[Purpose] This study aims to describe a protocol based on neurocognitive therapeutic
exercises and determine its feasibility and usefulness for upper extremity functionality
when compared with a conventional protocol. [Subjects and Methods] Eight subacute stroke
patients were randomly assigned to a conventional (control group) or neurocognitive
(experimental group) treatment protocol. Both lasted 30 minutes, 3 times a week for 10
weeks and assessments were blinded. Outcome measures included: Motor Evaluation Scale for
Upper Extremity in Stroke Patients, Motricity Index, Revised Nottingham Sensory Assessment
and Kinesthetic and Visual Imagery Questionnaire. Descriptive measures and nonparametric
statistical tests were used for analysis. [Results] The results indicate a more favorable
clinical progression in the neurocognitive group regarding upper extremity functional
capacity with achievement of the minimal detectable change. The functionality results are
related with improvements on muscle strength and sensory discrimination (tactile and
kinesthetic). [Conclusion] Despite not showing significant group differences between pre
and post-treatment, the neurocognitive approach could be a safe and useful strategy for
recovering upper extremity movement following stroke, especially regarding affected hands,
with better and longer lasting results. Although this work shows this protocol’s
feasibility with the panel of scales proposed, larger studies are required to demonstrate
its effectiveness.
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