Introduction / Rationale:
Post-stroke cognitive impairment (PSCI), affecting 47.3%-56.6% of stroke survivors, significantly impairs memory, attention, and executive function, leading to long-term disability and increased mortality. While acupuncture improves cognitive function, it limits active cognitive training due to patient immobility. Optokinetic stimulation (OKS) enhances cognitive function through eye movement control. This study investigates the effects of acupuncture, OKS, and their combination on cognitive function, daily living abilities, and psychological states in PSCI patients.
Objectives:
This study aims to explore the effects of acupuncture, OKS, and their combined therapy on overall cognitive functions, specific cognitive domains (attention, memory, executive functions), daily living abilities, and psychological states in PSCI patients.
Methods / Approach:
From December 2021 to February 2023, 45 PSCI patients at Huashan Hospital were randomized into three groups: acupuncture, OKS, and combination therapy. Each group received 4 weeks of intervention (5 days/week, 20 minutes/session) alongside routine rehabilitation. Cognitive function, daily living abilities, and psychological states were assessed using the Montreal Cognitive Assessment, Barthel Index, and Hamilton Anxiety/Depression Scales.
Results / Practice Implications:
Significant improvements in overall and specific cognitive functions were observed across all groups (P < 0.05). The combination therapy group demonstrated superior enhancement in attention and executive function compared to the acupuncture-only group (P < 0.05).
Conclusion / Contribution to the occupational therapy profession:
Acupuncture, OKS, and their combination effectively improve cognitive functions in PSCI patients, with combination therapy showing the most significant benefits in attention and executive function. These findings provide a foundation for further research into integrated rehabilitation strategies.