Stroke Clinical Trial
Official title:
Effects of the Combined Cognitive Training and Aerobic Exercise on Cognition, Physiological Markers, Daily Function, and Quality of Life in Stroke Patients With Mild Cognitive Impairment
Cognitive impairments have severe impact on functional recovery and quality of life after stroke. Current evidence indicated that combining exercise and cognitive training may provide additional benefits on cognition in stroke. This study aims to investigate the effects and mechanisms of two combined methods of computer-based cognitive training with physical exercise in stroke patients with cognitive impairments.
Cognitive impairment is not uncommon after stroke. Stroke patients with cognitive decline may
experience difficulties in learning motor tasks, functional disability, and poor quality of
life. Interventions for cognitive impairment remain under development and pharmaceutical
intervention is not yet optimal at present. Targeted cognitive treatments or aerobic exercise
training provided potential benefits to enhance cognitive function for stroke patients with
cognitive decline. Recent studies demonstrate that combining exercise and cognitive training
may provide additional benefits on cognition than single type of training. However, physical
exercise training and cognitive-based intervention can be combined either sequentially or
simultaneously. It remains unclear whether the two combination methods induce similar or
differential effects in brain plasticity, physiological modulation, and behavioral outcomes
for individuals with stroke. It is important to examine the potential effects, comparative
effects and the neural mechanism of two combined interventions that can possibly maximize
benefits for stroke survivors with cognitive impairments.
The purposes of the present study are to: (1) examine and compare the effects of two combined
interventions on brain plasticity, physiological biomarkers and behavioral outcomes,
including cognitive, physical, and daily functions, and quality of life, from pre- to
post-training; (2) understand the neural mechanisms of cognitive recovery following two
combined interventions using the electroencephalography (EEG); (3) examine the long-term
benefits following the two combined interventions; (4) to identify the correlations between
brain activity, biomarkers and behavioral measures.
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