Cognitive and Motor Therapy After Stroke Is Not Superior to Motor and Cognitive Therapy Alone to Improve Cognitive and Motor Outcomes: New Insights From a Meta-analysis
Archives of Physical Medicine & Rehabilitation
Embrechts, E., McGuckian, T. B., et al. (2023).
Archives of Physical Medicine & Rehabilitation, 104(10), 1720-1734.
This systematic review and meta-analysis investigates the effects of cognitive and motor therapy on cognitive outcomes for individuals post-stroke.
Not stated
2010-2022
Original, peer-reviewed research studies
26
When compared to motor-only therapy, cognitive and motor therapy (CMT) showed a small positive overall effect (g=0.18; 95% CI = [0.00, 0.35]). No significant effects were seen when evaluating outcome categories alone (i.e. motor outcomes, cognitive outcomes, cognitive-motor outcomes). When compared to motor-only therapy, CMT demonstrated no overall follow-up effect and no significant effect on cognitive outcomes alone. CMT dual-task demonstrated an overall moderate effect on outcomes (g=0.27; 95% CI = [0.06, 0.50]) but did not have significant effects for cognitive outcomes alone. CMT integrated demonstrated an overall effect for cognitive-motor outcomes, but no significant effects on cognitive outcomes alone.
