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Total 32 results found since Jan 2013.

A Virtual, Randomized, Control Trial of a Digital Therapeutic for Speech, Language, and Cognitive Intervention in Post-stroke Persons With Aphasia
Conclusions: Overall, this study demonstrates the feasibility of a fully virtual trial for patients with post-stroke aphasia, especially given the ongoing COVID19 pandemic, as well as a safe, tolerable, and efficacious digital therapeutic for language/cognitive rehabilitation.Clinical Trial Registration:www.ClinicalTrials.gov, identifier NCT04488029.
Source: Frontiers in Neurology - February 12, 2021 Category: Neurology Source Type: research

A systematic review of non-drug interventions to prevent and treat anxiety in people with aphasia after stroke
CONCLUSION: Definitive conclusions about the effectiveness of non-drug interventions for the prevention and/or treatment of anxiety in people with aphasia post-stroke cannot be made. Interventions that may show promise for those with aphasia and symptoms of anxiety include mindfulness meditation, modified cognitive behaviour therapy, unilateral nostril breathing, and the "Enhance Psychological Coping after Stroke" programme. Further high-quality research with better reporting of the inclusion of participants with aphasia and their specific sub-group results are required.Implications for RehabilitationIt is important for re...
Source: Disability and Rehabilitation - June 12, 2021 Category: Rehabilitation Authors: Brooke J Ryan Stephanie M Clunne Caroline J Baker Ciara Shiggins Miranda L Rose Ian I Kneebone Source Type: research

An augmented cognitive behavioural therapy for treating post-stroke depression: description of a treatment protocol.
We present a new psychological intervention designed to reduce depressive complaints after stroke. METHOD OF PROTOCOL DEVELOPMENT: This intervention was based on cognitive behavioural therapy principles and was shown feasible in a pilot study. In order to meet the specific needs of stroke patients (concerning both sensori-motor, cognitive, and behavioural problems), we incorporated motivational interviewing, grief resolution, and psycho-education. We emphasised for each session to take into account the cognitive deficits of the patients (i.e. be concrete, accessible, structured, specific, and repeat information). More...
Source: Clinical Rehabilitation - December 1, 2014 Category: Rehabilitation Authors: Kootker JA, Rasquin SM, Smits P, Geurts AC, van Heugten CM, Fasotti L Tags: Clin Rehabil Source Type: research

Improving sleep and learning in rehabilitation after stroke, part 2 (INSPIRES2): study protocol for a home-based randomised control trial of digital cognitive behavioural therapy (dCBT) for insomnia
Introduction Consolidation of motor skill learning, a key component of rehabilitation post-stroke, is known to be sleep dependent. However, disrupted sleep is highly prevalent after stroke and is often associated with poor motor recovery and quality of life. Previous research has shown that digital cognitive behavioural therapy (dCBT) for insomnia can be effective at improving sleep quality after stroke. Therefore, the aim of this trial is to evaluate the potential for sleep improvement using a dCBT programme, to improve rehabilitation outcomes after stroke. Methods and analysis We will conduct a parallel-arm randomised c...
Source: BMJ Open - April 6, 2023 Category: General Medicine Authors: Weightman, M., Robinson, B., Fallows, R., Henry, A. L., Kyle, S. D., Garratt, E., Pick, A., Teal, R., Ajina, S., Demeyere, N., Espie, C. A., Seymour, B., Johansen-Berg, H., Fleming, M. K. Tags: Open access, Rehabilitation medicine Source Type: research

An Acceptance and Commitment Therapy (ACT)-Based Intervention for an Adult Experiencing Post-Stroke Anxiety and Medically Unexplained Symptoms
To date, there is little support for the use of any psychotherapy to address post-stroke anxiety. Similarly, there have been no trials of acceptance and commitment therapy (ACT) for post-stroke anxiety, but clinician opinion suggests that an ACT approach may be effective in this context. In this case study, a high-functioning younger man with post-stroke anxiety and associated medically unexplained symptoms (chest pain and dizziness) was assessed and treated using an ACT approach. Mediators of change for both ACT (psychological flexibility) and cognitive therapy (illness perceptions) were recorded as were measures of depre...
Source: Clinical Case Studies - February 25, 2015 Category: Psychiatry Authors: Graham, C. D., Gillanders, D., Stuart, S., Gouick, J. Tags: Articles Source Type: research

