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Cognitive rehabilitation for memory deficits following stroke.

BACKGROUND
Memory problems occur following stroke. Cognitive rehabilitation programmes are provided to retrain memory function or to teach patients strategies to cope despite memory impairment.


OBJECTIVES
To determine the effects of cognitive rehabilitation for memory problems following stroke.


SEARCH STRATEGY
We searched the Cochrane Stroke Group Trials Register, Medline, EMBASE, CINHAL and CLIN PSYCH databases and reference lists from relevant articles. Date of most recent searches: December 1998.


SELECTION CRITERIA
Controlled trials of memory retraining in stroke. Studies with mixed aetiology groups were excluded unless they had more than 75% of stroke patients or separate data were available for the stroke patients.


DATA COLLECTION AND ANALYSIS
Two reviewers extracted trial data and assessed trial quality. Reviewers contacted investigators for further details of trials.


MAIN RESULTS
One trial was identified with 12 participants. This showed memory strategy training had no significant effect on memory impairment or subjective memory complaints.


REVIEWER'S CONCLUSIONS
There is insufficient evidence to support or refute the effectiveness of cognitive rehabilitation for memory problems after stroke.