A eficácia da telerreabilitação na doença de Parkinson: uma revisão integrativa DOI Creative Commons
Gabriely Teixeira,

Osvaldo Soares de Araújo Júnior,

Daiane Medina de Oliveira

et al.

Cuadernos de Educación y Desarrollo, Journal Year: 2024, Volume and Issue: 16(11), P. e6391 - e6391

Published: Nov. 19, 2024

Objetivo: avaliar a eficácia e viabilidade da telerreabilitação para pacientes com Doença de Parkinson (DP), especialmente durante pandemia COVID-19, utilizando tecnologias como sensores vestíveis realidade virtual (RV). Métodos: Foi realizada uma revisão integrativa literatura, selecionando estudos quantitativos, qualitativos mistos, publicados nos últimos 10 anos, em inglês. Os critérios inclusão abrangeram pesquisas que avaliaram DP, focando parâmetros equilíbrio, mobilidade qualidade vida. Foram excluídos revisão, protocolos ECR, focadas outras doenças neurológicas não publicações resumos idiomas datas especificados. Resultados: incluídos evidenciam pode melhorar significativamente o vida dos DP. Tecnologias RV, tanto imersiva quanto imersiva, mostraram-se eficazes. Protocolos específicos Lee Silverman Voice Treatment® BIG (LSVT® BIG)® destacaram-se na melhora do equilíbrio dinâmico confiança no equilíbrio. A continuidade cuidados através também demonstrou ser econômica acessível, pandemia. Conclusão: representa solução viável eficaz reabilitação facilitando acesso ao tratamento melhorando adesão pacientes. incorporação dessas prática clínica transformar cuidado remoto, promovendo melhor os

Being in Virtual Reality and Its Influence on Brain Health—An Overview of Benefits, Limitations and Prospects DOI Creative Commons
Beata Sokołowska

Brain Sciences, Journal Year: 2024, Volume and Issue: 14(1), P. 72 - 72

Published: Jan. 10, 2024

Dynamic technological development and its enormous impact on modern societies are posing new challenges for 21st-century neuroscience. A special place is occupied by technologies based virtual reality (VR). VR tools have already played a significant role in both basic clinical neuroscience due to their high accuracy, sensitivity specificity and, above all, ecological value.

Language: Английский

Citations

15

Cognitive telerehabilitation: an expert consensus paper on current evidence and future perspective DOI Creative Commons

Maria Grazia Maggio,

Francesca Baglio,

Francesco Arcuri

et al.

Frontiers in Neurology, Journal Year: 2024, Volume and Issue: 15

Published: Feb. 15, 2024

The progressive improvement of the living conditions and medical care population in industrialized countries has led to healthcare interventions, including rehabilitation. From this perspective, Telerehabilitation (TR) plays an important role. TR consists application telemedicine rehabilitation offer remote services unable reach healthcare. integrates therapy-recovery-assistance, with continuity treatments, aimed at neurological psychological recovery, involving patient a family environment, active role also caregivers. This leads reduced costs improves specialist care, as well showing efficacy for treatment cognitive disorders, leading advantages patients their families, such avoiding travel, reducing associated costs, improving frequency, continuity, comfort performing its own spaces, times arrangements. aim consensus paper is investigate current evidence on use effectiveness field, trying suggest some recommendations future perspectives. To best our knowledge, first among multiple expert researchers that comprehensively examines different diseases. Our results supported feasibility good adherence no adverse events patients. summarizes populations, highlighting potential tool, but limitations need be explored further.

Language: Английский

Citations

9

A systematic review of cognitive telerehabilitation in patients with cognitive dysfunction DOI Creative Commons
Hyeonwoo Jeon, Doo-Young Kim,

Si-Woon Park

et al.

Frontiers in Neurology, Journal Year: 2025, Volume and Issue: 15

Published: Jan. 15, 2025

One of the possible treatment options for patient with cognitive dysfunction is telerehabilitation. Previous systematic reviews on telerehabilitation have focused specific disease groups and analysis intervention methods did not differentiate between traditional face-to-face cognition usual care. In this review, we aim to analyze randomized controlled trials (RCTs) that compare or care improving function in elderly individuals patients acquired brain injury. We conducted review following guidelines Preferred Reporting Items Systematic Reviews Meta-Analyses (PRISMA). searched 7 electronic databases (PubMed, Cochrane, EMbase, CINAHL, Web Science, Scopus, KMbase) identify relevant studies published through December 10, 2024. a meta-analysis assess quality synthesize evidence. Certainty evidence was evaluated using Grading Recommendations, Assessment, Development, Evaluation (GRADE) method. Finally, 16 were included analysis. For comparing treatment, 2 RCTs global (immediate outcome), attention visuospatial outcome). care, 3 (persistence 4 executive working memory Telerehabilitation has been shown be more effective than function, its effectiveness inferior treatment. By overcoming limitations rehabilitation providing continuous can offer situations.

