Impact of AI-Powered Solutions in Rehabilitation Process: Recent Improvements and Future Trends

International Journal of General Medicine, Journal Year: 2024, Volume and Issue: Volume 17, P. 943 - 969

Published: March 1, 2024

Rehabilitation is an important and necessary part of local global healthcare services along with treatment palliative care, prevention disease, promotion good health. The rehabilitation process helps older young adults even children to become as independent possible in activities daily life enables participation useful living activities, recreation, work, education. technology Artificial Intelligence (AI) has evolved significantly recent years. Many related have been getting benefits from using AI techniques. objective this review study explore the advantages for how impacting process. This aims at most critical aspects that could potentially take advantage techniques including personalized apps, through assistance, neurological disorders, developmental virtual reality rehabilitation, neurodegenerative diseases Telerehabilitation Cardiovascular. We presented a survey on newest empirical studies available literature AI-based helpful novelty feature included but was not limited overview technological solutions rehabilitation. Seven different categories were identified. Illustrative examples practical applications detailed. Implications findings both research practice critically discussed. Most these types are their infancy continue grow while exploring new opportunities. Therefore, we investigate role processes. In addition, do statistical analysis selected highlight significance work. end, also present discussion some challenges, future directions.

Language: Английский

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Cognition-Oriented Treatments for Older Adults: a Systematic Overview of Systematic Reviews

Neuropsychology Review, Journal Year: 2020, Volume and Issue: 30(2), P. 167 - 193

Published: April 7, 2020

Abstract Cognition-oriented treatments – commonly categorized as cognitive training, rehabilitation and stimulation are promising approaches for the prevention of functional decline in older adults. We conducted a systematic overview meta-analyses investigating efficacy cognition-oriented on non-cognitive outcomes adults with or without impairment. Review quality was assessed by A Measurement Tool to Assess Systematic Reviews 2 (AMSTAR). identified 51 eligible reviews, 46 which were included quantitative synthesis. The confidence ratings “moderate” 9 (20%), “low” 13 (28%) “critically low” 24 (52%) reviews. While most reviews provided pooled effect estimates objective cognition, potential relevance more sparsely reported. mean estimate cognition small training healthy (mean Hedges’ g = 0.32, range 0.13–0.64, 19 reviews), mild impairment 0.40, 0.32–0.60, five dementia 0.38, 0.09–1.16, seven 0.36, 0.26–0.44, reviews). Meta-regression revealed that higher AMSTAR score associated larger outcomes. available evidence supports improving performance extent such effects clinical value remains unclear, due scarcity high-quality heterogeneity reported findings. An important avenue future trials is include relevant consistent way and, field, there need better adherence methodological standards. PROSPERO registration number: CRD42018084490.

Language: Английский

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European Stroke Organisation and European Academy of Neurology joint guidelines on post-stroke cognitive impairment

European Stroke Journal, Journal Year: 2021, Volume and Issue: 6(3), P. I - XXXVIII

Published: Sept. 1, 2021

The optimal management of post-stroke cognitive impairment remains controversial. These joint European Stroke Organisation (ESO) and Academy Neurology (EAN) guidelines provide evidence-based recommendations to assist clinicians in decision making around prevention, diagnosis, treatment prognosis. were developed according ESO standard operating procedure the Grading Recommendations, Assessment, Development Evaluation (GRADE) methodology. working group identified relevant clinical questions, performed systematic reviews and, where possible, meta-analyses literature, assessed quality available evidence made specific recommendations. Expert consensus statements provided insufficient was based on GRADE approach. There limited randomised controlled trial regarding single or multicomponent interventions prevent decline. Interventions improve lifestyle treat vascular risk factors may have many health benefits but a beneficial effect cognition is not proven. We found no routine screening following stroke recognise importance targeted assessment. described accuracy various tests clearly superior approach testing. make recommendation for use cholinesterase inhibitors, memantine nootropics rehabilitation. prediction tools syndromes (cognitive impairment, dementia delirium). association between most acute structural brain imaging features unclear, although presence substantial white matter hyperintensities presumed origin MRI help predict outcomes. highlighted fundamental areas robust lacking. Further, definitive trials are needed, we suggest priority future research.

Language: Английский

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Intervention modalities for brain fog caused by long-COVID: systematic review of the literature

Neurological Sciences, Journal Year: 2024, Volume and Issue: 45(7), P. 2951 - 2968

Published: May 2, 2024

Language: Английский

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Delivery of Neuropsychological Interventions for Adult and Older Adult Clinical Populations: An Australian Expert Working Group Clinical Guidance Paper

Neuropsychology Review, Journal Year: 2023, Volume and Issue: unknown

Published: Nov. 30, 2023

Abstract Delivery of neuropsychological interventions addressing the cognitive, psychological, and behavioural consequences brain conditions is increasingly recognised as an important, if not essential, skill set for clinical neuropsychologists. It has potential to add substantial value impact our role across settings. However, there are numerous approaches intervention, requiring different sets skills, with varying levels supporting evidence diagnostic groups. This guidance paper provides overview considerations recommendations help guide selection, delivery, implementation adults older adults. We aimed provide a useful source information clinicians, health service managers, policy-makers, educators, researchers regarding such interventions. Considerations were developed by expert working group neuropsychologists in Australia, based on relevant consensus opinion consultation members national neuropsychology body. While sit within Australian context, many have international relevance. include (i) principles important intervention delivery (e.g. being biopsychosocial case formulation person-centred goals); (ii) description competencies effective delivery; (iii) summary three key cohorts: acquired injury, psychiatric disorders, adults, focusing sound improving activity participation outcomes; (iv) sustainable ‘core business’; finally, (v) call action.

