I would think that cognition would be the first thing worked on after stroke but thats just me.
Your doctor may think that should be the last because you wouldn't want anybody questioning the medical protocols that don't exist for stroke.
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J65493&phrase=no&rec=120804
NARIC Accession Number: J65493. What's this?
ISSN: 0003-9993.
Author(s): Langenbahn, Donna M.; Ashman, Teresa; Cantor, Joshua; Trott, Charlotte.
Publication Year: 2013.
Number of Pages: 16.
Abstract: This review examined evidence for the
efficacy of cognitive rehabilitation in individuals diagnosed with
medical conditions known to affect cognitive function, and formulated
evidence-based recommendations for clinical practice based on that
evidence. Ovid Medline and PubMed databases were searched using the
terms cognition, cognitive, crossed with the terms rehabilitation,
remediation, retraining, training, crossed with 11 medical diagnostic
categories. Articles through December 2008 were accessed, resulting in
2,284 abstracts. A total of 211 articles were selected from the initial
abstract review. These articles were then assessed by committee members
using 9 exclusion and 3 inclusion criteria. A total of 34 remaining
articles were submitted to full review. Articles were reviewed under
diagnostic categories using specific criteria recorded on structured
data sheets. Classification was performed according to guidelines of the
American Academy of Neurology, with agreement between 2 committee
members necessary for final decisions. Of the 34 studies fully
evaluated, 1 was rated as class I, 6 as class II, 2 as class III, and 25
as class IV. Evidence within each diagnostic area was synthesized for
the formulation of Practice Standards, Practice Guidelines, and Practice
Options, as possible. Two clinical practice recommendations were
advanced, 1 each in the diagnostic areas of brain neoplasms and
epilepsy/seizure disorders. Discussion included comments on the research
status of the effectiveness of cognitive rehabilitation for cognitive
deficits related to these medical conditions, as well as suggestions for
future directions in research.
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