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Related Experiment Video

Updated: Jun 30, 2025

Randomized, Triple-Blind, and Parallel-Controlled Trial of Transcranial Direct Current Stimulation for Cognitive Rehabilitation after Stroke
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Enriched Environments in Stroke Units: Defining Characteristics and Limitations.

Anna Anåker1, Maja Kevdzija2, Marie Elf1

  • 1School of Health and Welfare, Dalarna University, Falun, Sweden.

HERD
|March 18, 2024
PubMed
Summary

Enriched environments (EEs) promote stroke rehabilitation by encouraging cognitive and social activities. However, defining and implementing EEs in stroke units remains challenging, requiring further research for effective integration.

Keywords:
built environmentenriched environmentrehabilitationstrokestroke unit

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Area of Science:

  • Neurorehabilitation
  • Health Systems Research
  • Environmental Psychology

Background:

  • Enriched environments (EEs) enhance stroke patient participation in cognitive and social activities, improving rehabilitation outcomes and well-being.
  • Implementing EEs within complex healthcare systems, especially stroke units, requires a clearer understanding of effective strategies.

Purpose of the Study:

  • To systematically review and define the concept of an enriched environment (EE) within the context of stroke units.

Main Methods:

  • Systematic literature search across CINAHL, Embase, and Medline databases.
  • Rigorous screening and appraisal of 336 identified studies using a Mixed-methods Appraisal Tool.
  • Inclusion of 11 relevant studies after detailed review.

Main Results:

  • The concept of an EE in stroke units is difficult to define, primarily focusing on activities facilitated by equipment access.
  • A lack of standardized descriptions and conceptual consensus regarding EEs was observed across studies.

Conclusions:

  • This systematic review highlights the need for more research on EEs in stroke units due to weak definitions and unclear theoretical underpinnings.
  • Future research should focus on precise EE definitions and interventions encompassing environmental modifications for better operationalization.