Cognimove Group

Despite evidence of spontaneous recovery in motor functions, patients suffer significant deficits in their daily activities. Although we know that both motor and cognitive impairments contribute to recovery, much less is known about cognitive-motor interactions and their influence on recovery.

Cognitive and perceptual problems may hamper motor planning and skill learning, negatively impacting recovery. This group is a first step in creating more efficient individualized interventions. A joint multi-disciplinary endeavor, gleaning complimentary expertise, should provide novel perspectives and identify gaps for future research aiming to individualize interventions. In this multi-disciplinary working group (comprising engineers, psychologists, physiotherapists, neurologists and neuroscientists) we will perform a scoping review on motor cognition in functional recovery after stroke with the aim to identify knowledge gaps, describe the breadth and complexity of cognition-motor interactions from studies in stroke and healthy individuals, and to clarify concepts.

 

Påvel Lindberg (France)
Cognimove group lead

The group is currently working on providing an update and defining priorities for future research. More specifically, we aim:

      1. To describe higher order perceptual and semantic impairments underlying post-stroke symptoms such as limb apraxia and dual tasking deficits.
      2. To describe standardized approaches to measure cognitive-motor deficits that could be used to identify endophenotypes of stroke recovery by relating them to clinical outcomes.
      3. To demonstrate key mechanisms involved in motor cognition from neuroimaging and non-invasive brain stimulation studies in stroke.
      4. To relate these research findings to functional impairments identified in stroke survivors.
      5. To discuss factors mediating cognition-motor influences (age, gender, cognitive reserve, task difficulty (fine vs gross motor control, dual-tasking, sensory-motor integration).
      6. To elaborate on cognitive determinants of motor skill learning after stroke.
      7. To discuss early evidence for treatment approaches and perspectives for development of targeted therapies and impact on use of technologies.

We will report evidence for the effectiveness of cognition-motor interactions and on stroke recovery and clarify crucial concepts and theoretical frameworks. We will identify and analyze knowledge gaps. The work will include a scoping review and elaboration of a white papers/consensus statement. A paper on how these interactions could be used in clinical RCTs will also be included. Results will be written up as a scientific publications and presented at international stroke recovery conferences.

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