Using dual-task methods to enhance cognitive performance in the acute phase of stroke: A proof of concept study

Journal article


Tehan, Hannah, Witteveen, Kate, Tolan, Anne and Tehan, Gerald. (2019) Using dual-task methods to enhance cognitive performance in the acute phase of stroke: A proof of concept study. The Clinical Neuropsychologist. 33(5), pp. 873 - 889. https://doi.org/10.1080/13854046.2018.1529817
AuthorsTehan, Hannah, Witteveen, Kate, Tolan, Anne and Tehan, Gerald
Abstract

Objective: To test the effectiveness of using a non-targeted, dual-task methodology to promote positive cognitive behavior change in acute stroke. Method: Three stroke survivors, selected because they exhibited different recovery profiles, different lesion sites, and time since suffering a stroke, were administered an anagram task five or six times across a two-week period in the days following a stroke. Task difficulty increased across sessions by means of adding a category instance detection task, where participants had to identify instances from either one or two different semantic categories. The same regime was administered to a control group over a two-week period. Results: All three participants were in the clinical range on early tests but were in non-clinical range on their last test session. Dual-task effects on completion time were also similar across participants as were anagram length effects. The three participants exhibited enhanced cognitive performance. Conclusions: The results suggest the possibility that cognitive interventions aimed at restoring lost function can be administered in the early days post-stroke and can produce beneficial outcomes, in much the same way that early motor or speech intervention programs have been shown to produce long-term benefits.

KeywordsStroke; acute; early intervention; working memory training; restitution
Year2019
JournalThe Clinical Neuropsychologist
Journal citation33 (5), pp. 873 - 889
PublisherRoutledge
ISSN1385-4046
Digital Object Identifier (DOI)https://doi.org/10.1080/13854046.2018.1529817
Scopus EID2-s2.0-85055555004
Page range873 - 889
Research GroupSchool of Philosophy
Place of publicationUnited Kingdom
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