Cognition in Stroke Rehabilitation and Recovery Research: Consensus-Based Core Recommendations From the Second Stroke Recovery and Rehabilitation Roundtable
McDonald, Matthew W.; Black, Sandra E.; Copland, David A.; Corbett, Dale; Dijkhuizen, Rick M.; Farr, Tracy D.; Jeffers, Matthew S.; Kalaria, Rajesh N.; Karayanidis, Frini; Leff, Alexander P.; Nithianantharajah, Jess; Pendlebury, Sarah; Quinn, Terence J.; Clarkson, Andrew N.; O’Sullivan, Michael J.
(2019) Neurorehabilitation and Neural Repair, volume 33, issue 11, pp. 943 - 950
(Article)
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
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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.
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Keywords: Cognitive function, consensus, practice guideline, recovery, rehabilitation, stroke, Clinical Neurology, Neurology, Rehabilitation, Journal Article
ISSN: 1545-9683
Publisher: SAGE Publications Inc.
Note: Funding Information: McDonald Matthew W. 1 3 Black Sandra E. 2 3 Copland David A. 4 Corbett Dale 1 3 Dijkhuizen Rick M. 5 Farr Tracy D. 6 Jeffers Matthew S. 1 3 Kalaria Rajesh N. 7 Karayanidis Frini 8 Leff Alexander P. 9 Nithianantharajah Jess 10 Pendlebury Sarah 11 Quinn Terence J. 12 Clarkson Andrew N. 13 * O’Sullivan Michael J. 14 * 1 Department of Cellular and Molecular Medicine, University of Ottawa, Ottawa, Canada 2 Department of Medicine, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Canada 3 Canadian Partnership for Stroke Recovery, Ottawa, 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 Florey Institute of Neuroscience and Mental Health, Florey Department of Neuroscience, University of Melbourne, Parkville, Australia 11 Centre for Prevention of Stroke and Dementia, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK 12 Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, UK 13 The Department of Anatomy, Brain Health Research Centre and Brain Research New Zealand, University of Otago, Dunedin, New Zealand 14 University of Queensland Centre for Clinical Research, Faculty of Medicine, University of Queensland, Brisbane, Australia Michael J O’Sullivan, University of Queensland, Building 71/918, RBWH Campus, Brisbane, Queensland 4029, Australia. Email: m.osullivan1@uq.edu.au * Joint senior authors. 10 2019 1545968319886444 © The Author(s) 2019 2019 American Society of Neurorehabilitation 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. Cognitive function practice guideline stroke rehabilitation recovery consensus edited-state corrected-proof The authors disclose receipt of the following financial support to conduct this meeting: Canadian Institutes of Health Research (CIHR) CaSTOR (Canadian Stroke Trials for Optimized Results) Group (note that CaSTOR is a joint initiative of the Canadian Stroke Consortium and the Canadian Partnership for Stroke Recovery), Heart and Stroke Canadian Partnership for Stroke Recovery, and NHMRC Centre of Research Excellence in Stroke Rehabilitation and Brain Recovery. An unrestricted educational grant was provided by Ipsen Pharma. We would also like to acknowledge, Julie Bernhardt for convening the second Stroke Rehabilitation and Recovery Roundtable (SRRR II), Dale Corbett and Karen Borschmann for organizing the meeting and Farrell Leibovitch for moderating discussions. Declaration of Conflicting Interests The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. Funding The authors received no financial support for the research, authorship, and/or publication of this article. Note This contribution, first published in International Journal of Stroke , is being co-published in the following journals: Neurorehabilitation and Neural Repair . Funding Information: The authors disclose receipt of the following financial support to conduct this meeting: Canadian Institutes of Health Research (CIHR) CaSTOR (Canadian Stroke Trials for Optimized Results) Group (note that CaSTOR is a joint initiative of the Canadian Stroke Consortium and the Canadian Partnership for Stroke Recovery), Heart and Stroke Canadian Partnership for Stroke Recovery, and NHMRC Centre of Research Excellence in Stroke Rehabilitation and Brain Recovery. An unrestricted educational grant was provided by Ipsen Pharma. We would also like to acknowledge, Julie Bernhardt for convening the second Stroke Rehabilitation and Recovery Roundtable (SRRR II), Dale Corbett and Karen Borschmann for organizing the meeting and Farrell Leibovitch for moderating discussions. The authors received no financial support for the research, authorship, and/or publication of this article. Publisher Copyright: © The Author(s) 2019.
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