Language: Английский

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Cognitive Loss

Cambridge University Press eBooks, Journal Year: 2025, Volume and Issue: unknown, P. 218 - 245

Published: Jan. 10, 2025

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Effectiveness of Telehealth Interventions on Cognitive Function and Quality of Life in Adults With Neurological Disorders: A Systematic Review and Meta-Analysis

Journal of the American Medical Directors Association, Journal Year: 2025, Volume and Issue: 26(4), P. 105491 - 105491

Published: Feb. 25, 2025

Language: Английский

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Smart Digital Solutions for EARLY Treatment of COGNitive Disability (EARLY-COGN^3): A Study Protocol

Brain Sciences, Journal Year: 2025, Volume and Issue: 15(3), P. 239 - 239

Published: Feb. 24, 2025

Background: Healthy cognitive functioning is a primary component of well-being, independence, and successful aging. Cognitive deficits can arise from various conditions, such as brain injury, mental illness, neurological disorders. Rehabilitation highly specialized service limited to patients who have access institutional settings. In response this unmet need, telehealth solutions are ideal for triggering the migration care clinics patients’ homes. Objectives: The aim EARLY-COGN^3 will be threefold: (1) test efficacy digital health at-home intervention (tele@cognitive protocol) compared an unstructured rehabilitation in cohort with Chronic Neurological Diseases (CNDs); (2) investigate its effects on biomolecular neurophysiological marker hypothesizing that people CNDs enrolled telerehabilitation program develop changes biological markers cortical subcortical patterns connectivity; (3) analyze potential cognitive, neurobiological, predictors tele@cognitive treatment. Method: single-blind, randomized, controlled pilot study, we assess short- long-term protocol (tele@cognitive) (Active Control Group—ACG) 60 Mild Impairment (MCI), Subjective Complaints (SCCs), or Parkinson’s Disease (PD). All participants undergo clinical, functional, neurocognitive, quality life assessment at baseline (T0), post-treatment (5 weeks, T1), 3-month (T2) follow-up. Neurophysiological data collected T0 T1. Conclusions: project could lead complete paradigm shift traditional therapeutic approach, forcing reassessment how take advantage solution. (clinicaltrials.gov database, ID: NCT06657274)

Language: Английский

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Skills training in activities of daily living for persons living with dementia: a scoping review protocol

BMJ Open, Journal Year: 2025, Volume and Issue: 15(4), P. e090878 - e090878

Published: April 1, 2025

Introduction The need for rehabilitation interventions persons living with dementia is increasing. Improvements in the activities of daily (ADLs) are often required this process. On other hand, reduced learning ability among these people complicates decision-making regarding interventions, so research needed to support this. Structured skills training commonly used teach ADLs dementia, and studies have reported it be useful. However, a synthesis evidence on topic lacking. Therefore, scoping review aims systematically integrate results randomised controlled trials (RCTs) identify gaps existing knowledge suggest future practice. Methods analysis This was planned based Preferred Reporting Items Systematic reviews Meta-Analyses extension Scoping Reviews (PRISMA-ScR) guidelines. We comprehensively searched target articles using five electronic databases (PubMed, Cochrane Central Register Controlled Trials, Scopus, Physiotherapy Evidence Database Cumulative Index Nursing Allied Health Literature) 20 March 2024 currently screening their titles abstracts. Eligible RCTs published English peer-reviewed journals that evaluated participants diagnosed dementia. excluding included mild cognitive impairment, an intervention non-specific lacks teaching strategies, applied group settings, or addressed only smooth movement stability. search process extracted data will presented structured figures tables. By integrating interpreting findings, we knowledge. Ethics dissemination Ethical approval not study because collected from articles. disseminated through conference presentations journals. Trial registration number UMIN000054539.

Language: Английский

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The Comparability of Manual vs. Algorithm-Based Calculation of Clinical Trial Methodological Quality Indices

Research Square (Research Square), Journal Year: 2025, Volume and Issue: unknown

Published: April 15, 2025

Background Evidence hierarchies guide evidence-based practice by ranking forms of evidence to support translation and clinical decision-making. Systematic reviews meta-analyses (SRMAs) represent the highest form but are time resource-intensive, contributing estimated 17-year lag in into practice. Tools that automate aspects systematic review processes aim shorten this gap. Specifically, algorithm-based evaluation study quality, as performed CogTale synthesis platform, accelerates such relative manual methods, leading a more rapid evidence. In study, we assessed agreement between CogTale’s scoring PEDro RoB scales with these scales.Methods We selected 37 randomised controlled trials (RCTs) scores available on NeuroBITE Platform Risk Bias (RoB) Cochrane meta-analyses. Agreement for individual items was evaluated using Gwet’s AC1, while Bland-Altman plot total score agreement.Results The analysis showed an average difference 0.92 NeuroBITE, limits from − 2.09 3.93. Gwet's AC1 revealed almost perfect P1, P2, P11; substantial P5, P6, P7, P10; moderate P3 P4; slight P8; poor P9. For domains, found random sequence generation, allocation concealment, detection bias, fair other domains.Conclusions Overall, CogTale's align well scores, despite some discrepancies specific (P3, P8, P9) items, likely due criteria variations. shows promise automating quality assessments, potentially reducing maintaining accuracy. Future research should address key limitations examining how differences impact meta-analytic outcomes evaluate performance larger datasets accumulates platform.

Language: Английский

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