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@ARTICLE{Eschweiler:890460,
author = {Eschweiler, Mareike and Bohr, Lara and Kessler, Josef and
Fink, Gereon R. and Kalbe, Elke and Onur, Oezguer A.},
title = {{C}ombined cognitive and motor training improves the
outcome in the early phase after stroke and prevents a
decline of executive functions: {A} pilot study},
journal = {Neurorehabilitation},
volume = {48},
number = {1},
issn = {1878-6448},
address = {Amsterdam},
publisher = {IOS Press},
reportid = {FZJ-2021-00974},
pages = {97 - 108},
year = {2021},
note = {Kein Post-print verfügbar!},
abstract = {BACKGROUND:The negative impact of cognitive dysfunction on
motor rehabilitation as a relearning-process is well known
in stroke patients. However, evidence for combined cognitive
and motor training (CMT) is lacking.OBJECTIVE:To evaluate
the effects of combined CMT in early stroke
rehabilitation.METHODS:In a controlled pilot study, 29
moderately affected stroke patients with low-level motor
performance and cognitive impairment received motor therapy
plus either cognitive (experimental group, EG) or
low-frequency ergometer training (control group, CG) for
eight days.RESULTS:Both groups improved their motor
functioning significantly. After training, between-group
comparison revealed significant differences for cognitive
flexibility and trends for set-shifting, working memory, and
reaction control in favor of the EG. Within-group effects
showed improvement across all cognitive domains in the EG,
which correlated with gains in bed-mobility, while the CG
showed no significant improvement in cognition. Rather, a
trend towards reaction control decline was observed, which
correlated with less functional progression and recovery.
Furthermore, a decline in cognitive flexibility,
set-shifting, and working memory was descriptively
observed.CONCLUSIONS:Combined CMT may enhance cognition and
motor relearning early after stroke and is superior to
single motor training. Further studies are needed to
replicate these results and investigate long-term benefits.},
cin = {INM-3},
ddc = {610},
cid = {I:(DE-Juel1)INM-3-20090406},
pnm = {525 - Decoding Brain Organization and Dysfunction
(POF4-525)},
pid = {G:(DE-HGF)POF4-525},
typ = {PUB:(DE-HGF)16},
pubmed = {33386825},
UT = {WOS:000613235800010},
doi = {10.3233/NRE-201583},
url = {https://juser.fz-juelich.de/record/890460},
}