Post-Stroke Working Memory Dysfunction: A Meta-Analysis and Systematic Review

Autor: Roy P. C. Kessels, Frank-Erik de Leeuw, Edward H.F. de Haan, Nikki A. Lammers, Selma Lugtmeijer
Rok vydání: 2020
Předmět:
medicine.medical_specialty
Alzheimer`s disease Donders Center for Medical Neuroscience [Radboudumc 1]
Neurology
Review
050105 experimental psychology
03 medical and health sciences
All institutes and research themes of the Radboud University Medical Center
Cognition
0302 clinical medicine
Physical medicine and rehabilitation
Prevalence
medicine
Humans
Cognitive Dysfunction
0501 psychology and cognitive sciences
Stroke
Memory Disorders
Neuro- en revalidatiepsychologie
Working memory
Neuropsychology and rehabilitation psychology
05 social sciences
Neuropsychology
Disorders of movement Donders Center for Medical Neuroscience [Radboudumc 3]
medicine.disease
Meta-analysis
Memory
Short-Term
Neuropsychology and Physiological Psychology
Sample size determination
Systematic review
Post stroke
Psychology
030217 neurology & neurosurgery
Zdroj: Neuropsychology Review, 31, 202-219
Neuropsychology Review
Neuropsychology Review, 31, 1, pp. 202-219
ISSN: 1573-6660
1040-7308
Popis: AbstractThis review investigates the severity and nature of post-stroke working memory deficits with reference to the multi-component model of working memory. We conducted a systematic search in PubMed up to March 2019 with search terms for stroke and memory. Studies on adult stroke patients, that included a control group, and assessed working memory function, were selected. Effect sizes (Hedges’ g) were extracted from 50 studies (in total 3,084 stroke patients) based on the sample size, mean and standard deviation of patients and controls. Performance of stroke patients was compared to healthy controls on low-load (i.e. capacity) and high-load (executively demanding) working memory tasks, grouped by modality (verbal, non-verbal). A separate analysis compared patients in the sub-acute and the chronic stage. Longitudinal studies and effects of lesion location were systematically reviewed. Stroke patients demonstrated significant deficits in working memory with a moderate effect size for both low-load (Hedges’ g = -.58 [-.82 to -.43]) and high-load (Hedges’ g = -.59 [-.73 to -.45]) tasks. The effect sizes were comparable for verbal and non-verbal material. Systematically reviewing the literature showed that working memory deficits remain prominent in the chronic stage of stroke. Lesions in a widespread fronto-parietal network are associated with working memory deficits. Stroke patients show decrements of moderate magnitude in all subsystems of working memory. This review clearly demonstrates the global nature of the impairment in working memory post-stroke.
Databáze: OpenAIRE
Externí odkaz: