PMID- 37424486
OWN - NLM
STAT- MEDLINE
DCOM- 20230808
LR  - 20231119
IS  - 1878-6448 (Electronic)
IS  - 1053-8135 (Linking)
VI  - 53
IP  - 1
DP  - 2023
TI  - Does occupational therapy improve activities of daily living and/or cognitive 
      abilities in stroke patients with cognitive impairment? A Cochrane Review summary 
      with commentary.
PG  - 167-171
LID - 10.3233/NRE-236002 [doi]
AB  - BACKGROUND: Cognitive Impairment (CI) after stroke is frequent and often 
      persistent, and is associated with poor functional outcome. Occupational therapy 
      (OT) is aimed at restoring functioning also by addressing CI. OBJECTIVE: 
      Commentary on the review by Gibson et al. (2022) updating a previous Cochrane 
      Review (Hoffmann et al., 2010) to investigate the effectiveness of OT on CI after 
      stroke. METHODS: This review included randomised and quasi-randomised controlled 
      trials evaluating OT for adults with clinically defined stroke and confirmed CI. 
      Outcomes included basic activities of daily living (BADL) (primary), instrumental 
      ADL (IADL), community integration and participation, global cognitive function 
      and specific cognitive abilities. RESULTS: Overall, 24 trials from 11 countries 
      including 1142 participants. For BADL, a small effect below the minimal 
      clinically important difference (MCID) was found immediately after intervention 
      and at six months' follow-up (low certainty evidence), but not at three months 
      follow-up (insufficient evidence). For IADL, the evidence was very uncertain 
      about an effect, while for community integration, there was insufficient evidence 
      of an effect. For global cognitive performance, there was an improvement of 
      clinical importance after the intervention (low-certainty). There was some effect 
      for attention overall, and for executive functional performance overall (very 
      low-certainty). Of the cognitive subdomains, there was evidence of effect of 
      possible clinical importance, immediately after intervention, only for sustained 
      visual attention (moderate certainty), for working memory (low certainty), and 
      thinking flexibly (low certainty), while there was only low or very low certainty 
      or insufficient evidence of an effect for other cognitive 
      domains/subdomains;CONCLUSION:The authors concluded that the body of evidence for 
      the effectiveness of OT interventions has improved since their first review. 
      However, although their findings provide some support for the potential benefits 
      of OT (mostly based on low certainty evidence), OT effectiveness for stroke 
      patients remains unclear.
FAU - Cecchi, Francesca
AU  - Cecchi F
AD  - Department of Experimental and Clinical Medicine, University of Florence, Italy; 
      Fondazione don Carlo Gnocchi, Scientific Institute, Florence, Italy.
LA  - eng
PT  - Journal Article
PT  - Review
PL  - Netherlands
TA  - NeuroRehabilitation
JT  - NeuroRehabilitation
JID - 9113791
SB  - IM
EIN - NeuroRehabilitation. 2023;53(3):421. PMID: 37980596
MH  - Adult
MH  - Humans
MH  - Activities of Daily Living
MH  - *Occupational Therapy
MH  - *Stroke/complications/psychology
MH  - *Cognitive Dysfunction/etiology
MH  - Cognition
OTO - NOTNLM
OT  - Occupational therapy
OT  - activities of daily living
OT  - cognitive impairment
OT  - rehabilitation
OT  - stroke
OT  - systematic review
EDAT- 2023/07/10 06:42
MHDA- 2023/08/08 06:42
CRDT- 2023/07/10 04:24
PHST- 2023/08/08 06:42 [medline]
PHST- 2023/07/10 06:42 [pubmed]
PHST- 2023/07/10 04:24 [entrez]
AID - NRE236002 [pii]
AID - 10.3233/NRE-236002 [doi]
PST - ppublish
SO  - NeuroRehabilitation. 2023;53(1):167-171. doi: 10.3233/NRE-236002.