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Updated: May 14, 2026
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Cognitive Function and Upper Limb Rehabilitation Training Post-Stroke Using a Digital Occupational Training System
Published on: December 29, 2023
Long-Term Outcome After Intensive Stroke Rehabilitation
Marilena Geißler1, Anika Müller2, Thomas Brauner2
1Medizinische Fakultät, TU Dresden, 01307 Dresden, Germany.
Journal of Clinical Medicine
|May 13, 2026
Summary
This study found that while many ischemic stroke patients face mortality within a year, younger individuals with more neuropsychology support and shorter rehabilitation stays showed better recovery and independence. Multimorbid patients had higher mortality risks.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Public Health
Background:
- Ischemic stroke is a leading cause of adult disability and mortality.
- In-hospital rehabilitation is common for stroke survivors in Germany.
- The study investigates the impact of modern neurological rehabilitation on stroke patient outcomes.
Purpose of the Study:
- To examine the association between neurological rehabilitation and outcomes in ischemic stroke patients.
- To identify predictors of mortality and favorable outcomes 12 months post-stroke.
Main Methods:
- Prospective observational study of 180 ischemic stroke patients.
- Telephone surveys within one year post-discharge assessed survival, modified Rankin Scale (mRS), and quality of life (EQ-5D-5L).
- Multiple logistic regression analyzed predictors of mortality and favorable outcomes (mRS 0-2).
Main Results:
- One-year mortality was 20.6%; only 10% achieved favorable outcomes.
- Predictors of mortality included higher Charlson Comorbidity Index (CCI) and discharge home.
- Favorable outcomes were associated with younger age, shorter rehabilitation length of stay, and more neuropsychology sessions.
Conclusions:
- Multimorbid patients requiring institutional care face higher mortality risks.
- Younger patients with less intensive rehabilitation and more neuropsychology support demonstrated better long-term independence.
- Neurological rehabilitation intensity and specific interventions like neuropsychology are crucial for stroke recovery.