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Related Experiment Video

Updated: Jul 28, 2025

Author Spotlight: Rehabilitation of Stroke Patients With a Digital Occupational Training System
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Occupational therapy for persons with cognitive impairments.

Petra Schnell-Inderst1, Annette Conrads-Frank1, Igor Stojkov1

  • 1Institute of Public Health, Medical Decision Making and Health Technology Assessment, Department of Public Health, Health Services Research and Health Technology Assessment, UMIT TIROL - University for Health Sciences and Technology, Hall i.T., Austria.

German Medical Science : GMS E-Journal
|June 1, 2023
PubMed
Summary

Occupational therapy may offer small benefits for cognitive function and daily activities after central nervous system injury, but evidence quality is low. More research is needed to confirm effectiveness and explore patient-centered care and ethical considerations.

Keywords:
brain damage, chroniccognitive dysfunctionoccupational therapytechnology assessment, biomedical

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Area of Science:

  • Neuroscience
  • Rehabilitation Medicine
  • Health Technology Assessment

Background:

  • Central nervous system (CNS) damage from stroke, trauma, or disease causes physical and cognitive impairments in adults.
  • Occupational therapy is a common intervention for neurological conditions like stroke and traumatic brain injury (TBI).

Purpose of the Study:

  • To assess the clinical effectiveness, cost-effectiveness, and patient-related, social, and ethical aspects of occupational therapy for cognitive impairments following CNS injury.
  • To compare occupational therapy interventions with and without cognitive components.

Main Methods:

  • A systematic overview of systematic reviews was conducted.
  • Included nine systematic reviews for clinical effectiveness, five for patient/social aspects, and nine documents for ethical aspects.
  • Excluded patients with moderate to severe dementia.

Main Results:

  • Low-quality evidence suggests small positive effects of occupational therapy on global cognitive function and daily living activities.
  • No significant effects were found for individual cognitive components or perception measures.
  • Patient and social aspects highlight rehabilitation phases and the critical role of discharge home; ethical aspects reveal tensions between patient autonomy and treatment.

Conclusions:

  • The effectiveness of occupational therapy for cognitive impairment post-CNS injury remains uncertain due to low-quality evidence and a lack of high-quality studies.
  • Further research is required, including well-designed randomized trials, observational studies, health economic analyses, and empirical ethical studies.
  • More studies are needed on patient and social aspects, particularly in German-speaking regions, and on ethical considerations involving patients, relatives, and therapists.