A systematic review and meta-analysis of the effects of cardiac rehabilitation interventions on cognitive impairment following stroke

Jeffares, Isabelle; Merriman, Niamh A.; Rohde, Daniela; McLoughlin, Affraic; Scally, Brendan; Doyle, Frank; Horgan, Frances; Hickey, Anne

doi:10.1080/09638288.2019.1641850

Cited by 11 publications

(15 citation statements)

References 47 publications

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“…The interview topic guide (Appendix 1) was informed by systematic review of the literature completed by the same authors (5,6), in addition to consultation with members of the research team who possess clinical and research expertise in relation to stroke and cognitive rehabilitation.…”

Section: Data Collectionmentioning

confidence: 99%

Section: We Don't Really Know What Work…if We Had a Very Clear Pathwa...mentioning

confidence: 99%

“…Despite the high prevalence of post-stroke cognitive impairment (2,3), cognitive rehabilitation has received considerably less research attention than rehabilitation of post-stroke physical impairment (5,6). Although a recent systematic review reported some promising data in support of cognitive interventions (7), the efficacy of cognitive rehabilitation requires further investigation (5,6). The prevalence of cognitive impairment after stroke highlights the need to prioritise resourcing to enable routine cognitive screening of all acute stroke patients and neuropsychological testing of those patients identified through screening as having impairment (16-20, 29, 33, 34).…”

Section: We Don't Really Know What Work…if We Had a Very Clear Pathwa...mentioning

confidence: 99%

“…Post-stroke cognitive impairment affects between 30% and 50% of stroke survivors (2,3), with up to a quarter progressing to dementia within three years of initial stroke (4). Despite these figures, cognitive rehabilitation has received less research attention relative to rehabilitation of physical post-stroke deficits (5,6). While limited, the evidence for the potential effectiveness of cognitive rehabilitation in stroke is emerging (7).…”

Section: Introductionmentioning

confidence: 99%

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Designing stroke services for the delivery of cognitive rehabilitation: A qualitative study with stroke rehabilitation professionals

Jeffares

Merriman

Doyle

et al. 2021

Neuropsychological Rehabilitation

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This qualitative study explored the potential to deliver cognitive rehabilitation for poststroke cognitive impairment (PSCI), with a specific focus on barriers and facilitators to its delivery from the perspective of Irish stroke rehabilitation professionals. Sixteen semistructured interviews were completed with healthcare professionals in both hospital and community settings. The sample comprised physiotherapists, occupational therapists, nurses, a stroke physician, a psychologist, a neuropsychologist, a speech and language therapist, a dietician and a public health nurse. Interviews were audio-recorded and analysed in NVivo using inductive Thematic Analysis. Barriers and facilitators to the delivery of cognitive rehabilitation were identified and described under four key themes: (i) Cognitive screening; (ii) Cognitive rehabilitation: no one size fits all; (iii) Psychology: the lost dimension of stroke rehabilitation; and (iv) Joining the dots in the community. Staffing required to deliver cognitive rehabilitation for PSCI was highlighted as under-resourced in the Republic of Ireland. Inadequate resourcing of neuropsychology and stroke-related psychological services, in particular, has had negative implications for the delivery of cognitive rehabilitation. Stroke-specific cognitive rehabilitation expertise is virtually inaccessible in the community, highlighting an urgent need for investment in specialist rehabilitation teams to deliver cognitive rehabilitation in this setting.

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Section: Data Collectionmentioning

confidence: 99%

Section: We Don't Really Know What Work…if We Had a Very Clear Pathwa...mentioning

confidence: 99%

Section: We Don't Really Know What Work…if We Had a Very Clear Pathwa...mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Designing stroke services for the delivery of cognitive rehabilitation: A qualitative study with stroke rehabilitation professionals

Jeffares

Merriman

Doyle

et al. 2021

Neuropsychological Rehabilitation

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“…Ihle-Hansen et al’s [ 60 ] 18-month RCT examined the effects of individualized regular coaching and exercise on post-stroke cognition. The Trail Making Test A and B and MMSE were used to assess cognition, with data collected three and 21 months after stroke.…”

Section: What Interventions Exist For Post-stroke Rehabilitation mentioning

confidence: 99%

Are Sarcopenia and Cognitive Dysfunction Comorbid after Stroke in the Context of Brain–Muscle Crosstalk?

Sui

Pasco

2021

Biomedicines

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Stroke is a leading cause of death and disability and is responsible for a significant economic burden. Sarcopenia and cognitive dysfunction are common consequences of stroke, but there is less awareness of the concurrency of these conditions. In addition, few reviews are available to guide clinicians and researchers on how to approach sarcopenia and cognitive dysfunction as comorbidities after stroke, including how to assess and manage them and implement interventions to improve health outcomes. This review synthesises current knowledge about the relationship between post-stroke sarcopenia and cognitive dysfunction, including the physiological pathways, assessment tools, and interventions involved.

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Interaction of heart failure and stroke: A clinical consensus statement of the ESC Council on Stroke, the Heart Failure Association (HFA) and the ESC Working Group on Thrombosis

Doehner,

Böhm,

Boriani

et al. 2023

European J of Heart Fail

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Heart failure (HF) is a major disease in our society that often presents with multiple comorbidities with mutual interaction and aggravation. The comorbidity of HF and stroke is a high risk condition that requires particular attention to ensure early detection of complications, efficient diagnostic workup, close monitoring, and consequent treatment of the patient. The bi‐directional interaction between the heart and the brain is inherent in the pathophysiology of HF where HF may be causal for acute cerebral injury, and ‐ in turn ‐ acute cerebral injury via imbalanced neural and neurovegetative control of cardiovascular regulation may induce or aggravate HF.The present document represents the consensus view of the ESC Council on Stroke, the Heart Failure Association and the ESC Working Group on Thrombosis to summarize current insights on pathophysiologic interactions of the heart and the brain in the comorbidity of HF and stroke. Principal aspects of diagnostic workup, pathophysiologic mechanisms, complications clinical management in acute conditions and in long‐term care of patients with the comorbidity are presented and state of the art clinical management and current evidence from clinical trials is discussed. Beside the physicians perspective, also the patients values and preferences are taken into account.Interdisciplinary cooperation of cardiologists, stroke specialists, other specialists and primary care physicians is pivotal to ensure optimal treatment in acute events and in continued long‐term treatment of these patients. Key consensus statements are presented in a concise overview on mechanistic insights, diagnostic workup, prevention and treatment to inform clinical acute and continued care of patients with the comorbidity of heart failure and stroke.

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A systematic review and meta-analysis of the effects of cardiac rehabilitation interventions on cognitive impairment following stroke

Cited by 11 publications

References 47 publications

Designing stroke services for the delivery of cognitive rehabilitation: A qualitative study with stroke rehabilitation professionals

Designing stroke services for the delivery of cognitive rehabilitation: A qualitative study with stroke rehabilitation professionals

Are Sarcopenia and Cognitive Dysfunction Comorbid after Stroke in the Context of Brain–Muscle Crosstalk?

Interaction of heart failure and stroke: A clinical consensus statement of the ESC Council on Stroke, the Heart Failure Association (HFA) and the ESC Working Group on Thrombosis

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