Cochrane · systematic review · CD006430
Occupational therapy for cognitive impairment in stroke patients
Gibson, E, Koh, C-L, Eames, S, et al. · Cochrane Database of Systematic Reviews · 2022 · Cochrane Library
StrokeAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
19
current version
GRADE rated
15
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 4 · 21.1%Very low 4 · 21.1%Low 10 · 52.6%Moderate 1 · 5.3%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Occupational therapy compared to usual care for people with stroke with cognitive impairment
Population: adults with cognitive impairment after stroke
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
BADL (primary outcome) Occupational therapy vs usual care | no estimate extracted | 1 participants | Ungraded |
1a. BADL (postintervention) Occupational therapy vs usual care | no estimate extracted | 6 studies · 336 participants | Low Downgraded: risk of bias, imprecision |
1b. BADL (3‐month Occupational therapy vs usual care | no estimate extracted | 2 studies · 73 participants | Low Downgraded: risk of bias, imprecision |
1c. BADL (6‐month Occupational therapy vs usual care | no estimate extracted | 2 studies · 73 participants | Low Downgraded: risk of bias, imprecision |
2a. IADL (postintervention) Occupational therapy vs usual care | no estimate extracted | 2 studies · 88 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
2b. Other ADL/IADL (postintervention) Occupational therapy vs usual care | no estimate extracted | 3 studies · 111 participants | Very low Downgraded: risk of bias, imprecision |
3a. Self‐reported community integration or participation (postintervention) Occupational therapy vs usual care | no estimate extracted | 2 studies · 78 participants | Low Downgraded: risk of bias, imprecision |
4a. Global cognitive functional performance (sensitivity analysis) (postintervention) Occupational therapy vs usual care | no estimate extracted | 9 studies · 432 participants | Low Downgraded: risk of bias |
Attention Occupational therapy vs usual care | no estimate extracted | 5 participants | Ungraded |
5a. Visual attention overall (postintervention) Occupational therapy vs usual care | no estimate extracted | 13 studies · 620 participants | Low Downgraded: risk of bias |
5b. Visual attention overall (3–6 months' Occupational therapy vs usual care | no estimate extracted | 5 studies · 293 participants | Low Downgraded: risk of bias, imprecision |
5c. Sustained visual attention (postintervention) Occupational therapy vs usual care | no estimate extracted | 10 studies · 463 participants | Moderate Downgraded: risk of bias, imprecision |
Memory Occupational therapy vs usual care | no estimate extracted | 6 participants | Ungraded |
6a. Working memory (postintervention) Occupational therapy vs usual care | no estimate extracted | 8 studies · 420 participants | Low Downgraded: risk of bias |
6b. Immediate verbal memory span (postintervention) Occupational therapy vs usual care | no estimate extracted | 8 studies · 357 participants | Very low Downgraded: risk of bias, imprecision |
6c. Immediate spatial memory span (postintervention) Occupational therapy vs usual care | no estimate extracted | 7 studies · 292 participants | Low Downgraded: risk of bias, imprecision |
Executive function Occupational therapy vs usual care | no estimate extracted | 7 participants | Ungraded |
7a. Executive functional performance overall (postintervention) Occupational therapy vs usual care | no estimate extracted | 11 studies · 550 participants | Very low Downgraded: risk of bias, inconsistency |
7b. Cognitive flexibility (postintervention) Occupational therapy vs usual care | no estimate extracted | 2 studies · 43 participants | Low Downgraded: risk of bias, imprecision |