Article

Cognitive impairment is a frequent consequence of stroke and can impact
the ability of people who have had a stroke to perform everyday activities. There
are a number of intervention strategies that various health professionals may use
when working with people who have cognitive impairment post stroke. The purpose
of this systematic review was to determine whether interventions for people with
cognitive impairment after a stroke improve their functional performance of basic
and/or instrumental activities of daily living (ADL).
METHOD: Searches were
performed in the Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE,
CINAHL, PsycINFO, PsycBITE, OTseeker, and Dissertation Abstracts. Studies were
eligible for inclusion if they were a randomised controlled trial or
quasi-randomised controlled trial that evaluated an intervention that focused on
providing cognitive retraining to adults with clinically defined stroke and
confirmed cognitive impairment and measured functional ability, either basic or
instrumental ADL, as either a primary or secondary outcome measure. RESULTS: Four
studies, involving a total of 376 participants, were included in this review.
There was no statistically significant difference between groups on basic ADL
performance in any of the four studies or on instrumental ADL in the one study
that measured this. CONCLUSION: There were not an adequate number of high quality
trials to be able to make recommendations that support or refute the use of
specific cognitive retraining interventions to improve functional outcomes
following a stroke. More research is required before conclusions can be made
about the effect of cognitive interventions on functional outcomes post stroke.

Langue : ANGLAIS