Metacognitive Strategy Training Effects On Functional Performance and Community Reintegration Of Post Stroke Survivors

Abstract

Stroke is a global public health issue. It causes lesions in the brain affecting motor, newlinesensory, language, perceptual, and cognitive impairment. All these impairments create newlinegreat challenges in the physical, mental, social, and functional health of persons with newlinestroke. Despite the advances in rehabilitation, it is reported that 39% of post-stroke newlinesurvivor has limitation in their basic Activities of Daily Living (ADL), and more than newline50% of post-stroke survivor has limitation in their extended instrumental ADL. Persons newlinewith stroke experience participation restrictions and have limitations in performing newlinemeaningful activities in the real world. Even with mild or no deficits, post-stroke patients newlinereturning to the community are significantly less active than controls of similar age. All newlinethese impairments lead to poor community reintegration which ultimately decreases the newlineQOL of the post-stroke survivor. newlineMany intervention approaches are adopted in the field of neurorehabilitation for the newlinemanagement of post-stroke. The limited effects of the conventional approach are found in newlinethe literature. Currently, Metacognitive Strategy Training (MCST) is used for post-stroke newlinesurvivor rehabilitation for improving productivity and reducing disability. newlineAIM: To evaluate the efficacy of metacognitive strategy training on functional newlineperformance and community reintegration in stroke survivors. newlineStudy design: Single-blind randomized controlled trial, conducted in tertiary care newlinehospitals in India. Sixty-one subjects with the diagnosis of first onset subacute and chronic newlinestroke of age group between 18 -60 years with sufficient language skills to understand and newlinerespond to primary interviews and questionnaires are recruited as the study population. newlineThe participants were randomly allocated into groups the experimental group(n=30) and the newlinecontrol group(n=31) (conventional therapy only). The experimental group was intervened newlinethrough MCST with conventional therapy and the control group was with conventional newlinetherapy alone. The duration of the interven