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Updated: May 29, 2025

Author Spotlight: Rehabilitation of Stroke Patients With a Digital Occupational Training System

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Published on: December 29, 2023

Psychological Interventions to Improve Upper Limb Motor Dysfunction Post-stroke: A Scoping Review.

Yuji Iwamoto¹, Takeshi Imura^1,2, Tsubasa Mitsutake^3,2

¹Department of Rehabilitation, Hiroshima Cosmopolitan University, Hiroshima, JPN.

|February 3, 2025

Summary

Combining cognitive strategies with physical therapy shows mixed results for post-stroke upper limb recovery. Cognitive Orientation to Daily Occupational Performance (CO-OP) shows promise, but other cognitive approaches may be less effective.

Keywords:

psychological interventions randomized controlled trial (rct)scoping review stroke upper limb function

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Area of Science:

Neurorehabilitation
Cognitive Psychology
Physical Therapy

Background:

Cognitive strategies significantly impact upper limb motor function recovery in post-stroke patients.
Integrating psychological interventions with upper extremity training may improve rehabilitation outcomes.

Purpose of the Study:

To summarize studies evaluating the effectiveness of combined upper extremity and psychological interventions for post-stroke motor dysfunction.
To assess the impact of these combined approaches on upper extremity motor recovery.

Main Methods:

Scoping review of randomized controlled trials (RCTs).
Searched PubMed, CENTRAL, PEDro, and CINAHL for English-language studies.
Included RCTs comparing combined interventions versus upper extremity interventions alone.

Main Results:

Two studies using Cognitive Orientation to Daily Occupational Performance (CO-OP) showed significant motor function improvement.
One study using Cognitive-Oriented Strategy Training augmented rehabilitation (COSTAR) found greater efficacy for upper extremity interventions alone.
Mixed efficacy observed, with CO-OP showing potential benefits and COSTAR indicating variability.

Conclusions:

Combined cognitive and physical interventions show variable effectiveness for post-stroke upper limb motor dysfunction.
CO-OP demonstrates potential, but different cognitive strategies yield varied results.
This review provides a foundation for future research into combined psychological and upper extremity interventions.