Efficacy of Computerized Cognitive Training on Improving Cognitive Functions of Stroke Patients: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
International Journal of Nursing Practice
Zhou, Y., Feng, H., et al. (2022).
International Journal of Nursing Practice, 28(3), e12966.
This systematic review and meta-analysis investigates the effects of computerized cognitive training on cognitive performance in patients status post stroke.
Jiangsu Provincial Department of Education Project (China); Social Science Foundation of Jiangsu Province (China); Jiangsu Provincial Physician Association (China)
From database inception to January 2020
Randomized controlled trials
17
<div>When compared to controls, adults with stroke receiving computerized cognitive training (CCT) had significantly improved:</div>
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<ul>
<li>global cognition (SMD = 0.62);</li>
<li>working memory (SMD = 0.39);</li>
<li>attention (SMD = -0.32); and </li>
<li>executive function skills (SMD = -0.27). </li>
</ul>
<div>No significant difference was seen in the reported effect of CCT programs on activities of daily living or depression measures.</div>
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<div>Additional sub-analyses revealed that global cognition gains were seen in individuals with both acute (SMD = 0.73) and chronic deficits (SMD = 0.42) as well for varied treatment dosages. CCT programs yielded greater gains with medium to high intensity of treatment versus low intensity treatment and for short and long-term duration versus medium (4-12 week) duration.</div>
<div> </div>
<div>Vague descriptors of methodology and heterogeneity between programs provided are notable limitations to this review. Further research is warranted.</div>
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