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Updated: Jun 1, 2026

Cognitive Function and Upper Limb Rehabilitation Training Post-Stroke Using a Digital Occupational Training System

Cognitive Function and Upper Limb Rehabilitation Training Post-Stroke Using a Digital Occupational Training System

Published on: December 29, 2023

Cognitive and cognitive-motor interventions affecting physical functioning: a systematic review.

Giuseppe Pichierri¹, Peter Wolf, Kurt Murer

¹Institute of Human Movement Sciences and Sport, ETH Zurich, Switzerland. pichierri@move.biol.ethz.ch

|June 10, 2011

Summary

Cognitive and cognitive-motor interventions show promise for improving physical function in older adults and those with neurological impairments. Further research is needed to define the most effective training methods.

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Area of Science:

Gerontology
Neurorehabilitation
Cognitive Science

Background:

Cognitive and cognitive-motor interventions, including dual-tasking and computer-based training, have been proposed to enhance physical functions.
These interventions aim to address cognitive impairments similar to those experienced in aging.

Purpose of the Study:

To systematically review the literature on cognitive and cognitive-motor interventions for improving physical functioning in older adults and individuals with neurological impairments.
To identify potentially effective methods for future intervention studies.

Main Methods:

A systematic literature search was conducted across multiple databases (Medline/Premedline, PsycINFO, CINAHL, EMBASE).
Inclusion criteria focused on older adults (≥65 years) and adults with neurological impairments, with interventions defined as dual-tasking, virtual reality, cognitive exercise, or combinations.

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Last Updated: Jun 1, 2026

Cognitive Function and Upper Limb Rehabilitation Training Post-Stroke Using a Digital Occupational Training System

Cognitive Function and Upper Limb Rehabilitation Training Post-Stroke Using a Digital Occupational Training System

Published on: December 29, 2023

Studies were limited to English, German, and French languages.

Main Results:

28 articles met the inclusion criteria, with 3 using isolated cognitive rehabilitation, 7 using dual-task interventions, and 19 using computerized interventions.
Evidence suggests positive effects of cognitive or motor-cognitive methods on physical functioning, including postural control, walking, and limb function.
The majority of studies reported improvements in assessed functional outcomes.

Conclusions:

Current evidence on the effectiveness of cognitive or motor-cognitive interventions for physical functioning is limited.
The heterogeneity of existing studies prevents defining the most effective training methodology.
Further research, preferably with randomized controlled designs, is encouraged to explore these interventions and the cognitive-physical skill relationship.