Computer-Based Cognitive Training for Executive Functions after Stroke: A Systematic Review
Background: Stroke commonly results in cognitive impairments in working memory, attention, and executive function, which may be restored with appropriate training programs. Our aim was to systematically review the evidence for computer-based cognitive training of executive dysfunctions.Methods: Stud...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2016-04-01
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| Series: | Frontiers in Human Neuroscience |
| Subjects: | |
| Online Access: | http://journal.frontiersin.org/Journal/10.3389/fnhum.2016.00150/full |
| _version_ | 1818191072890716160 |
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| author | Renate M. van de Ven Jaap M. J. Murre Dick J. Veltman Ben A. Schmand Ben A. Schmand |
| author_facet | Renate M. van de Ven Jaap M. J. Murre Dick J. Veltman Ben A. Schmand Ben A. Schmand |
| author_sort | Renate M. van de Ven |
| collection | DOAJ |
| description | Background: Stroke commonly results in cognitive impairments in working memory, attention, and executive function, which may be restored with appropriate training programs. Our aim was to systematically review the evidence for computer-based cognitive training of executive dysfunctions.Methods: Studies were included if they concerned adults who had suffered stroke or other types of acquired brain injury, if the intervention was computer training of executive functions, and if the outcome was related to executive functioning. We searched in MEDLINE, PsycINFO, Web of Science, and The Cochrane Library. Study quality was evaluated based on the CONSORT Statement. Treatment effect was evaluated based on differences compared to pre-treatment and/or to a control group.Results: Twenty studies were included. Two were randomized controlled trials that used an active control group. The other studies included multiple baselines, a passive control group, or were uncontrolled. Improvements were observed in tasks similar to the training (near transfer) and in tasks dissimilar to the training (far transfer). However, these effects were not larger in trained than in active control groups. Two studies evaluated neural effects and found changes in both functional and structural connectivity.Most studies suffered from methodological limitations (e.g., lack of an active control group and no adjustment for multiple testing) hampering differentiation of training effects from spontaneous recovery, retest effects, and placebo effects.Conclusions: The positive findings of most studies, including neural changes, warrant continuation of research in this field, but only if its methodological limitations are addressed. |
| first_indexed | 2024-12-12T00:08:48Z |
| format | Article |
| id | doaj.art-f1ba274bfe4f4554ab964e7928e0394b |
| institution | Directory Open Access Journal |
| issn | 1662-5161 |
| language | English |
| last_indexed | 2024-12-12T00:08:48Z |
| publishDate | 2016-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Human Neuroscience |
| spelling | doaj.art-f1ba274bfe4f4554ab964e7928e0394b2022-12-22T00:45:02ZengFrontiers Media S.A.Frontiers in Human Neuroscience1662-51612016-04-011010.3389/fnhum.2016.00150179360Computer-Based Cognitive Training for Executive Functions after Stroke: A Systematic ReviewRenate M. van de Ven0Jaap M. J. Murre1Dick J. Veltman2Ben A. Schmand3Ben A. Schmand4University of AmsterdamUniversity of AmsterdamVU University medical centerUniversity of AmsterdamAcademic Medical Centre, University of AmsterdamBackground: Stroke commonly results in cognitive impairments in working memory, attention, and executive function, which may be restored with appropriate training programs. Our aim was to systematically review the evidence for computer-based cognitive training of executive dysfunctions.Methods: Studies were included if they concerned adults who had suffered stroke or other types of acquired brain injury, if the intervention was computer training of executive functions, and if the outcome was related to executive functioning. We searched in MEDLINE, PsycINFO, Web of Science, and The Cochrane Library. Study quality was evaluated based on the CONSORT Statement. Treatment effect was evaluated based on differences compared to pre-treatment and/or to a control group.Results: Twenty studies were included. Two were randomized controlled trials that used an active control group. The other studies included multiple baselines, a passive control group, or were uncontrolled. Improvements were observed in tasks similar to the training (near transfer) and in tasks dissimilar to the training (far transfer). However, these effects were not larger in trained than in active control groups. Two studies evaluated neural effects and found changes in both functional and structural connectivity.Most studies suffered from methodological limitations (e.g., lack of an active control group and no adjustment for multiple testing) hampering differentiation of training effects from spontaneous recovery, retest effects, and placebo effects.Conclusions: The positive findings of most studies, including neural changes, warrant continuation of research in this field, but only if its methodological limitations are addressed.http://journal.frontiersin.org/Journal/10.3389/fnhum.2016.00150/fullAttentionexecutive functionsworking memorybrain trainingrestitutionacquired brain injury |
| spellingShingle | Renate M. van de Ven Jaap M. J. Murre Dick J. Veltman Ben A. Schmand Ben A. Schmand Computer-Based Cognitive Training for Executive Functions after Stroke: A Systematic Review Frontiers in Human Neuroscience Attention executive functions working memory brain training restitution acquired brain injury |
| title | Computer-Based Cognitive Training for Executive Functions after Stroke: A Systematic Review |
| title_full | Computer-Based Cognitive Training for Executive Functions after Stroke: A Systematic Review |
| title_fullStr | Computer-Based Cognitive Training for Executive Functions after Stroke: A Systematic Review |
| title_full_unstemmed | Computer-Based Cognitive Training for Executive Functions after Stroke: A Systematic Review |
| title_short | Computer-Based Cognitive Training for Executive Functions after Stroke: A Systematic Review |
| title_sort | computer based cognitive training for executive functions after stroke a systematic review |
| topic | Attention executive functions working memory brain training restitution acquired brain injury |
| url | http://journal.frontiersin.org/Journal/10.3389/fnhum.2016.00150/full |
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