Language: Английский

Citations

1

Effects of Virtual Reality Cognitive Training on Neuroplasticity: A Quasi-Randomized Clinical Trial in Patients with Stroke DOI Creative Commons
Antonio Gangemi, Rosaria De Luca, Rosa Angela Fabio

et al.

Biomedicines, Journal Year: 2023, Volume and Issue: 11(12), P. 3225 - 3225

Published: Dec. 6, 2023

Cognitive Rehabilitation (CR) is a therapeutic approach designed to improve cognitive functioning after brain injury, including stroke. Two major categories of techniques, namely traditional and advanced (including virtual reality-VR), are widely used in CR for patients with various neurological disorders. More objective outcome measures needed better investigate recovery In the last ten years, application electroencephalography (EEG) as non-invasive portable neuroimaging method has been explored extract hallmarks neuroplasticity induced by VR rehabilitation approaches, particularly within chronic stroke population. The aim this study neurophysiological effects conducted environment using VRRS device. Thirty moderate-to-severe ischemic phase (at least 6 months event), mean age 58.13 (±8.33) experimental group 57.33 (±11.06) control group, were enrolled. They divided into two groups: an receiving neurocognitive stimulation same amount conventional neurorehabilitation, respectively. To changes training, we focused on power band spectra theta, alpha, beta EEG rhythms both groups. We observed that when technology was employed amplify treatments recovery, significant EEG-related neural improvements detected primary motor circuit terms spectral density time-frequency domains. Indeed, analysis suggested resulted increase alpha occipital areas frontal areas, while no variations theta power. Our data suggest potential effectiveness VR-based promoting neuroplastic even

Language: Английский

Citations

16

The Use of Head-Mounted Display Systems for Upper Limb Kinematic Analysis in Post-Stroke Patients: A Perspective Review on Benefits, Challenges and Other Solutions DOI Creative Commons
Paolo De Pasquale, Mirjam Bonanno,

Sepehr Mojdehdehbaher

et al.

Bioengineering, Journal Year: 2024, Volume and Issue: 11(6), P. 538 - 538

Published: May 24, 2024

In recent years, there has been a notable increase in the clinical adoption of instrumental upper limb kinematic assessment. This trend aligns with rising prevalence cerebrovascular impairments, one most prevalent neurological disorders. Indeed, is growing need for more objective outcomes to facilitate tailored rehabilitation interventions following stroke. Emerging technologies, like head-mounted virtual reality (HMD-VR) platforms, have responded this demand by integrating diverse tracking methodologies. Specifically, HMD-VR technology enables comprehensive body posture, encompassing hand position and gesture, facilitated either through specific tracker placements or via integrated cameras coupled sophisticated computer graphics algorithms embedded within helmet. review aims present state-of-the-art applications platforms analysis post-stroke patients, comparing them conventional systems. Additionally, we address potential benefits challenges associated these platforms. These systems might represent promising avenue safe, cost-effective, portable motor assessment field neurorehabilitation, although other systems, including robots, should be taken into consideration.

Language: Английский

Citations

4

Beyond the White Coat DOI

Khushi,

Jaspreet Kaur, Harwinder Singh

et al.

Advances in business strategy and competitive advantage book series, Journal Year: 2025, Volume and Issue: unknown, P. 219 - 250

Published: Jan. 31, 2025

In an era where technology increasingly intersects with healthcare, “Beyond the White Coat: A Journey into Virtual Reality Healthcare Innovations” explores transformative potential of virtual reality (VR) in medical practice. This study delves multifaceted applications VR, from immersive training environments for professionals to enhanced patient care and therapeutic interventions. By examining current advancements, case studies, ongoing research, highlights how VR is reshaping diagnostics, treatment planning, engagement. The discussion extends challenges ethical considerations integrating ultimately envisioning a future experiences are seamlessly integrated practice, enhancing both efficacy empathy care.

Language: Английский

Citations

0

Feasibility, acceptability, usability and quality of life levels in post-stroke patients undergoing telerehabilitation: Results from a multicentric pilot study DOI Creative Commons
Luisa Cacciante, Sara Federico, Lorenza Maistrello

et al.

Digital Health, Journal Year: 2025, Volume and Issue: 11

Published: Jan. 1, 2025

Objective This study aims to evaluate the feasibility of an integrated multi-domain telerehabilitation (TR) system in stroke patients and observe whether there are changes quality life (QoL) levels undergoing TR treatments. Methods Patients were enrolled for a longitudinal multicentric pilot conducted six Italian research hospitals (IRCCS). The primary outcome was system, assessed by calculating treatment adherence collecting data from Technology Acceptance Model System Usability Scale (SUS). Information on time travel distance savings also collected. As secondary outcomes, we evaluated QoL with EuroQol 5-dimensions (EQ-5D) Short Form-36 (SF-36) caregiver burden through Zarit Burden Inventory. Results We 84 patients. Our turned out be feasible (treatment = 85%), usable (SUS 73.36/100, classifying it as ‘good’ system) well accepted Quality improved significantly pre- post-treatment (EQ-5D: p 0.0014; SF-36 general health: 0.047). Caregivers perceived little or no significant care burden. Conclusions Telerehabilitation has been confirmed feasible, acceptable solution guarantee continuity improve accessibility rehabilitation treatments post-stroke Furthermore, strength is possibility patients’ QoL, which turn could impact functioning.

