Salzwedel, Maren Helene (2022) Improving Daily Functioning with Cognitive Training in Stroke Patients and the Role of the Therapist: A Systematic Literature Review. Master thesis, Psychology.
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Abstract
Cognitive rehabilitation for stroke patients should facilitate the generalization of cognitive improvements to real world functioning. It is not yet clear to what extent cognitive improvements achieved with cognitive training may transfer to daily functioning and what the role of the therapist is in this process. The aim of this systematic review was to explore the current state of knowledge in the literature regarding these two questions. Studies that (a) investigated the population of stroke patients; (b) administered cognitive training as an intervention; and (c) measured cognitive outcomes with optional inclusion of functional outcome measures, were eligible for inclusion. We searched in PubMed, PsycINFO, and the Cochrane Library. The methodological quality of the systematically reviewed studies was judged with the Cochrane risk-of-bias tool for randomized trials. Data was extracted in Excel and reviewed in a narrative synthesis alongside a summary table. Fifteen randomized controlled trials were included. Nine of those studies measured functional outcomes. Whereas two of these nine observed significant improvement, the majority of seven studies found no significant improvement as a result of the cognitive training. Since only one of the studies that measured functional outcomes also included a therapist in the cognitive training, we could not gather sufficient information to explore the role of the therapist. Future research should compensate for previous shortcomings by assessing functional outcomes and the role of the therapist in order to be able to answer the question whether cognitive improvements can generalize to improved daily functioning and if a trained therapist can facilitate this process. Keywords: cognitive rehabilitation, stroke patients, daily functioning
| Item Type: | Thesis (Master) |
|---|---|
| Supervisor name: | Poppe, A. and Fuermaier, A.B.M. |
| Degree programme: | Psychology |
| Differentiation route: | Clinical Neuropsychology (CN) [Master Psychology] |
| Date Deposited: | 08 Feb 2022 15:44 |
| Last Modified: | 08 Feb 2022 15:44 |
| URI: | http://gmwpublic.studenttheses.ub.rug.nl/id/eprint/150 |
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