Relying on the external world after stroke: Individual variability in compensation strategies in working memory use

= 38) as an index of offloading. Both patients and controls avoided working memory loading and relied heavily on offloading. Strategies varied at the individual level, with a subset of patients showing excessive offloading. Interestingly, these patients were also those who showed abnormal capacity scores, but the reverse was not necessarily true. We conclude that low memory capacity is related to, but does not automatically lead to, offloading behaviour. Even when offloading was hampered, maintaining offloading was still more beneficial than switching to a memory-based strategy, supporting the adoption of external strategies in memory rehabilitation. The free-choice paradigm brings us a step closer to estimating working memory use in everyday life.

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Publication Details

Journal
Neuropsychological Rehabilitation
Published
2026-04-03
DOI
https://doi.org/10.1080/09602011.2026.2649413
Primary Topic
Stroke Rehabilitation and Recovery
Type
article
Field-Weighted Citation Impact
0.00

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article

Relying on the external world after stroke: Individual variability in compensation strategies in working memory use

Antonia F. Ten Brink, Sanne Böing, Tanja C. W. Nijboer, S. Van der Stigchel et al.
Neuropsychological Rehabilitation
Stroke Rehabilitation and Recovery
article

Relying on the external world after stroke: Individual variability in compensation strategies in working memory use

Antonia F. Ten Brink, Sanne Böing, Tanja C. W. Nijboer, S. Van der Stigchel, Working Memory Study Group
article en

Abstract

= 38) as an index of offloading. Both patients and controls avoided working memory loading and relied heavily on offloading. Strategies varied at the individual level, with a subset of patients showing excessive offloading. Interestingly, these patients were also those who showed abnormal capacity scores, but the reverse was not necessarily true. We conclude that low memory capacity is related to, but does not automatically lead to, offloading behaviour. Even when offloading was hampered, maintaining offloading was still more beneficial than switching to a memory-based strategy, supporting the adoption of external strategies in memory rehabilitation. The free-choice paradigm brings us a step closer to estimating working memory use in everyday life.

Neuropsychological Rehabilitation
Utrecht University (NL), University Medical Center Utrecht (NL), De Hoogstraat Revalidatie (NL)
European Research Council, Horizon 2020
Openalex Percentile: Top 28%
Stroke Rehabilitation and Recovery
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