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Efficacy of executive function interventions after stroke: a systematic review.

Valérie Poulin¹, Nicol Korner-Bitensky, Deirdre R Dawson

¹School of Physical and Occupational Therapy, McGill University, Montréal, Québec, Canada.

Topics in Stroke Rehabilitation

|March 23, 2012

Summary

Specific executive function training and compensatory strategies may improve executive functions and functional abilities in stroke survivors. More research is needed for acute and subacute stroke recovery.

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Area of Science:

Neurorehabilitation
Cognitive Science
Stroke Recovery

Background:

Executive function disorders are prevalent after stroke and impact functional recovery.
Evidence appraisal for executive function interventions is crucial for establishing best practices.

Purpose of the Study:

To systematically review the effectiveness of executive function interventions compared to no or alternative interventions.
To assess efficacy across acute, subacute, and chronic stroke recovery stages.

Main Methods:

Systematic review of multiple databases (MEDLINE, CINAHL, PsychINFO, OTseeker, Cochrane) up to January 2011.
Inclusion of studies on cognitive interventions for executive function impairments or related functional tasks.
Methodological quality assessment of randomized trials and determination of evidence levels by recovery stage.

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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

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

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Main Results:

Ten studies met inclusion criteria: 1 subacute, 9 chronic stage.
Limited evidence (Level 2b) in subacute and moderate evidence (Level 2a) in chronic stages support interventions.
Remedial (e.g., working memory training) and compensatory strategies (e.g., problem-solving) show potential for improving executive functions and functional abilities.

Conclusions:

Stroke survivors may benefit from targeted executive function training and compensatory strategies.
Further research is recommended for acute and subacute stroke, where treatment impact could be significant but is understudied.