Article

We conducted a systematic review and meta-analysis to identify the
effect of computer-based cognitive rehabilitation (CBCR) on improving cognitive
functions in patients with stroke. METHODS : Researchers performed a literature
search using computerized databases such as the Cochrane Database, EBSCO
(CINAHL), PsycINFO, PubMed and Web of Science. The following keywords were used :
stroke, computer-based, cognitive rehabilitation, and others. The methodological
quality was evaluated. Statistical heterogeneity and standardized mean difference
were used to compute the overall effect size and that of subgroups. Also
publication bias of the selected studies was analysed. RESULTS: Twelve studies
met the inclusion criteria including a total of 461 stroke survivors. Among
studies, six RCT studies were rated as high methodological quality. Overall
effect size was medium 0.54, and the 95% confidence interval was 0.33-0.74. The
effect sizes of acute and chronic phase of stroke were both 0.54. They can be
interpreted as medium effect size and were statistically significant. The statistical heterogeneity and publication bias were not significant. CONCLUSION:
The present study provides evidence that CBCR is effective on improving cognitive
function after stroke. We recommend conducting meta-analysis on subgroups of CBCR
programs in further studies.

Langue : ANGLAIS