IMPACT OF APP-BASED COGNITIVE TRAINING ON POST-STROKE UPPER EXTREMITY REHABILITATION
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Keywords
cognitive exercise therapy, motor function, rehabilitation, virtual reality, upper extremity.
Abstract
Purpose: To determine the impact of app-based cognitive training on post-stroke upper extremity function.
Methodology: This randomized controlled trial was conducted at the rehabilitation department of Ganga Ram Hospital, Lahore.40 patients diagnosed with sub-acute stroke were randomly allocated in two groups through non probability convenient sampling. Group 1 received UE conventional rehabilitation program and Group 2 app-based cognitive training along with the UE conventional rehabilitation.
Findings: The independent t-test results showed that group 2 showed marked improvement as compared to group 1 as group 2 P-value was less than 0.05 so considered significant. The mean age of patients for Group 1 and Group 2 was 6.00 ±2.00 and 5.52±.1.80 respectively. Paired t-test results showed that Pre-treatment FMA-UE mean score of group 1 was 77.31 ± 6.03 and Post treatment mean score was 86.15 ± 6.84. The Pretreatment FMA-UE mean score of group 2 was 80.31 ± 9.68. Post treatment mean score was 97.73 ± 8.68 in group 2. Shapiro-Wilk test of normality showed that p-value for most of the variables in group 1 and 2 were more than 0.05, showing that data was normally distributed.
Conclusion: The study concluded that app-based cognitive training showed significant improvement in upper extremity motor function on FMA-UE in patients with sub-acute stroke.
Practical Implication: This research would lay another evidence highlighting the impact of app-based cognitive training to not only improve cognition among stroke patients but also the motor function of UE among them.
References
2. Abd Razak, W. A. N. (2023). COGNITIVE CHANGES IN STROKE PATIENTS FOLLOWING ROBOTIC REHABILITATION. The Malaysian Journal of Medical Sciences, 30(1), 224-224.
3. Ahmed, N., Mauad, V. A. Q., Gomez-Rojas, O., Sushea, A., Castro-Tejada, G., Michel, J., . . . Shan, M. (2020). The Impact of Rehabilitation-oriented Virtual Reality Device in Patients With Ischemic Stroke in the Early Subacute Recovery Phase: Study Protocol for a Phase III, Single-Blinded, Randomized, Controlled Clinical Trial. Journal of central nervous system disease, 12, 1179573519899471.
4. Alsubiheen, A. M., Choi, W., Yu, W., & Lee, H. (2022). The Effect of Task-Oriented Activities Training on Upper-Limb Function, Daily Activities, and Quality of Life in Chronic Stroke Patients: A Randomized Controlled Trial. International Journal of Environmental Research and Public Health, 19(21), 14125.
5. Banduni, O., Saini, M., Singh, N., Nath, D., Kumaran, S. S., Kumar, N., . . . Mehndiratta, A. (2023). Post-Stroke Rehabilitation of Distal Upper Limb with New Perspective Technologies: Virtual Reality and Repetitive Transcranial Magnetic Stimulation—A Mini Review. Journal of clinical medicine, 12(8), 2944.
6. Benedict, R. H., Holtzer, R., Motl, R. W., Foley, F. W., Kaur, S., Hojnacki, D., & Weinstock-Guttman, B. (2011). Upper and lower extremity motor function and cognitive impairment in multiple sclerosis. Journal of the International Neuropsychological Society, 17(4), 643-653.
7. Feigin, V. L., Krishnamurthi, R. V., Parmar, P., Norrving, B., Mensah, G. A., Bennett, D. A., . . . Truelsen, T. (2015). Update on the global burden of ischemic and hemorrhagic stroke in 1990-2013: the GBD 2013 study. Neuroepidemiology, 45(3), 161-176.
8. Kim, Y. D., Jung, Y. H., & Saposnik, G. (2016). Traditional risk factors for stroke in East Asia. Journal of Stroke, 18(3), 273.
9. Langhorne, P., & Legg, L. (2003). Evidence behind stroke rehabilitation. Journal of Neurology, Neurosurgery & Psychiatry, 74(suppl 4), iv18-iv21.
10. Levin, M. F., Kleim, J. A., & Wolf, S. L. (2009). What do motor “recovery” and “compensation” mean in patients following stroke? Neurorehabilitation and neural repair, 23(4), 313-319.
11. Mullick, A. A., Subramanian, S. K., & Levin, M. F. (2015). Emerging evidence of the association between cognitive deficits and arm motor recovery after stroke: a meta-analysis. Restorative neurology and neuroscience, 33(3), 389-403.
12. Nomani, A. Z., Nabi, S., Badshah, M., & Ahmed, S. (2017). Review of acute ischaemic stroke in Pakistan: progress in management and future perspectives. Stroke and vascular neurology, 2(1).
13. Zhao, Y., Hua, X., Ren, X., Ouyang, M., Chen, C., Li, Y., . . . Wu, S. (2023). Increasing burden of stroke in China: a systematic review and meta-analysis of prevalence, incidence, mortality, and case fatality. International Journal of Stroke, 18(3), 259-267.
14. Zong, Q.-Q., Qi, H., Wang, Y.-Y., Zhang, C., Balbuena, L., Ungvari, G. S., . . . Xiang, Y.-T. (2020). Knowledge and attitudes of adolescents with psychiatric disorders and their caregivers towards electroconvulsive therapy in China. Asian Journal of Psychiatry, 49, 101968.
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Faiqa Mehmood Rana
Demonstrator, School of Health Sciences, Department of Physical Therapy and Rehabilitation, University of Management and Technology, Lahore, Pakistan
Zainab Hassan
Assistant Professor, School of Health Sciences, Department of Physical Therapy and Rehabilitation, University of Management and Technology, Lahore, Pakistan,
Muhammad Salman Bashir
Professor and Dean of the School of Health Sciences, Department of Physical Therapy and Rehabilitation, University of Management and Technology, Lahore, Pakistan
Muhammad Abbas
Lecturer, College of Physical Therapy, Government College University, Faisalabad, Pakistan
Samrood Akram
Assistant Professor, Riphah International University, Lahore, Pakistan.
Mehwish Khalid
Assistant Professor, UBAS, Department of Physical Therapy, Lahore, Pakistan
Fiza Azam
Riphah International University, Lahore, Pakistan