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Int J Stroke. 2019 Oct;14(8):774-782. doi: 10.1177/1747493019873600. Epub 2019 Sep 12.

Cognition in stroke rehabilitation and recovery research: Consensus-based core recommendations from the second Stroke Recovery and Rehabilitation Roundtable.

Author information

1
Department of Cellular and Molecular Medicine, University of Ottawa, Ottawa, Canada.
2
Canadian Partnership for Stroke Recovery, Ottawa, Canada.
3
Department of Medicine, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Canada.
4
University of Queensland Centre for Clinical Research, School of Health & Rehabilitation Sciences, University of Queensland, Brisbane, Australia.
5
Biomedical MR Imaging and Spectroscopy Group, Center for Image Sciences, University Medical Center Utrecht and Utrecht University, Utrecht, Netherlands.
6
School of Life Science, University of Nottingham, Nottingham, UK.
7
Institute of Neuroscience, Newcastle University, Newcastle upon Tyne, UK.
8
Priority Research Centre for Stroke & Brain Injury, The University of Newcastle, Callaghan, Australia.
9
Department of Brain Repair and Rehabilitation, UCL Queen Square Institute of Neurology, London, UK.
10
0Florey Institute of Neuroscience and Mental Health, Florey Department of Neuroscience, University of Melbourne, Parkville, Australia.
11
1Centre for Prevention of Stroke and Dementia, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK.
12
2Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, UK.
13
3The Department of Anatomy, Brain Health Research Centre and Brain Research New Zealand, University of Otago, Dunedin, New Zealand.
14
4University of Queensland Centre for Clinical Research, Faculty of Medicine, University of Queensland, Brisbane, Australia.

Abstract

Cognitive impairment is an important target for rehabilitation as it is common following stroke, is associated with reduced quality of life and interferes with motor and other types of recovery interventions. Cognitive function following stroke was identified as an important, but relatively neglected area during the first Stroke Recovery and Rehabilitation Roundtable (SRRR I), leading to a Cognition Working Group being convened as part of SRRR II. There is currently insufficient evidence to build consensus on specific approaches to cognitive rehabilitation. However, we present recommendations on the integration of cognitive assessments into stroke recovery studies generally and define priorities for ongoing and future research for stroke recovery and rehabilitation. A number of promising interventions are ready to be taken forward to trials to tackle the gap in evidence for cognitive rehabilitation. However, to accelerate progress requires that we coordinate efforts to tackle multiple gaps along the whole translational pathway.

KEYWORDS:

Cognitive function; consensus; practice guideline; recovery; rehabilitation; stroke

PMID:
31514685
DOI:
10.1177/1747493019873600

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