Compensatory and Restorative Rehabilitation Techniques in Stroke

Not Applicable

Recruiting

Interventions: Other: compensatory and restorative rehabilitation techniques
Other: Traditional cognitive rehabilitation training

Brief Summary: The aim of this randomized controlled trial is to find the combined effects of restorative and compensatory cognitive rehabilitation techniques in mild cognitive impairment after stroke.

Detailed Description: Stroke is a prevalent medical neurological condition that often results in cognitive impairments, particularly in the domain of executive functions. Cognitive impairment has a significant impact on executive function in stroke subjects. Cognitive impairment on the stroke survivor exist on any single domain such as attention, spatial ability, language and executive ability more frequently than the multiple domains.

Cognitive training has been shown to be beneficial for rehabilitation of patients with cognitive impairment, but the underlying mechanisms remain unclear.

The combination of restorative and compensatory rehabilitation techniques is beneficial for gaining control over cognitive rehabilitation techniques will improve executive functions. The retention effects evaluated additionally will add a broad insight in this regard. It will improve the learning power of brain through neural plasticity. This leads to restoration of everyday functioning. This study aims to investigate the effects of two distinct rehabilitation approaches on the executive functions of stroke survivors with MCI. Understanding how these rehabilitation strategies impact cognitive recovery is essential for individuals living with post-stroke cognitive impairments.

Recruitment & Eligibility

Inclusion Criteria

Age between 50 and 70 years
Both Genders
Individuals diagnosed with stroke 6 months before enrollment
Minimum 6 years of schooling
Patients with mild cognitive impairment (score 18-25 on MOCA)
Individuals able to maintain sitting and standing balance (score 41 on berg balance scale)

Exclusion Criteria

Arm && Interventions

Group	Intervention	Description
Compensatory and restorative rehabilitation techniques	compensatory and restorative rehabilitation techniques	compensatory and restorative rehabilitation techniques in stroke patients
Traditional cognitive Rehabilitation training	Traditional cognitive rehabilitation training	Naming words Counting numbers backwards Spell the word backwards

Primary Outcome Measures

Name	Time	Method
Montreal cognitive assessment test (Urdu version)	6 weeks	MOCA assesses different cognitive domains: attention and concentration, executive functions, memory, language, visuo-constructional skills, conceptual thinking and orientation. The test is one page,30 point test that can be administered in 10 minutes. MOCA is scored by obtaining an item total and the author recommend a clinical cutoff score of 26.is a Patient-completed, condition-specific functional status questionnaire with 10 items including pain, personal care, lifting, reading, headaches, concentration, work, driving, sleeping and recreation.
Cognitive assessment scale for stroke patients (CASP)	6 weeks	Its a rapid test for screening post stroke cognitive impairment. It can be performed at the patient bedside by a non expert examiner. A CASP score of 35/36 should alert to possible presence of cognitive impairment. Score can help predict medium level cognitive impairment.

Secondary Outcome Measures

Name	Time	Method
Modified Rankin Scale (MRS)	6 weeks	It measures degree of disability or dependence in daily activities of people who have suffered stroke or other neurological disability. It is one of the most widely used clinical patients are graded
Stroke specific quality of life questionnaire (Urdu version)	6 weeks	The SS-QOL questionnaire assesses health related quality of life specific to stroke survivors covering almost 12 domains

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