Review of Self-Awareness and Its Clinical Application in Stroke Rehabilitation

International Journal of Rehabilitation Research

Leung, D. P., & Liu, K. P. (2011).

International Journal of Rehabilitation Research, 34(3), 187-195.

This systematic review investigates the effects of self-awareness assessment or treatment on rehabilitation outcomes in adults with brain injury or stroke. Although etiologies of interest are brain injury or stroke, the review includes studies with mixed acquired brain injury, therefore the applicability of results to the stroke population is unclear. 

Research Grants Council of the Hong Kong Special Administrative Region (China)


<div>Although etiologies of interest are brain injury or stroke, the review included studies of populations of individuals with acquired brain injury. The representation of diagnoses within the acquired brain injury studies is unclear (i.e., it is unknown whether the majority of patients were diagnosed with stroke, brain injury, or other etiology such as infection, anoxia or cancer). This may affect the applicability of results to patients with brain injury or stroke.</div> <div></div>

From 1980 to 2010

Experimental studies; observational studies

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<p>Self-awareness/metacognitive treatments were associated with improved outcomes for adults with acquired brain injury, including:</p> <ul> <li>improved safety and independence in activities of daily living in individuals after stroke;</li> <li>increased treatment participation, ability to generate realistic goals, employability, and independence with complex everyday tasks for adults with traumatic brain injury;</li> <li>improved social functioning in adults with long-term traumatic brain injury or acquired brain injury; and</li> <li>improved vocational outcome for adults with acquired brain injury in the outpatient setting.</li> </ul>