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Related Experiment Video

Updated: Mar 21, 2026

Author Spotlight: Rehabilitation of Stroke Patients With a Digital Occupational Training System
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Computer-Based Cognitive Training for Executive Functions after Stroke: A Systematic Review.

Renate M van de Ven1, Jaap M J Murre1, Dick J Veltman2

  • 1Department of Psychology, Brain and Cognition, University of Amsterdam Amsterdam, Netherlands.

Frontiers in Human Neuroscience
|May 6, 2016
PubMed
Summary

Computerized cognitive training shows promise for improving executive functions after stroke, with some studies indicating neural changes. However, methodological limitations necessitate further research with robust controls to confirm effectiveness.

Keywords:
acquired brain injuryattentionbrain trainingcomputer-basedexecutive functionsrestitutionretrainingworking memory

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Area of Science:

  • Neuroscience
  • Rehabilitation Medicine
  • Cognitive Psychology

Background:

  • Stroke frequently leads to cognitive deficits, particularly in working memory, attention, and executive functions.
  • Cognitive training programs offer a potential avenue for restoring these executive functions post-stroke.

Purpose of the Study:

  • To systematically review the existing evidence on computer-based cognitive training for executive dysfunctions in stroke survivors.

Main Methods:

  • Searched major databases (MEDLINE, PsycINFO, Web of Science, Cochrane Library) for relevant studies.
  • Included studies focused on adults with acquired brain injury, computer-based executive function training, and executive functioning outcomes.
  • Study quality assessed using CONSORT Statement; treatment effects evaluated against pre-treatment and/or control groups.

Main Results:

  • Twenty studies were included, with varying methodological rigor (RCTs with active controls, multiple baselines, passive controls, uncontrolled).
  • Improvements in trained and untrained tasks (near and far transfer) were observed, but not significantly greater than in active control groups.
  • Two studies reported neural changes in functional and structural connectivity; however, most studies had limitations hindering definitive conclusions.

Conclusions:

  • Positive findings, including neural changes, suggest continued research is warranted.
  • Future research must address methodological limitations, such as the use of active control groups and appropriate statistical adjustments, to validate training effects.