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Cognitive rehabilitation for attention deficits following strokeLincoln N, Majid M, Weyman N
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SummaryCognitive rehabilitation for attention deficits following strokeCognitive training can improve alertness and sustained attention but there is no evidence that it helps people to do daily activities without help after stroke. Attention problems can occur following stroke (a sudden catastrophe in the brain either because an artery to the brain blocks, or because an artery in or on the brain ruptures and bleeds). They are common in people with damage to the right side of their brain. Although there is some spontaneous recovery, some symptoms may persist for years. Cognitive rehabilitation training aims to improve attention, memory and perception. The review found that training improves alertness and sustained attention. The review found no evidence to show that cognitive rehabilitation can improve people's ability to do daily activities without help after a stroke (for example, getting dressed).
This is a Cochrane review abstract and plain language summary, prepared and maintained by The Cochrane Collaboration, currently published in The Cochrane Database of Systematic Reviews 2010 Issue 1, Copyright © 2010 The Cochrane Collaboration. Published by John Wiley and Sons, Ltd.. The full text of the review is available in The Cochrane Library (ISSN 1464-780X).
This version first published online:
October 23. 2000 AbstractBackgroundAttention problems occur following stroke and are treated using computerised activities or paper and pencil tasks. ObjectivesTo determine the effects of cognitive rehabilitation for attention deficits following stroke. Search strategyWe searched the Cochrane Stroke Group Trials Register, Medline, EMBASE, CINAHL and CLIN PSYCH databases and reference lists from relevant articles. Date of most recent searches: December 1998 Selection criteriaControlled trials of attention training in stroke. Studies with mixed aetiology groups were excluded unless they included more than 75% of stroke patients or separate data were available for the stroke patients. Data collection and analysisTwo reviewers extracted trial data and assessed trial quality. Reviewers contacted investigators for further details of trials. Main resultsTwo trials were identified with 56 participants. The two trials showed a benefit of training on measures of alertness and sustained attention. Only one trial included a measure of functional independence and this showed no significant effect of training. Authors' conclusionsThere is some indication that training improves alertness and sustained attention but no evidence to support or refute the use of cognitive rehabilitation for attention deficits to improve functional independence following stroke. |