Adaptive conjunctive cognitive training (ACCT) in virtual reality for chronic stroke patients: a randomized controlled pilot trial

Journal of Neuroengineering and Rehabilitation
Martina MaierPaul F M J Verschure

Abstract

Current evidence for the effectiveness of post-stroke cognitive rehabilitation is weak, possibly due to two reasons. First, patients typically express cognitive deficits in several domains. Therapies focusing on specific cognitive deficits might not address their interrelated neurological nature. Second, co-occurring psychological problems are often neglected or not diagnosed, although post-stroke depression is common and related to cognitive deficits. This pilot trial aims to test a rehabilitation program in virtual reality that trains various cognitive domains in conjunction, by adapting to the patient's disability and while investigating the influence of comorbidities. Thirty community-dwelling stroke patients at the chronic stage and suffering from cognitive impairment performed 30 min of daily training for 6 weeks. The experimental group followed, so called, adaptive conjunctive cognitive training (ACCT) using RGS, whereas the control group solved standard cognitive tasks at home for an equivalent amount of time. A comprehensive test battery covering executive function, spatial awareness, attention, and memory as well as independence, depression, and motor impairment was applied at baseline, at 6 weeks and 18-weeks follow-...Continue Reading

Associated Clinical Trials

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Citations

Dec 19, 2020·Frontiers in Psychology·Hendry F ChameJun Tani
Dec 23, 2020·Stroke; a Journal of Cerebral Circulation·Lorie G Richards, Steven C Cramer
Jan 13, 2021·Stroke; a Journal of Cerebral Circulation·Kathryn S HaywardJulie Bernhardt
Mar 30, 2021·NeuroRehabilitation·Adéla PlechatáIveta Fajnerová
Nov 12, 2021·Disability and Rehabilitation. Assistive Technology·Vibhuti VibhutiChitra Kataria

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Clinical Trials Mentioned

NCT02816008

Software Mentioned

OxMAR
Rehabilitation Gaming System ( RGS )
RGS
ACCT
Eval VR

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