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
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.
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.
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.
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
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.
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.
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.
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.
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.
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.