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Cognitive rehabilitation for executive dysfunction in patients with stroke or other adult non-progressive acquired brain damage

  • Protocol
  • Intervention

Authors


Abstract

This is the protocol for a review and there is no abstract. The objectives are as follows:

To determine whether cognitive rehabilitation after stroke or other adult non-progressive acquired brain damage improves executive function.

Specific research questions

In adults with stroke or other non-progressive acquired brain damage with executive function problems:

  1. is cognitive rehabilitation more effective than no or placebo intervention at improving executive function? No intervention will include participant groups who did not receive any specific cognitive rehabilitation training or functional training. Placebo includes interventions which have been determined by the researchers to have no active impact on the aspect of cognition being studied, for example, a repetitive container filling task to work on problem solving skills;

  2. is cognitive rehabilitation more effective than standard care at improving executive function? Standard care will include stroke and brain injury sensorimotor rehabilitation programmes without specific cognitive rehabilitation components. Sensorimotor interventions are defined as those intended to improve physical function including movement, strength, balance, co-ordination, dexterity sensation and endurance. As most therapeutic interventions contain aspects of cognition training in the form of increasing awareness, improving attention and problem solving, only those which explicitly state the intention of improving an aspect of cognition will be defined as cognitive rehabilitation;

  3. are some cognitive rehabilitation interventions more effective than other cognitive rehabilitation interventions at improving executive function? This could include comparisons of attention training with goal management training for self monitoring, or electronic memory devices versus mental imagery techniques for improving decision making.