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Dual-Task Stroop Paradigm for Detecting Cognitive Deficits in High-Functioning Stroke Patients

Dual-Task Stroop Paradigm for Detecting Cognitive Deficits in High-Functioning Stroke Patients

Published on: December 16, 2022

A home programme for patients with cognitive dysfunction: a pilot study.

Sung-Bom Pyun¹, Heeseung Yang, Sangil Lee

¹Department of Physical Medicine and Rehabilitation, Korea University College of Medicine, Seoul, South Korea. rmpyun@korea.ac.kr

|June 27, 2009

Summary

This study found that a 12-week home rehabilitation program significantly improved daily living activities for patients with cognitive impairment after stroke. Cognitive function showed potential benefits, warranting further investigation.

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Published on: September 20, 2020

Area of Science:

Neuroscience
Rehabilitation Medicine
Cognitive Psychology

Background:

Cognitive impairment following hemorrhagic stroke significantly impacts daily functioning.
Effective rehabilitation strategies are crucial for improving outcomes in stroke survivors.
Home-based programs offer a potentially accessible and sustainable approach to cognitive rehabilitation.

Purpose of the Study:

To assess the efficacy of a 12-week individualized home rehabilitation program for individuals with cognitive impairment.
To evaluate the program's impact on cognitive function and instrumental activities of daily living (IADL).

Main Methods:

Six patients with cognitive dysfunction post-hemorrhagic stroke participated.
A comprehensive home program included cognitive remediation, story retelling, cognitive games, and aerobic exercise.
Interventions were conducted for 2 hours daily over 12 weeks.
Outcomes measured via MMSE, NCSE, computerized neuropsychological tests, LOTCA, MBI, and S-IADL.

Main Results:

Significant improvement observed in Seoul-Instrumental Activity of Daily Living (S-IADL) scores (p < 0.05).
Marginal improvements noted in Mini-Mental State Examination (MMSE) and Neurobehavioral Cognitive Status Examination (NCSE) scores.
No significant changes detected in domain-specific cognitive tests or the Lowenstein Occupational Therapist Cognitive Assessment (LOTCA).

Conclusions:

The individualized home rehabilitation program effectively enhanced IADL performance in patients with cognitive dysfunction.
The program may offer benefits for cognitive function, as indicated by general cognitive measures.
Home-based rehabilitation is a promising avenue for improving functional independence in stroke survivors with cognitive deficits.