Effects of virtual reality immersive training with computerized cognitive training on cognitive function and activities of daily living performance in patients with acute stage stroke: A preliminary randomized controlled trial
Conclusion: Virtual reality immersive training might be an affordable approach for cognitive function and activity of daily living performance recovery for patients with acute stroke.
Source: Medicine - March 1, 2019 Category: Internal Medicine Tags: Research Article: Clinical Trial/Experimental Study Source Type: research

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
CONCLUSIONS: CMT was not superior to mono-therapies to improve outcomes after stroke. CMT approaches were equally effective suggesting that training that enlists a cognitive load per se, may benefit outcomes. (PROSPERO CRD42020193655).PMID:37295704 | DOI:10.1016/j.apmr.2023.05.010
Source: Health Physics - June 9, 2023 Category: Physics Authors: Elissa Embrechts Dr Thomas B McGuckian Dr Jeffrey M Rogers Prof Chris H Dijkerman Prof Bert Steenbergen Prof Peter H Wilson Associate Prof Tanja C W Nijboer Source Type: research

The use of mindfulness-based interventions in stroke rehabilitation: A scoping review.
Conclusions/Implications: The available evidence lends qualified support to the view that mindfulness has the potential to be a therapeutic intervention that offers health benefits to individuals poststroke. Yet, the diversity of results highlights the need for a more rigorous examination in further research. We also identified several knowledge gaps in mindfulness research in the stroke population, such as the limited amount of evidence for mindfulness-based cognitive therapy (MBCT), inadequate evaluations of physical outcomes, and the lack of methodologically robust trials. Further investigations are warranted to strengt...
Source: Rehabilitation Psychology - June 1, 2023 Category: Rehabilitation Source Type: research

Decreasing fear of falling in chronic stroke survivors through cognitive behavior therapy and task-oriented training - Liu TW, Ng GYF, Chung RCK, Ng SSM.
In this study, we evaluated (1) whether cognitive behavior therapy could augment the beneficial effects ...
Source: SafetyLit - December 28, 2018 Category: International Medicine & Public Health Tags: Age: Elder Adults Source Type: news

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
To evaluate whether cognitive-and-motor therapy (CMT) is more effective than no therapy, motor therapy or cognitive therapy on motor and/or cognitive outcomes after stroke. Additionally, this study evaluates whether effects are lasting, and which CMT approach is most effective.
Source: Archives of Physical Medicine and Rehabilitation - June 7, 2023 Category: Rehabilitation Authors: Elissa Embrechts, Dr Thomas B. McGuckian, Dr Jeffrey M. Rogers, Prof Chris H. Dijkerman, Prof Bert Steenbergen, Prof Peter H. Wilson, Associate Prof Tanja C.W. Nijboer Tags: Review Article (Meta-Analysis) Source Type: research

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
To evaluate whether cognitive and motor therapy (CMT) is more effective than no therapy, motor therapy, or cognitive therapy on motor and/or cognitive outcomes after stroke. Additionally, this study evaluates whether effects are lasting and which CMT approach is most effective.
Source: Archives of Physical Medicine and Rehabilitation - June 7, 2023 Category: Rehabilitation Authors: Elissa Embrechts, Thomas B. McGuckian, Jeffrey M. Rogers, Chris H. Dijkerman, Bert Steenbergen, Peter H. Wilson, Tanja C.W. Nijboer Tags: REVIEW ARTICLE Source Type: research

Harnessing the Four Elements for Mental Health
DiscussionAs detailed above, the “elements” in both a classical and a contemporary sense have effects on our mental health and are potentially modifiable aspects that can be harnessed as therapeutic interventions. The most robust interventional evidence currently available shows tentative support for several use of the elements via horticultural and nature-exposure therapy, green exercise/physical activity, sauna and heat therapy, balneotherapy, and breathing exercises. It should be noted that, in many cases, these interventions were not studied in definitive diagnosed psychiatric disorders and thus it is pre...
Source: Frontiers in Psychiatry - April 23, 2019 Category: Psychiatry Source Type: research

A Copernican Approach to Brain Advancement: The Paradigm of Allostatic Orchestration
The objective of this presentation is to explore historical, scientific, interventional, and other differences between the two paradigms, so that innovators, researchers, practitioners, policy-makers, patients, end-users, and others can gain clarity with respect to both the explicit and implicit assumptions associated with brain advancement agendas of any kind. Over the course of three decades, a series of brain-centric, evolution-inspired insights have been articulated with increasing refinement, as principles of allostasis (Sterling and Eyer, 1988; Sterling, 2004, 2012, 2014). Allostasis recognizes that the role of the ...
Source: Frontiers in Human Neuroscience - April 25, 2019 Category: Neuroscience Source Type: research