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Updated: Aug 23, 2025
Author Spotlight: Rehabilitation of Stroke Patients With a Digital Occupational Training System
Published on: December 29, 2023
Functional improvement in chronic stroke patients when following a supervised home-based computerized cognitive
Macarena Gil-Pagés1,2,3,4, Javier Solana1,2,3, Rocío Sánchez-Carrión1,2,3
1Institut Guttmann, Institut Universitari de Neurorehabilitació, adscrit a la Universitat Autònoma de Barcelona, Badalona, Barcelona, Spain.
Background:
Computerized Cognitive Training (CCT) is an effective treatment for cognitive impairment in the post-acute stage of stroke. However, it is still not clear if it is suitable for chronic stage.
Objectives:
To explore if patients with cognitive deficit following stroke may benefit from CCT.
Methods:
Thirty patients post-stroke between 24 and 62 years old were randomized into two groups (A and B) to receive two different types of CCT. All patients were tested with a neuropsychological battery and functional questionnaires, before and after each CCT and also 6 months after the end of the study. In phase I, Group A received a customized CCT and Group B received a non-customized CCT, over 6 weeks. Three months after, each group received the other intervention (phase II).
Results:
After phase I, between-group analyses revealed that Group A showed a relative decrease in subjective complaints. In contrast, Group B showed improvement in performance-based measures. After phase II, the decrease in subjective complaints continued in Group A, and both groups showed improvement in performance-based measures.
Conclusions:
Patients with chronic stroke improved cognitive functioning after performing supervised home-based multi-domain computerized cognitive training.
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