The Effects of Computer Based Cognitive Rehabilitation in Stroke Patients with Working Memory Impairment: A Systematic Review

Niemeijer, Miriam; Sværke, Katrine; Christensen, Hanne

doi:10.1016/j.jstrokecerebrovasdis.2020.105265

Cited by 12 publications

(15 citation statements)

References 26 publications

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“…However, the efficacy of CCT varies across cognitive domains, phase of stroke, types of control, intervention duration and intervention intensity (Henon et al, 2001). Although previous systematic reviews have been conducted, most of them aimed to evaluate the efficacy of CCT on stroke patients' specific cognitive domains, such as working memory (Niemeijer et al, 2020) and executive function (van de Ven et al, 2016). Besides, there is limited subgroup analysis for the phase of stroke, types of control, intervention duration and intervention intensity (Pichiorri et al, 2016;Ye et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

Efficacy of computerized cognitive training on improving cognitive functions of stroke patients: A systematic review and meta‐analysis of randomized controlled trials

Zhou

Feng

et al. 2021

Int J of Nursing Practice

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Aim To evaluate the effects of computerized cognitive training on the cognitive functions of stroke patients. Background With increased publications on computerized cognitive training, a meta‐analysis is essential to determine the effects of computerized cognitive training among stroke patients. Design A systematic review and meta‐analysis of randomized controlled studies. Data Sources Cochrane Library, Pubmed, EBSCO, Scopus, China National Knowledge Infrastructure, China Biology Medicine disc and Wanfang Database were explored to search for research studies from inception to January 2020. Review Methods Six outcomes indicators were considered to determine the effects of computerized cognitive training. Two reviewers were selected to search and independently appraise the available articles from various databases. Meta‐analysis was performed using the RevMan 5.3 software. Results A total of 622 patients with 17 studies were included. Computerized cognitive training significantly improves global cognition, working memory, attention and executive function of stroke patients. However, there was inadequate evidence to demonstrate any effects of computerized cognitive training on activities of daily living and depression. Conclusion Computerized cognitive training improves the cognitive functions of stroke patients. However, further research studies are needed to confirm its efficacy in activities of daily living as well as on alleviating depression.

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Section: Introductionmentioning

confidence: 99%

Efficacy of computerized cognitive training on improving cognitive functions of stroke patients: A systematic review and meta‐analysis of randomized controlled trials

Zhou

Feng

et al. 2021

Int J of Nursing Practice

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“…The current treatments of PSMD include drug therapy, regular rehabilitation therapy, computer-assisted training, virtual reality. [11][12][13] However, these ments are minimally effective and insufficient and are plagued by low adherence. [11,12] With the development and progress of technology, a safe, painless, and noninvasive tool, repetitive transcranial magnetic stimulation (rTMS) has been widely applied in the treatment of stroke.…”

Section: The Authors Have No Conflicts Of Interest To Disclosementioning

confidence: 99%

“…[11][12][13] However, these ments are minimally effective and insufficient and are plagued by low adherence. [11,12] With the development and progress of technology, a safe, painless, and noninvasive tool, repetitive transcranial magnetic stimulation (rTMS) has been widely applied in the treatment of stroke. [14] After a stroke, the unaffected hemisphere will be more excited and in the dominant position in comparison with the injured hemisphere, [15] which causes a series of complicated pathophysiological events.…”

Section: The Authors Have No Conflicts Of Interest To Disclosementioning

confidence: 99%

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Effectiveness and safety of repetitive transcranial magnetic stimulation on memory disorder in stroke: A protocol for systematic review and meta-analysis

