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Cognitive rehabilitation for memory deficits following stroke

das Nair, Roshan; Lincoln, Nadina

Authors

Roshan das Nair roshan.dasnair@nottingham.ac.uk

Nadina Lincoln Nadina.Lincoln@nottingham.ac.uk

Abstract

Background:

Memory problems are a common cognitive complaint following stroke. Memory rehabilitation programmes either attempt to retrain lost or poor memory functions, or teach patients strategies to cope with them.

Objectives:

To determine the effectiveness of cognitive rehabilitation for memory problems following stroke.

Search methods:

We searched the Cochrane Stroke Group Trials Register (last searched September 2006). In addition, we searched the following electronic databases; the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library Issue 2, 2005), MEDLINE (1966 to June 2005), EMBASE (1980 to June 2005), CINAHL (1982 to June 2005), PsycINFO (1980 to July 2006), AMED (1985 to June 2005), British Nursing Index (1985 to June 2005), CAB Abstracts (1973 to May 2005) and the National Research Register (June 2006). We handsearched relevant journals and searched reference lists.

Selection criteria:


We selected controlled trials of memory retraining in stroke. We excluded studies with mixed aetiology groups unless 75% or more of the participants had a stroke or separate data were available for the stroke patients.

Data collection and analysis:


Two review authors selected trials for inclusion, assessed quality, and extracted data.

Main results:

Two trials, involving 18 participants, were included. One study compared the effectiveness of a mnemonic strategy treatment group with a 'drill and practice' control, while the other compared the effectiveness of an imagery mnemonics programme with a 'pragmatic' memory rehabilitation control programme. Formal meta‐analyses could not be performed due to a paucity of studies and lack of commonly‐employed outcome measures. The results do not show any significant effect of memory rehabilitation on performance of objective memory tests, and no significant effects of treatment on subjective and observer‐rated measures of memory.

Authors' conclusions:


There was no evidence to support or refute the effectiveness of memory rehabilitation on functional outcomes, and objective, subjective, and observer‐rated memory measures. There is a need for more robust, well‐designed and better‐reported trials of memory rehabilitation using common standardised outcome measures.

Journal Article Type Article
Publication Date Jul 18, 2007
Journal Cochrane Database of Systematic Reviews
Electronic ISSN 1469-493X
Publisher Cochrane Collaboration
Peer Reviewed Peer Reviewed
Volume 3
Article Number CD0022
Book Title Cochrane Database of Systematic Reviews
Institution Citation das Nair, R., & Lincoln, N. (2007). Cognitive rehabilitation for memory deficits following stroke. Cochrane Database of Systematic Reviews, 3, doi:10.1002/14651858.CD002293.pub2
DOI https://doi.org/10.1002/14651858.CD002293.pub2
Publisher URL http://onlinelibrary.wiley.com/wol1/doi/10.1002/14651858.CD002293.pub2/abstract
Copyright Statement Copyright information regarding this work can be found at the following address: http://eprints.nottingh.../end_user_agreement.pdf
Additional Information This paper is based on a Cochrane review most recently substantively amended in The Cochrane Library 2007, Issue 3 (see http://www.thecochranelibrary.com/ for information). Cochrane reviews are regularly updated as new evidence emerges and in response to feedback, and The Cochrane Library should be consulted for the most recent version of the review.

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Nair_et_al-2007-The_Cochrane_library.pdf (214 Kb)
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Copyright Statement
Copyright information regarding this work can be found at the following address: http://eprints.nottingham.ac.uk/end_user_agreement.pdf




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