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

Tehan, Hannah
Witteveen, Kate
Tolan, Anne
Tehan, Gerald
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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.
Keywords
Stroke, acute, early intervention, working memory training, restitution
Date
2019
Type
Journal article
Journal
The Clinical Neuropsychologist
Book
Volume
33
Issue
5
Page Range
873-889
Article Number
ACU Department
School of Behavioural and Health Sciences
Faculty of Health Sciences
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Open Access Status
License
File Access
Controlled
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