Stroke, Cognitive Impairment, Post-Stroke Cognitive Impairment
Conditions
Keywords
Tele-rehabilitation, Conventional Rehabilitation
Brief summary
This study aims to: * Compare tele-rehabilitation and conventional rehabilitation for cognitive improvement after stroke. * Evaluate changes in cognitive function using standardized assessment tools. * Determine whether tele-rehabilitation is as effective as conventional therapy. * Improve evidence-based rehabilitation strategies for stroke survivors.
Detailed description
Stroke is a leading cause of long-term disability and is frequently associated with cognitive impairments affecting attention, memory, executive function, and processing speed, which significantly reduce independence and quality of life among survivors. Cognitive rehabilitation plays a vital role in promoting neuroplasticity and functional recovery after stroke. Conventional rehabilitation, delivered through face-to-face clinical sessions, remains the standard approach; however, tele-rehabilitation has emerged as an accessible and innovative alternative that allows structured cognitive interventions to be delivered remotely using digital platforms. Despite increasing use of tele-rehabilitation, limited comparative evidence exists regarding its effectiveness versus conventional rehabilitation for cognitive improvement in stroke survivors. This randomized controlled trial aims to compare the effectiveness of tele-rehabilitation and conventional rehabilitation over a 8-weeks intervention period. Participants will be randomly allocated into two groups receiving comparable intensity and frequency of cognitive rehabilitation. Cognitive outcomes will be assessed at baseline and post-intervention using standardized tools such as the Montreal Cognitive Assessment (MoCA) and other validated measures such as Stroop Test. The findings of this study will contribute to evidence-based rehabilitation practices and help determine whether tele-rehabilitation can provide an effective alternative to conventional cognitive rehabilitation following stroke.
Interventions
BEHAVIORALTele-rehabilitation
Cognitive rehabilitation exercises delivered remotely using video-based sessions, targeting attention, memory, executive function, and processing speed. Sessions will be conducted over 8 weeks.
BEHAVIORALConventional Rehabilitation
In-person cognitive rehabilitation exercises targeting attention, memory, executive function, and processing speed delivered in a clinical setting for 8 weeks.
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Masking description
Due to the nature of the rehabilitation interventions, neither participants nor therapists will be blinded to group allocation. Outcome assessments will be conducted without blinding.
Intervention model description
Participants will be randomly assigned to one of two parallel groups: a tele-rehabilitation group or a conventional rehabilitation group. Both groups will receive structured cognitive rehabilitation interventions with comparable frequency and intensity for 8 weeks.
Eligibility
Sex/Gender
ALL
Age
50 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Adults with age 50-80 * Diagnosed with ischemic or hemorrhagic stroke within subacute to chronic phase. * Moca Score 10-25 score atleast * For tele-rehab must accessible to a digital device.
Exclusion criteria
* History of neurodegenerative disorder e.g Alzheimer's Disease and Parkinson's Disease * Severe Cognitive Impairment * Lack of access to or inability to use a digital device
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Cognitive Function Measured by Montreal Cognitive Assessment (MoCA) | Baseline | The Montreal Cognitive Assessment (MoCA) will be used to assess global cognitive function, including attention, memory, executive function, language, and visuospatial abilities. Scores range from 0 to 30, with higher scores indicating better cognitive function. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Executive Function Measured by stroop Test | Baseline | The Stroop test will be used to assess selective attention, cognitive flexibility, and inhibitory control. Performance will be evaluated based on completion time and error rate. |
Countries
Pakistan
Contacts
CONTACTIMRAN AMJAD, Phd
PRINCIPAL_INVESTIGATORImran Amjad, Phd
Riphah International University
Outcome results
None listed