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

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

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A robotic rehabilitation intervention in a home setting during the Covid-19 outbreak: a feasibility pilot study in patients with stroke

Journal of NeuroEngineering and Rehabilitation, Journal Year: 2025, Volume and Issue: 22(1)

Published: April 24, 2025

Telerehabilitation allows patients to engage in therapy away from healthcare facilities, often the comfort of their homes. Studies have suggested that it can effectively improve motor and cognitive function. However, its applicability may be limited with severe impairments who require physical assistance. The proposed study aims evaluate feasibility effects a home-based rehabilitation program for post-stroke patients, based on use planar robot, able overcome limitations posed by COVID-19 pandemic. We enrolled 20 stroke (11 men, aged 66.1 ± 9.2 years). Patients underwent one-hour robotic upper limb sessions, consisting execution point-to-point reaching exercises, using device own home, remote supervision therapist. assessed this intervention examining adverse events, patient satisfaction (measured Likert scale), usability (using System Usability Scale, SUS), acceptability (evaluated through Technology Acceptance Model questionnaire, TAM+), pain onset Numeric Rating Scale). To gauge clinical treatment, we analyzed changes sensory components Fugl-Meyer Assessment Upper Extremity (FMA-UE) before after intervention. approach was safe, as did not observe any experience an increase levels. expressed appreciation providing average scale score 8 out 10. treatment received high marks, SUS 78 12. Similarly, favorable, all examined domains scoring above 4, indicating positive attitude towards solution. Moreover, observed statistically significant improvement part FMA-UE (p < 0.001). Our results demonstrate feasibility, safety, effectiveness employing robot within environment. These findings mark step advancing innovative easily accessible options survivors, ensuring uninterrupted care creating new opportunities enhance functional abilities. clinicaltrial.gov (NCT05250934).

Language: Английский

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RESEARCH AND DEVELOPMENT OF A QUESTIONNAIRE FOR SURVEYING HEALTHCARE PROFESSIONALS ON THE USE OF TELEMEDICINE TECHNOLOGIES IN MEDICAL REHABILITATION OF POST-STROKE PATIENTS

Medical & pharmaceutical journal Pulse, Journal Year: 2025, Volume and Issue: unknown, P. 96 - 108

Published: May 9, 2025

Stroke is an important medical and social problem leading to high disability of post-stroke patients. To restore the health patients, comprehensive long-term rehabilitation programs are required at all periods treatment. Telemedicine technologies increasingly used in patients; their use increases coverage accessibility care, ensures continuity rehabilitation, improves recovery rates The purpose article study develop a questionnaire for surveying healthcare professionals on telemedicine patients after stroke. Materials methods. methods analytical, information search other scientific means were applied accordance with set goal. In developing questionnaire, open, closed semi-closed questions used, as well Likert scale measuring degree agreement or disagreement respondents various statements, which contributes more in-depth analysis information. Results discussion. As result study, was developed. When following areas taken into account by groups research questions: general characteristics respondents, digital technologies, benefits medical, organizational managerial aspects improving rehabilitation. Conclusions. survey using developed will make it possible decisions improve technologies. results can become basis indicators contributing prevention secondary strokes, increasing access healthcare.

Language: Английский

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Current Status of Information and Communication Technologies Utilization, Education Needs, Mobile Health Literacy, and Self-Care Education Needs of a Population of Stroke Patients

Healthcare, Journal Year: 2025, Volume and Issue: 13(10), P. 1183 - 1183

Published: May 19, 2025

Background/Objectives: With the rising prevalence of chronic diseases and an aging population, incidence stroke is continuously increasing, which leads to higher medical costs. Stroke carries a high risk recurrence, necessitating ongoing self-care lifestyle changes, for education crucial. The aim this study identify ICT utilization needs, mobile health literacy, needs patients confirm differences in literacy according establish basis intervention. Methods: included 100 diagnosed at three general hospitals or City C, hospitalized visiting neurology neurosurgery outpatient clinics. A survey was conducted from 7 July 2023 30 May 2024. cites computers, Internet, live broadcasting technology, recorded telephony as examples ICTs. gathered data were analyzed using descriptive statistics, independent t-tests, one-way ANOVA, Pearson correlation coefficient. Results: final analysis people, with 64 participants being men average age 57.75 ± 12.30 years. Self-care showed no significant based on disease-related characteristics. Many could use smart devices but experienced difficulties searching information. main reasons acquiring information accessing resources without time limitations. services that provide low, 70% willing them future. Additionally, they preferred doctor-led sessions once month, lasting longer than min each. Mobile significantly among those services. Conclusions: group unwilling. both highly important necessary utilize ICT, statistically difference found.

