Deans' stroke musings: Effectiveness of Neurofeedback Training in Poststroke Cognitive Impairment

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Friday, October 4, 2024

Effectiveness of Neurofeedback Training in Poststroke Cognitive Impairment

But you didn't answer the question. Did they recover the lost 5 cognitive years from your stroke? Do you even know that survivors want 100% recovery? Instead of presenting them with your tyranny of low expectations?

Effectiveness of Neurofeedback Training in Poststroke Cognitive Impairment

Authors

Dya Anggraeni
Muhammad Hasnawi Haddani
Sri Handayani
Rini Nindela
Yohanes Febrianto Neurology Departement, RSUP dr. Mohammad Hoesin Palembang

DOI:

https://doi.org/10.15540/nr.11.3.296

Keywords:

Post-stroke cognitive impairment, neurofeedback training, quantitative electroencephalogram, MoCA-Ina

Abstract

Introduction.

Poststroke cognitive impairment (PSCI), characterized by cognitive deficits occurring up to 3 months after stroke, poses a substantial burden because this condition can persist and get worse over time. There has been no recommended conventional cognitive rehabilitation method that has a significant effect on cognitive improvement. Neurofeedback training (NFT) based on quantitative electroencephalogram (qEEG), emerges as a promising intervention for PSCI. However, research remains limited, necessitating further investigation into its effectiveness and clinical utility.

Methods.

This study assesses the efficacy of NFT in eight PSCI patients over 10 sessions (30 min/session) across 2 weeks with protocol based on qEEG for each patient.

Results.

Significant improvements were observed in total MoCA-Ina scores (mean increase of 2.63 points), particularly in visuospatial/executive, naming, attention, language, delayed recall, and orientation domains. Wilcoxon test indicated a significant improvement (p = .019, effect size: −0, 828) post-NFT. Multivariate analysis revealed no confounding influence of demographic and clinical factors on cognitive improvement.

Conclusion.

These findings highlight NFT’s potential as an adjunctive therapy in PSCI rehabilitation, warranting further investigation for efficacy of NFT in larger studies and explore its long-term effects on cognitive function and quality of life for PSCI patients.