Effectiveness of cognitive training exercises and physical activity in subjects with transient ischemic attack with cognitive impairment

Introduction: In India, the prevalence of transient ischemic attack in urban population are more than the rural. The
symptoms of a transient ischemic attack (TIA) by definition subside completely within 24 hours. Despite thetransient nature of focal symptoms associated with TIA and the absence of visible brain lesions in most patients,many experience persistent cognitive problems afterward. Cognitive impairment subjects are with depressivesymptoms, anxiety and fatigue and affect the activity of daily living. As many studies have shown that effectivenessof cognitive training in cognitive impaired TIA patient, none of the study has seen with combined exercise. Thus,our aim of the study was to find out the effect of combination of physical activity along with the cognitive trainingin transient ischemic attack subjects with cognitive impairment. Methodology: A total sample of 60 female subjectswith the age group of 45-60 years is taken for this study. After getting the ethical clearance from the Institutionalethical committee, the subjects were allocated into cognitive training group (30 subjects) and physical activity withcognitive training group (30 subjects) by simple random sampling method. Level of cognition was measured at thebaseline and after 12 weeks of intervention by Montreal cognitive assessment scale (MoCA) and cognitiveassessment for stroke patients (CASP). The cognitive training (45 minutes for 5 days per week) aims at abilities