Dawar Dimple, Kamalakannan Sureshkumar, Chawla Nistara S, Mathew Jibil T, Mehmood Esha, Bhatnagar Unnati, Pandian Jeyaraj Durai
Department of Neurology, Christian Medical College and Hospital, Ludhiana, Punjab, India.
Department of Social Work, School of Health and Life Sciences, Education and Community Well-being, Northumbria University, Newcastle Upon Tyne, England, UK.
Ann Indian Acad Neurol. 2023 Jan;26(Suppl 1):S32-S42. doi: 10.4103/aian.aian_1099_21. Epub 2022 Nov 4.
Cognitive deficit is one of the common impairments that occur post stroke and have a major effect on the quality of life of stroke survivors. However, the intervention and outcome measures used to remediate post-stroke cognitive impairments are diverse and highly heterogeneous. Therefore, a review of intervention and outcome measures for post-stroke cognitive impairments was carried out.
To review all available information on the recent advancements in intervention and outcome measures for post-stroke cognitive impairments.
An electronic database search was conducted in PubMed, Medline, Google Scholar, and the Cochrane Library with key search terms between 2001 and 2021. The search results were systematically screened, and data was independently extracted by three reviewers. The data was thematically analyzed and narratively synthesized.
The search retrieved 2018 records, and we included 12 studies that met the inclusion criteria. Most of the studies targeted global cognitive deficits in ischemic stroke patients in the chronic phase. We categorized data based on the type of cognitive impairment, cognitive- domain targeted, intervention, and available outcome measures for post-stroke cognitive rehabilitation. Attention, memory, executive function, and global cognition were the common cognitive components targeted, managed, and assessed using an outcome measure. We found that technology is replacing conventional approaches to improve cognitive impairment.
Regardless of many new developments in post-stroke cognitive rehabilitation interventions driven by technology, there is limited data available on actual implementation as a scalable solution. There is an extensive need for future research for evidence-based assessment and management of cognitive impairments in post-stroke rehabilitation.
认知缺陷是中风后常见的损伤之一，对中风幸存者的生活质量有重大影响。然而，用于改善中风后认知障碍的干预措施和结果测量方法多种多样且高度异质。因此，对中风后认知障碍的干预措施和结果测量方法进行了综述。
综述中风后认知障碍干预措施和结果测量方法的最新进展的所有可用信息。
在2001年至2021年期间，使用关键检索词在PubMed、Medline、谷歌学术和考克兰图书馆进行电子数据库检索。对检索结果进行系统筛选，由三位评审员独立提取数据。对数据进行主题分析和叙述性综合。
检索到2018条记录，我们纳入了12项符合纳入标准的研究。大多数研究针对慢性期缺血性中风患者的整体认知缺陷。我们根据认知障碍的类型、针对的认知领域、干预措施以及中风后认知康复可用的结果测量方法对数据进行分类。注意力、记忆、执行功能和整体认知是使用结果测量方法进行靶向、管理和评估的常见认知成分。我们发现技术正在取代传统方法来改善认知障碍。
尽管技术推动了中风后认知康复干预的许多新进展，但作为可扩展解决方案的实际实施方面的数据有限。对于中风后康复中认知障碍的循证评估和管理，未来研究有广泛需求。
