Article

Although cognitive impairments are common following stroke, there is
considerable uncertainty about the types of interventions that can reduce
activity restrictions and improve quality of life. Indeed, a recent project to
identify priorities for research into life after stroke determined that the top
priority for patients, carers and health professionals was how to improve
cognitive impairments. OBJECTIVE: To provide an overview of the evidence for the
effectiveness of cognitive rehabilitation for patients with stroke and to
determine the main gaps in the current evidence base. METHODS: Evidence was
synthesised for the six Cochrane reviews relating to rehabilitation for
post-stroke cognitive impairment and any subsequently published randomized
controlled trials to February 2012. RESULTS: Data arising from 44 trials
involving over 1500 patients was identified. Though there was support for the
effectiveness of cognitive rehabilitation for some cognitive impairments,
significant gaps were found in the current evidence base. All of the Cochrane
reviews identified major limitations within the evidence they identified.
CONCLUSIONS: There is currently insufficient research evidence, or evidence of
insufficient quality, to support clear recommendations for clinical practice.
Recommendations are made as to the research required to strengthen the evidence
base, and so facilitate the delivery of effective interventions to individuals
with cognitive impairment after stroke.
CI - (c) The Author(s) 2014.

Langue : ANGLAIS