Cognitive rehabilitation in stroke : therapy and techniques.

ABSTRACT

Cognitive deficits following stroke are common and interfere with recovery. Cognitive rehabilitation incorporates principles of restorative neurology and neuropsychology and has now become an integral component of stroke rehabilitation strategy. The process of cognitive rehabilitation involves assessment of cognitive functions, identification of specific areas of impairment, goal setting and institution of appropriate rehabilitation techniques. Currently, there is enough evidence supporting the effectiveness of cognitive rehabilitation of neglect and aphasia in stroke. Apraxia, inattention and executive dysfunction may also improve with specific intervention. Compensatory strategies are the mainstay of managing patients with memory disturbances. In addition to specific cognitive deficits, physical and emotional disturbances as well as social support affect functional recovery. Comprehensive and holistic cognitive rehabilitation programs are necessary to improve daily life function in stroke patients.