Language: Английский

Citations

0

A Systematic Review on the Application of Virtual Reality for Muscular Dystrophy Rehabilitation: Motor Learning Benefits DOI Creative Commons
Paweł Kiper, Sara Federico, Joanna Szczepańska-Gieracha

et al.

Life, Journal Year: 2024, Volume and Issue: 14(7), P. 790 - 790

Published: June 22, 2024

Using virtual reality (VR) for Muscular Dystrophy (MD) rehabilitation promises to be a novel therapeutic approach, potentially enhancing motor learning, functional outcomes, and overall quality of life. This systematic review primarily aimed provide comprehensive summary the current understanding regarding application VR in supporting MD rehabilitation. A search was performed PubMed, Scopus, Cochrane Library, Web Science identify relevant articles. The inclusion criteria encompassed studies involving individuals diagnosed with who underwent interventions, primary focus on assessing improvement. Methodological assessed by using Physiotherapy Evidence Database (PEDro) scale. Seven studies, 440 Duchenne (DMD), were included review. Among these six explored learning potential VR, while one study investigated impact training abilities. In conclusion, qualitative synthesis supports VR-based interventions’ positive effects performance improvement, outcomes DMD. However, usage mainly focuses mechanisms’ benefits, suggesting importance expanding clinical adoption harness their patients.

Language: Английский

Citations

3

Multidomain Cognitive Tele-Neurorehabilitation Training in Long-Term Post-Stroke Patients: An RCT Study DOI Creative Commons
Marianna Contrada, Gennarina Arabia, Martina Vatrano

et al.

Brain Sciences, Journal Year: 2025, Volume and Issue: 15(2), P. 145 - 145

Published: Jan. 31, 2025

Purpose: Over the past decade, tele-neurorehabilitation (TNR) has emerged as a vital and effective tool for delivering continuous care to stroke patients, playing key role in enhancing functional recovery ensuring consistent access rehabilitation services. In field of TNR, various protocols are utilized ensure cognitive stimulation at home. Recent preliminary studies highlight employment multidomain interventions, which would seem induce more stable relevant patients. A randomized controlled trial (RCT) study was conducted compare effectiveness TNR approach conventional face-to-face treatment. Methods: total 30 patients with were equally enrolled randomly assigned experimental control groups. group, received sessions home-based virtual reality system (VRRS) training. The group underwent traditional treatment hospital. therapy given one hour every day four weeks both Specific domains, including memory, praxis skills, executive functions, speech therapy, stimulated procedure. Neuropsychological evaluations performed three timepoints: baseline (T0), end (T1), six months later (T2). Results: demonstrated significant improvements working memory language abilities, well depressive symptoms caregiver burden, an average decrease 2.07. Most this improvement persisted 6 after that showed (not persisting T2) task measuring constructive apraxia alternating attention skill set-shifting. Conclusions: According our findings, may be useful outcomes populations (even concludes). also viable way deliver these interventions since it boosts people’s motivation train and, consequently, their adherence while having positive effect on caregivers’ distress management.

Language: Английский

Citations

0

Neuropsychological Rehabilitation for Traumatic Brain Injury: A Systematic Review DOI Open Access
Carlos Ramos-Galarza,

Jennifer Obregón

Journal of Clinical Medicine, Journal Year: 2025, Volume and Issue: 14(4), P. 1287 - 1287

Published: Feb. 15, 2025

Background/Objectives: A traumatic brain injury (TBI) is a lesion caused by external or internal factors, resulting in cognitive, behavioral, physical, relational, and sensory sequelae, depending on the affected area severity of injury. Within neuropsychological rehabilitation (NR), multiple methods have been developed that are aimed at restoring, compensating, substituting deteriorated cognitive functions from TBI. This systematic review to identify state scientific literature regarding efficacy NR individuals with Methods: Articles were analyzed SCOPUS PUBMED databases. Initially, 5347 studies found. After applying inclusion exclusion criteria, 17 articles remained included data extraction process. Results: Of seventeen articles, eleven employed randomized semi-randomized controlled trials, five clinical studies, one was comparative study, which percentage computerized 58.82% experimental groups. In contrast, traditional constituted 35.3%, remaining 5.88% conducted holistic NR. Ninety percent these investigations showed efficacy. Conclusions: While most evaluated demonstrated efficacy, analysis findings should not be isolated variables such as etiology phase TBI, intervention duration, symptoms treated. Furthermore, implementation must adapted specific context each patient.

Language: Английский

Citations

0