This document discusses a clinical study on computer-based cognitive rehabilitation for stroke patients, focusing on its methods, challenges, and research findings. It highlights the need for systematic approaches and adequate evidence to validate the efficacy of cognitive rehabilitation therapies. The study involves a clinical trial with a specific methodology and assessment tools aimed at enhancing cognitive function in patients post-stroke.

1. Computer based Cognitive
Rehabilitation
With focus on an Clinical Study by Stroke Patients
March 2024
Pouria Saadat
PhD student of Cognitive Psychology

2. • PhD Student of Cognitive Psychology (ICBS)
• M.Sc. Cognitive Rehabilitation (ICSS)
• B.Sc. of Psychology (YAZD University)
• Cognitive Rehabilitation Therapist ( Tabassom Stroke
Patients Rehabilitation Center, Tehran)
pouriasaadat76@gmail.com
p_saadat@sbu.ac.ir
https://www.linkedin.com/in/pouria-saadat-79b9b6167/

3. What is Cognitive Rehabilitation?
Cognitive rehabilitation therapy has been defined as a systematic and
functionally oriented therapeutic cognitive activity directed to achieve
functional changes.
1-Reestablishing or strengthening previously learned patterns of behavior
2-Establishing new patterns of cognitive activity or compensatory
mechanisms for impaired neurological systems.
T. Novakovic-Agopians, G.M. Abrams, Cognitive Rehabilitation Therapy, Editor(s): Michael J. Aminoff, Robert B. Daroff, Encyclopedia of the
Neurological Sciences (Second Edition), Academic Press, 2014.

4. Education
Clinical
Intervention
Environment
Person
Family
Job/
School
Society
Paper-Pencil
cognitive
training
Computer
based
Neuro-feedback
Brain
Stimulation

5. 1-Paper and Pencil
2-Computer_Based
3-Neurofeedback
4-Brain Stimulation

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8. Computer Based Cognitive Rehabilitation;
Hopes & Challenges
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9. Computer Based Cognitive Rehabilitation;
Hopes & Challenges
• McDonald, Clark, and
Ruwe
• Results are
mixed
2002
• Politis
• insufficient
evidence to support
or refute the
efficacy of CCR
2016 • Fetta
• Poor Methods
Research
2017

10. Which factors are weak in researches?
What Should we do?
Optimal format
dosage, timing, and duration of computer-based intervention
prospective, longitudinal, repeated-measures study, with an
adequate number of participants

14. Rehacom,
Cognitive Training Software

15. A Clinical-trial Research

16. A Clinical-trial Research
Research Method Experimental (Pre-test, Post-test with Control Group)
Population
Patients with stroke referred to the Stroke Rehabilitation Center in Tehran Timeframe:
Bahman 1401 to Mordad 1402
Sampling Method Purposeful sampling
Sample Size
32 individuals Research Groups: Experimental group (16 individuals), Control group (16
individuals)
Assessment Tool RehaCom software's Visual Field Assessment Module
Intervention Program
10 sessions lasting 30 to 45 minutes over 5 weeks Each session included four exercises
from the attention and visual-spatial modules, each lasting 8 to 10 minutes
Alertness (ALTA), Restoration Training (RESE), Saccadic Training (SAKA), and Exploration
Training (EXPL)

17. A Clinical-trial Research

18. My Experience Through Research
and Clinical Work
• Rehabilitation is a multi-disciplinary work
• Rehabilitation needs a wide range of knowledge; from current
terminologies in Medicine to some issues in neurology
• Knowledge in Pharmacology
• Knowledge in the interpretation of CT scans, MRI, and EEG(for Stroke
and TBI patients)
• Make a comprehensive profile for your client
• Observation and clinical work
• There is always a new thing; Don`t worry

21. Resources

22. Resources