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Related Experiment Video

Updated: Jul 20, 2025

Randomized, Triple-Blind, and Parallel-Controlled Trial of Transcranial Direct Current Stimulation for Cognitive Rehabilitation after Stroke
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A novel digital approach for post-stroke cognitive deficits: a pilot study.

Massimiliano Oliveri1, Sergio Bagnato2, Silvia Rizzo2

  • 1Department of Biomedicine, Neurosciences and Advanced Diagnostics (BiND), University of Palermo, Palermo, Italy.

Restorative Neurology and Neuroscience
|July 31, 2023
PubMed
Summary

A new digital prism adaptation (PA) device combined with serious games improved cognitive functions in stroke patients. This novel approach enhanced daily living activities and reduced anxiety, suggesting its clinical utility for stroke rehabilitation.

Keywords:
Strokecognitiondigital medicineprism adaptationrehabilitation

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Area of Science:

  • Neuroscience
  • Rehabilitation Medicine
  • Digital Health

Background:

  • Cognitive dysfunctions significantly impact stroke survivors' daily lives and independence.
  • Prism adaptation (PA) is established for spatial attention deficits in right-brain damage.
  • Emerging evidence suggests PA's potential for broader cognitive rehabilitation.

Purpose of the Study:

  • To evaluate a novel digital prism adaptation (PA) device integrated with serious games for cognitive training.
  • To assess the efficacy of this combined approach on attention and executive functions in stroke patients.

Main Methods:

  • A randomized controlled trial with 30 stroke patients divided into experimental (digital PA + serious games) and control (routine cognitive training) groups.
  • Intervention consisted of 10 consecutive daily sessions.
  • Neuropsychological tests and functional scales were administered pre- and post-intervention.

Main Results:

  • The experimental group showed significant improvements in digit span forward, spatial span backward, attentional matrices, and Stroop task performance.
  • A notable correlation was found between cognitive improvements (especially spatial span backward) and enhanced daily living activities and reduced anxiety in the experimental group.
  • The control group did not exhibit similar improvements.

Conclusions:

  • Digital PA combined with serious games offers a promising therapeutic strategy for cognitive rehabilitation in stroke patients.
  • This integrated approach can lead to improved cognitive function, greater independence in daily activities, and reduced psychiatric symptoms.
  • The findings support the incorporation of this novel device into clinical settings for stroke recovery.