et al. 2022

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Background: Approximately 23% to 55% of patients have memory impairments with a greatly negative effect on daily life 3 months after stroke. Repetitive transcranial magnetic stimulation (rTMS) has been widely used in the rehabilitation of stroke as it is safe, painless, and noninvasive. Moreover, few studies have investigated the effect of rTMS on poststroke memory disorder (PSMD). However, the efficacy of rTMS is not consistent and the optional stimulation frequency is unclear. Therefore, this protocol aims to evaluate the clinical effect and safety of rTMS on PSMD by analyzing results from randomized controlled trials.Methods: Search strategies will be performed on seven databases: PubMed, EMBASE, CENTRAL, Chinese Biomedical Literature Database (CBM), Chinese National Knowledge Infrastructure (CNKI), Wan Fang, and Technology Periodical Database (VIP). Only randomized controlled trials registered before August 2021 will be included. Additionally, the language will be limited to English or Chinese. For the outcome, we will focus on the Rivermead Behavioral Memory Test. Additionally, the Montreal Cognitive Assessment, Mini-mental State Examination, Modified Barthel Index, and advent events will be included. Two authors will independently select the study, extract data, and assess quality. Moreover, disagreements will be resolved by the third author. STATA 14 and Review Manager 5.4 will be used to perform the analysis. We will evaluate bias risk in accordance with the Cochrane Handbook for Systematic Reviews of Interventions. To assess the quality of evidence, the Grading of Recommendations Assessment, Development, and Evaluation method will be employed.Results: This study will provide a comprehensive analysis of the current evidence on rTMS for PSMD. Conclusion:A reliable conclusion regarding whether rTMS is an effective and safe intervention for patients with PSMD and the effect of stimulation frequency and sham stimulation will be provided. This study will provide new insights for TMS in treating PSMD, and offer appropriate treatmentoptions to patients and clinicians.

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“…In older adults with a history of stroke, a meta-analysis reviewed the effect of virtual reality rehabilitation from 21 studies, which demonstrated improvements in executive functions and changes in evoked potentials that showed a positive effect of the intervention [ 36 ]. Other reviews recognized transfer effects on working memory [ 4 ], attention and executive functions, and neural changes in both functional and structural connectivity in brain areas related to executive functioning [ 45 ]; however, both reviews noted that the results were very heterogeneous between studies [ 4 , 45 ].…”

Section: Introductionmentioning

confidence: 99%

Artificial Cognitive Systems Applied in Executive Function Stimulation and Rehabilitation Programs: A Systematic Review

2022

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This article presents a systematic review of studies on cognitive training programs based on artificial cognitive systems and digital technologies and their effect on executive functions. The aim has been to identify which populations have been studied, the characteristics of the implemented programs, the types of implemented cognitive systems and digital technologies, the evaluated executive functions, and the key findings of these studies. The review has been carried out following the PRISMA protocol; five databases have been selected from which 1889 records were extracted. The articles were filtered following established criteria, to give a final selection of 264 articles that have been used for the purposes of this study in the analysis phase. The findings showed that the most studied populations were school-age children and the elderly. The most studied executive functions were working memory and attentional processes, followed by inhibitory control and processing speed. Many programs were commercial, customizable, gamified, and based on classic tasks. Some more recent initiatives have begun to incorporate user-machine interfaces, robotics, and virtual reality, although studies on their effects remain scarce. The studies recognize multiple benefits of computerized neuropsychological stimulation and rehabilitation programs for executive functions in different age groups, but there is a lack of studies in specific population sectors and with more rigorous research designs. Supplementary Information The online version contains supplementary material available at 10.1007/s13369-022-07292-5.

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The Effects of Computer Based Cognitive Rehabilitation in Stroke Patients with Working Memory Impairment: A Systematic Review

Cited by 12 publications

References 26 publications

Efficacy of computerized cognitive training on improving cognitive functions of stroke patients: A systematic review and meta‐analysis of randomized controlled trials

Efficacy of computerized cognitive training on improving cognitive functions of stroke patients: A systematic review and meta‐analysis of randomized controlled trials

Effectiveness and safety of repetitive transcranial magnetic stimulation on memory disorder in stroke: A protocol for systematic review and meta-analysis

Artificial Cognitive Systems Applied in Executive Function Stimulation and Rehabilitation Programs: A Systematic Review

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