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KMID : 1143320150040020033
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Therapeutic Science for Neurorehabilitation
2015 Volume.4 No. 2 p.33 ~ p.50
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A Systematic Review on Intervention to Improve Executive Function in Stroke Patients
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Ko Seok-Beom
Kim Moon-Young
Oh Yun-Taek
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Abstract
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Objective : This study was conducted to determine various interventions in accordance with the recovery and cognitive processes in order to improve executive function in stroke patients through a systematic review.
Methods : The literature search focused on Level I-IV studies published between January 1996 and April 2015 for 20 years in electronic databases(e.g. MEDLINE, SCOPUS, RISS). The keyword search terms were 'Stroke', 'Executive function', 'Executive function deficit', 'Occupational therapy', 'Rehabilitation', 'Remedial', 'Compensatory' and 'Education'.
Result : A total of 13 articles were appraised using the hierarchy of levels of evidence-based practice and 6 Level I evidence articles, 1 Level II articles, 2 Level III articles and 4 Level IV articles. Each intervention improved executive function but was different in degree of generalization.
Conclusion : Through this systematic review, we found that there are a variety of applied interventions improving executive function in stroke patients and are different in effect depending on methods of interventions. This study provided evidences to occupational therapists for the clinical practice of interventions to improve executive function in stroke patients.
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KEYWORD
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Stroke , Executive function , Executive disorder , intervention , Evidence-based practice
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