=0.006, 0.002, 0.011), and there were no significant differences within the control group, CACT group and tDCS group. Only CACT combined with tDCS group showed an advantage in improving vasomotor reactivity (p ≤ 0.05). Conclusion The combination of CACT and tDCS could more effectively improve PSCI and the ability of daily living in patients with cognitive impairment after stroke, and that may be associated with cerebrovascular function. Trial registration number The study was registered in Chinese Registry of Clinical Trials (ChiCTR2100054063). Registration date: 12/08/2021.

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The effect of early cognitive training and rehabilitation for patients with cognitive dysfunction in stroke

Cited by 31 publications

References 20 publications

A Scoping Review of Recent Advancements in Intervention and Outcome Measures for Post-Stroke Cognitive Impairments

A Scoping Review of Recent Advancements in Intervention and Outcome Measures for Post-Stroke Cognitive Impairments

Effectiveness of virtual reality in reducing preoperative anxiety in adults: A systematic review and meta‐analysis

Computer-aided Cognitive Training Combined with tDCS Can Improve Cognitive Function and Cerebrovascular Reactivity After Ischemic Stroke: A Randomized Controlled Trial

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