Universität zu Köln

Eschweiler, Mareike, Bohr, Lara, Kessler, Josef, Fink, Gereon R. ORCID: 0000-0002-8230-1856, Kalbe, Elke and Onur, Oezguer A. (2021). Combined cognitive and motor training improves the outcome in the early phase after stroke and prevents a decline of executive functions: A pilot study. Neurorehabilitation, 48 (1). S. 97 - 109. AMSTERDAM: IOS PRESS. ISSN 1878-6448

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Abstract

BACKGROUND: The negative impact of cognitive dysfunction on motor rehabilitation as a relearning-process is well known in stroke patients. However, evidence for combined cognitive and motor training (CMT) is lacking. OBJECTIVE: To evaluate the effects of combined CMT in early stroke rehabilitation. METHODS: In a controlled pilot study, 29 moderately affected stroke patients with low-level motor performance and cognitive impairment received motor therapy plus either cognitive (experimental group, EG) or low-frequency ergometer training (control group, CG) for eight days. RESULTS: Both groups improved their motor functioning significantly. After training, between-group comparison revealed significant differences for cognitive flexibility and trends for set-shifting, working memory, and reaction control in favor of the EG. Within-group effects showed improvement across all cognitive domains in the EG, which correlated with gains in bed-mobility, while the CG showed no significant improvement in cognition. Rather, a trend towards reaction control decline was observed, which correlated with less functional progression and recovery. Furthermore, a decline in cognitive flexibility, set-shifting, and working memory was descriptively observed. CONCLUSIONS: Combined CMT may enhance cognition and motor relearning early after stroke and is superior to single motor training. Further studies are needed to replicate these results and investigate long-term benefits.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Eschweiler, Mareike UNSPECIFIED UNSPECIFIED UNSPECIFIED Bohr, Lara UNSPECIFIED UNSPECIFIED UNSPECIFIED Kessler, Josef UNSPECIFIED UNSPECIFIED UNSPECIFIED Fink, Gereon R. UNSPECIFIED orcid.org/0000-0002-8230-1856 UNSPECIFIED Kalbe, Elke UNSPECIFIED UNSPECIFIED UNSPECIFIED Onur, Oezguer A. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-592878
DOI:	10.3233/NRE-201583
Journal or Publication Title:	Neurorehabilitation
Volume:	48
Number:	1
Page Range:	S. 97 - 109
Date:	2021
Publisher:	IOS PRESS
Place of Publication:	AMSTERDAM
ISSN:	1878-6448
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language OF-THE-LITERATURE; TRUNK PERFORMANCE; REHABILITATION; IMPAIRMENT; RECOVERY; PREVALENCE; PREDICTOR; DEMENTIA; DEFICITS; DISEASE Multiple languages Clinical Neurology; Rehabilitation Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/59287