Authors
Gregory Thielman, Margaret Roos
Published in
Scientific reports. Volume 15. Issue 1. Pages 21109. Jul 01, 2025. Epub Jul 01, 2025.
Abstract
Due to severe physical impairments and reduced mobility, post-stroke cognitive impairment is often not prioritized in the acute physical therapy rehabilitation phase. This creates a need for cognitive reinforcement to be prioritized later in rehabilitation. We investigated the benefits of a cognitive reinforcement training program using exercise and performed via telehealth in people with stroke, compared to healthy older adults. A pretest/posttest cross-sectional study design with Healthy older adults (HOA, n = 9), and subjects' post-stroke (SPS, n = 8participated in a telehealth physical therapist-led group exercise class set to music while seated, that included cognitive challenges, three times per week for five weeks. Each class involved full body strengthening with cognitive challenges (dual-tasking). Functional outcome measures performed were repeated using a dual-task paradigm. After 15 one-hour telehealth exercise sessions, the most significant results were the 2 Minute Walk Test (adjusted mean difference 18; 95% CI 204, 222) and 30 s Sit to Stand Test (30STS) (adjusted mean difference 4.2; 95% CI 10.6, 14.8) resulting in an intergroup main effect, with both groups improving (p < .013 and p < .002, respectively) in the standard task as well as when combined with a cognitive Verbal Fluency Test for the 30STS (adjusted mean difference 3; 95% CI 5.8, 8.8) (p < .002). In individuals with stroke, a telehealth exercise program, as described in this study, is safe and efficient in improving one's ability to perform daily functional activities with dual tasking.Clinical Trial Registration NCT05919251 (26-06-2023).
PMID:
40593106
Bibliographic data and abstract were imported from PubMed on 02 Jul 2025.
Read full publication at:
Please sign in
to see all details.
Advertisement
Stats
- Recommendations n/a n/a positive of 0 vote(s)
- Views 26
- Comments 0