A systematic review of cognitive interventions to improve functional ability in people who have cognitive impairment following stroke

Hoffmann, Tammy, Bennett, Sally, Koh, Chia-Lin and McKenna, Kryss (2010) A systematic review of cognitive interventions to improve functional ability in people who have cognitive impairment following stroke. Topics in Stroke Rehabilitation, 17 2: 99-107. doi:10.1310/tsr1702-99

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Author Hoffmann, Tammy
Bennett, Sally
Koh, Chia-Lin
McKenna, Kryss
Title A systematic review of cognitive interventions to improve functional ability in people who have cognitive impairment following stroke
Journal name Topics in Stroke Rehabilitation   Check publisher's open access policy
ISSN 1074-9357
1945-5119
Publication date 2010-03-01
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1310/tsr1702-99
Open Access Status File (Publisher version)
Volume 17
Issue 2
Start page 99
End page 107
Total pages 9
Editor Elliot J. Roth
Don A. Olson
Place of publication Leeds, W Yorks, United Kingdom
Publisher Maney Publishing
Language eng
Formatted abstract
Purpose: Cognitive impairment is a frequent consequence of stroke and can impact the ability of people who have had a stroke to perform everyday activities. There are a number of intervention strategies that various health professionals may use when working with people who have cognitive impairment post stroke. The purpose of this systematic review was to determine whether interventions for people with cognitive impairment after a stroke improve their functional performance of basic and/or instrumental activities of daily living (ADL).

Method: Searches were performed in the Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, CINAHL, PsycINFO, PsycBITE, OTseeker, and Dissertation Abstracts. Studies were eligible for inclusion if they were a randomised controlled trial or quasi-randomised controlled trial that evaluated an intervention that focused on providing cognitive retraining to adults with clinically defined stroke and confirmed cognitive impairment and measured functional ability, either basic or instrumental ADL, as either a primary or secondary outcome measure.

Results: Four studies, involving a total of 376 participants, were included in this review. There was no statistically significant difference between groups on basic ADL performance in any of the four studies or on instrumental ADL in the one study that measured this.

Conclusion: There were not an adequate number of high quality trials to be able to make recommendations that support or refute the use of specific cognitive retraining interventions to improve functional outcomes following a stroke. More research is required before conclusions can be made about the effect of cognitive interventions on functional outcomes post stroke.
© 2010 Thomas Land Publishers, Inc.
Keyword Activities of daily living
Cerebrovascular accident
Cognitive impairment
Cognitive interventions
Function
Self-care
Stroke
Systematic review
Randomized controlled-trial
Occupational-therapy
Rehabilitation
Program
Recovery
Efficacy
Deficits
Memory
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Publication date: Mar-Apr 2010.

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Official 2011 Collection
School of Health and Rehabilitation Sciences Publications
 
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Citation counts: TR Web of Science Citation Count  Cited 18 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 24 times in Scopus Article | Citations
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Created: Sun, 27 Jun 2010, 10:01:02 EST