Cognitive Rehabilitation for Memory Deficits After Stroke

Nair, Roshan das; Cogger, Heather; Worthington, Esme; Lincoln, Nadina B.

doi:10.1161/strokeaha.116.015377

Cited by 33 publications

(34 citation statements)

References 10 publications

(7 reference statements)

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“…These results do not support the generalization of training to real-word benefit; a finding consistent with recent commentary (6,8). Within the context of equivocal memory rehabilitation outcomes to date (10), this study meaningfully contributes to the extant body of literature through confirmation of real-world improvement following group intervention training the use of compensatory memory strategies and highlights the potential utility of MSG in clinical practice. We acknowledge that multiple cognitive deficits may affect memory functioning after an acquired brain injury, such as stroke.…”

Section: Discussioncontrasting

confidence: 41%

“…While a number of comprehensive reviews have explored best-practice recommendations for cognitive impairment following acquired brain injury (10,11), only a minority of studies included in these reviews were conducted in stroke-only samples. Consequently, the long-held view that MSG training is the treatment of choice in rehabilitating memory has been largely speculative post-stroke and appears to have been based on an absence of evidence, rather than evidence of absence for the effectiveness of CCT (5).…”

mentioning

confidence: 99%

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Comparing memory group training and computerized cognitive training for improving memory function following stroke: A phase II randomized controlled trial

Withiel¹,

Wong²,

Ponsford³

et al. 2019

J Rehabil Med

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Memory problems are commonly reported following stroke but receiving help for these difficulties remains a high unmet need among survivors. Two different approaches to memory rehabilitation are available: memory skills group training and computerised cognitive training; however, it is unclear which approach is more effective. This study compared these two approaches in 65 stroke survivors who all reported memory difficulties. We found that participants who received memory group training were more likely to achieve their memory improvement goals than those who received computerised cognitive training. It was concluded that memory skills group training may be a more effective approach to improve memory function in daily life following stroke, but more research is required. Objectives: Memory deficits are common after stroke, yet remain a high unmet need within the community. The aim of this phase II randomized controlled trial was to determine whether group compensatory or computerized cognitive training approaches were effective in rehabilitating memory following stroke. Methods: A parallel, 3-group, single-blind, randomized controlled trial was used to compare the effectiveness of a compensatory memory skills group with restorative computerized training on functional goal attainment. Secondary outcomes explored change in neuropsychological measures of memory, subjective ratings of prospective and everyday memory failures and ratings of internal and external strategy use. Results: A total of 65 community dwelling survivors of stroke were randomized (24: memory group, 22: computerized cognitive training, and 19: wait-list control). Participants allocated to the memory group reported significantly greater attainment of memory goals and internal strategy use at 6-week follow-up relative to participants in computerized training and wait-list control conditions. However, groups did not differ significantly on any subjective or objective secondary outcomes. Conclusion: Preliminary evidence shows that memory skills groups, but not computerized training, may facilitate achievement of functional memory goals for community dwelling survivors of stroke. These findings require further replication, given the modest sample size, subjective nature of the outcomes and the absence of objective eligibility for inclusion.

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Section: Discussioncontrasting

confidence: 41%

mentioning

confidence: 99%

Comparing memory group training and computerized cognitive training for improving memory function following stroke: A phase II randomized controlled trial

Withiel¹,

Wong²,

Ponsford³

et al. 2019

J Rehabil Med

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show abstract

“…Sometimes, in the case of permanent injury, brain plasticity can allow another part of the brain to take over the function of the damaged part of the brain, like a stroke or dementia [21].…”

Section: Discussionmentioning

confidence: 99%

Can Digital Games Be a Way of Improving the Neuroplasticity in Stroke Damage? Can the Adult Brain Grow New Cells or Rewire Itself in Response to a New Experience?

Valentin¹

2017

OJMP

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Exploratory studies developed at several neurosciences laboratories at universities around the world show us through the experience that there is a biological process called neuroplasticity. Because of this oldest concept about the neuronal formation, scientists also thought that if a particular area of the adult brain was damaged, the nerve cells could not form new connections and the functions controlled by this field of the brain would be permanently lost or could not be regenerate. However, studies have overturned this old view, and currently, scientists recognize that the brain continues to reorganize itself by forming new neural connections during the life. This phenomenon is called neuroplasticity that refers to the potential which the brain should be reorganized by creating new neural pathways to adapt, as it needs.

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“…Most of the studies included memory rehabilitation as the therapeutic activity for ABI patients. 7 However, some aspects of memory are directly linked to attention, and it is challenging to assess what components are caused by memory and what by attention problems. 8 There is often a partial organic recovery of memory functioning following the initial recovery phase; however, permanent impairments are often common.…”

Section: Neuropsychiatric Sequelae After Acquired Brain Injurymentioning

confidence: 99%

Does Functionality Cease after Acquired Brain Injury? Vignettes from a Neuropsychosocial Perspective

Chopra

Sinha

Gupta

et al. 2017

IJNT

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Background The outcome of acquired brain injury (ABI) depends largely on the nature and severity of injury, appropriate treatment, and rehabilitation that plays a vital role in recovery. Materials and Methods A total of 18 patients after ABI, aged 18 to 50 years, were assessed pre- and post-neuropsychological rehabilitation (NR) on various psychosocial functions. The patient-specific NR included an eclectic approach using cognitive retraining for memory, attention and concentration, executive functioning, perceptuomotor speed, motor dexterity, basic functional skill training, cognitive behavior therapy, rational emotive behavior therapy, relearning, relaxation therapy, assertiveness training, anger management, and vocational and individual counseling following a neuropsychosocial perspective. Results The post-rehabilitation assessment revealed improvements of statistical and clinical significance in the score of on dysfunction analysis (t = 7.10) that was significant at 0.001 level. Significant improvements were found in each of the areas: social, vocational, personal, family, and cognitive as compared with pre-rehabilitation as described by the patient. Discussion and Conclusion Eclectic approach to NR was successful in decreasing the overall dysfunction of the patients despite the severity of injury or the time elapsed after injury. Several therapeutic approaches have been used to assist individuals after brain injury, but more outcome studies are still needed to dictate which therapy works best, or if using an eclectic therapy is the key. The challenge is to make the therapy as person centered and individualistic as possible, depending on the individual needs as there is no “gold standard” for treatment for various issues arising following brain injury.

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Cognitive Rehabilitation for Memory Deficits After Stroke

Cited by 33 publications

References 10 publications

Comparing memory group training and computerized cognitive training for improving memory function following stroke: A phase II randomized controlled trial

Comparing memory group training and computerized cognitive training for improving memory function following stroke: A phase II randomized controlled trial

Can Digital Games Be a Way of Improving the Neuroplasticity in Stroke Damage? Can the Adult Brain Grow New Cells or Rewire Itself in Response to a New Experience?

Does Functionality Cease after Acquired Brain Injury? Vignettes from a Neuropsychosocial Perspective

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