Language: Английский

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Animals as Architects: Building the Future of Technology-Supported Rehabilitation with Biomimetic Principles

Biomimetics, Journal Year: 2024, Volume and Issue: 9(12), P. 723 - 723

Published: Nov. 22, 2024

Rehabilitation science has evolved significantly with the integration of technology-supported interventions, offering objective assessments, personalized programs, and real-time feedback for patients. Despite these advances, challenges remain in fully addressing complexities human recovery through rehabilitation process. Over last few years, there been a growing interest application biomimetics to inspire technological innovation. This review explores biomimetic principles technologies, focusing on use animal models help design assistive devices such as robotic exoskeletons, prosthetics, wearable sensors. Animal locomotion studies have, example, inspired energy-efficient exoskeletons that mimic natural gait, while insights from neural plasticity research species like zebrafish axolotls are advancing regenerative medicine techniques. Sensory systems animals, lateral line fish, have also led development sensors provide motor learning. By integrating approaches, technologies can better adapt patient needs, ultimately improving functional outcomes. As field related translating applications, ethical considerations, technical barriers must be addressed unlock full potential rehabilitation.

Language: Английский

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Perspectives of Decision Support System TeleRehab in the Management of Post-Stroke Telerehabilitation

Life, Journal Year: 2024, Volume and Issue: 14(9), P. 1059 - 1059

Published: Aug. 24, 2024

Stroke is the main cause of disability among adults. Decision-making in stroke rehabilitation increasingly complex; therefore, use decision support systems by healthcare providers becoming a necessity. However, there significant lack software for management post-stroke telerehabilitation (TR). This paper presents results developed “TeleRehab” to decision-making clinicians and TR. We designed Python-based with graphical user interface manage searched Scopus, ScienceDirect, PubMed databases obtain research papers clinical trials TR form knowledge base software. The findings show that TeleRehab suggests recommendations provide practitioners optimal real-time support. observed feasible outcomes based on synthetic data patients balance problems, spatial neglect, upper lower extremities dysfunctions. Also, demonstrated excellent usability acceptability scores professionals.

Language: Английский

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Web-Based Medical Information System for Stroke Rehabilitation Intemet-of-Things (RIOT) Patients: A Prototype

2022 IEEE International Conference on Artificial Intelligence in Engineering and Technology (IICAIET), Journal Year: 2024, Volume and Issue: unknown, P. 326 - 330

Published: Aug. 26, 2024

Language: Английский

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Telerehabilitation and Its Impact Following Stroke: An Umbrella Review of Systematic Reviews

Journal of Clinical Medicine, Journal Year: 2024, Volume and Issue: 14(1), P. 50 - 50

Published: Dec. 26, 2024

Objectives: To summarize the impact of various telerehabilitation interventions on motor function, balance, gait, activities daily living (ADLs), and quality life (QoL) among patients with stroke to determine existing for delivering physiotherapy sessions in clinical practice. Methods: Six electronic databases were searched identify relevant quantitative systematic reviews (SRs). Due substantial heterogeneity, data analysed narratively. Results: A total 28 (n = 245 primary studies) included that examined after stroke. Motor function was most studied outcome domain across (20 SRs), followed by ADL (18 balance (14 SRs) domains. For outcomes, our findings highlight moderate- high-quality evidence showing either a significant effect or no difference between other interventions. There insufficient draw conclusion regarding feasibility including participant satisfaction, adherence treatment, cost. Most under this umbrella subacute chronic phase (12 SRs). Simple complex such as telephone calls, videoconferencing, smartphone- tablet-based mobile health applications, messaging, virtual reality, robot-assisted devices, 3D animation videos, alone combination interventions, reviews. Conclusions: Various have shown compared improving upper lower limb ADLs, QoL, regardless whether simple approaches used. Further research is needed support delivery rehabilitation services through intervention following

Language: Английский

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