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Related Experiment Video

Updated: Jan 19, 2026

Author Spotlight: Rehabilitation of Stroke Patients With a Digital Occupational Training System
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Computer-Based Cognitive Rehabilitation in Patients with Visuospatial Neglect or Homonymous Hemianopia after Stroke.

Katrine Wordenskjold Svaerke1, Kenneth Viktor Omkvist1, Inger Birgitte Havsteen1

  • 1Department of Neurology, Bispebjerg Hospital, Copenhagen NV, Denmark.

Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association
|September 10, 2019
PubMed
Summary

Computer-based cognitive rehabilitation (CBCR) effectively treats visuospatial neglect and homonymous hemianopia in the early subacute phase post-stroke. Early intervention yields significant improvements, while later treatment shows no comparable benefits.

Keywords:
Visuospatial neglectcognitive rehabilitationhomonymous hemianopiastroke

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Area of Science:

  • Neurorehabilitation
  • Cognitive Science
  • Stroke Recovery

Background:

  • Visuospatial neglect and homonymous hemianopia are common post-stroke deficits.
  • Early intervention is crucial for optimizing functional recovery after stroke.

Purpose of the Study:

  • To assess the feasibility and efficacy of computer-based cognitive rehabilitation (CBCR).
  • To investigate the impact of early versus late CBCR on visuospatial symptoms in subacute stroke patients.

Main Methods:

  • A randomized, controlled, unblinded cross-over pilot study.
  • Two groups: Early Intervention (EI) receiving CBCR immediately, and Late Intervention (LI) receiving CBCR after a 3-week delay.
  • Intervention duration was 3 weeks for both groups.

Main Results:

  • CBCR significantly improved visuospatial symptoms when initiated early in the subacute phase.
  • No significant improvement was observed when CBCR was administered later.
  • CBCR did not negatively affect mental well-being; anticipation of treatment positively impacted it in the LI group.

Conclusions:

  • CBCR is a feasible and beneficial intervention for subacute stroke patients with visuospatial deficits.
  • Early administration of CBCR is more effective for symptom improvement.
  • Larger trials with blinded assessors are recommended for confirmation.