Do people with multiple sclerosis benefit from PC-based neurorehabilitation? A pilot study

Luca, Rosaria De; Russo, Margherita; Gasparini, Sara; Leonardi, Simona; Cuzzola, Marilena Foti; Sciarrone, Francesca; Zichittella, Caterina; Sessa, Edoardo; Maggio, Maria Grazia; Cola, Maria Cristina De; Calabrò, Rocco Salvatore

doi:10.1080/23279095.2019.1650747

Cited by 7 publications

(6 citation statements)

References 44 publications

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“…Additionally, some studies have underlined the importance of robotic training (especially when coupled to virtual reality) in boosting both motor and cognitive outcomes and processing speed, with a positive perception of patients' performance, as compared to traditional training [5,[34][35][36][37].…”

Section: Discussionmentioning

confidence: 99%

Can powered exoskeletons improve gait and balance in multiple sclerosis? A retrospective study

Russo

Maggio

Naro

et al. 2021

International Journal of Rehabilitation Research

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Multiple sclerosis (MS) is a progressive neurologic disorder that can profoundly influence mobility, independence and quality of life. Gait dysfunction in MS is common, resulting in an increased risk of losing walking ability. Robotic exoskeletons have been developed to offer a new form of locomotor training. The aim of our study was to investigate the effectiveness of the powered exoskeleton (Ekso) in improving gait and balance in patients affected by MS. Twenty patients with MS (mean ± SD: age = 43.7 ± 10.3 years; 66.7% male) were enrolled in this retrospective study. They were divided into two groups, matched for demographic data (age and sex) and medical characteristics (disease duration and Expanded Disability Status Scale), but differing for the type of rehabilitation training performed. Group 1 [experimental group (EG)] received gait training with the Ekso device, whereas group 2 (control group) performed traditional gait training. Although both trainings led to a significant improvement in the ability to walk and balance, only in the EG a significant improvement in walking speed (10 Meter Walk test; P = 0.002), in person’s mobility (Timed Up and Go test; P = 0.002), and in the perception of mental well-being (MSQoL-M; P = 0.004), with a good usability and acceptance of the device, was found. Powered exoskeletons could be considered a valuable tool to improve functional outcomes and get the therapeutic goal in patients with MS.

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Section: Discussionmentioning

confidence: 99%

Can powered exoskeletons improve gait and balance in multiple sclerosis? A retrospective study

Russo

Maggio

Naro

et al. 2021

International Journal of Rehabilitation Research

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“…These interventions typically include the execution of tasks or games, often referred to as 'serious games', that involve various domains [26]. The primary goal of this method is to enhance performance by utilizing positive reinforcement, which includes providing sensory and motivational feedback [27]. Additionally, these exercises offer therapists the flexibility to adjust the duration and difficulty of the tasks to match the individual's characteristics and needs [27,28].…”

Section: Pc-based Rehabilitationmentioning

confidence: 99%

“…The primary goal of this method is to enhance performance by utilizing positive reinforcement, which includes providing sensory and motivational feedback [27]. Additionally, these exercises offer therapists the flexibility to adjust the duration and difficulty of the tasks to match the individual's characteristics and needs [27,28]. In our analysis of the literature, we identified 378 articles related to PC-based methods for interventions in HD patients.…”

Section: Pc-based Rehabilitationmentioning

confidence: 99%

The Role of Innovation Technology in the Rehabilitation of Patients Affected by Huntington’s Disease: A Scoping Review

Maggio,

Billeri,

Cardile

et al. 2023

Biomedicines

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Huntington’s disease is an autosomal dominant neurodegenerative disease caused by the repetition of cytosine, adenine, and guanine trinucleotides on the short arm of chromosome 4p16.3 within the Huntingtin gene. In this study, we aim to examine and map the existing evidence on the use of innovations in the rehabilitation of Huntington’s disease. A scoping review was conducted on innovative rehabilitative treatments performed on patients with Huntington’s disease. A search was performed on PubMed, Embase, Web of Science, and Cochrane databases to screen references of included studies and review articles for additional citations. Of an initial 1117 articles, only 20 met the search criteria. These findings showed that available evidence is still limited and that studies generally had small sample sizes and a high risk of bias. Regarding cognitive rehabilitation, it has emerged that VR- and PC-based methods as well as NIBS techniques are feasible and may have promising effects in individuals with Huntington’s disease. On the other hand, scarce evidence was found for cognitive and motor training that might have a slight impact on overall cognitive function in individuals with Huntington’s disease. Data show that further investigation is needed to explore the effects of innovative rehabilitation tools on cognition, especially considering that cognitive and psychiatric symptoms can precede the onset of motor symptoms by many years.

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“…Cognitive rehabilitation could also benefit from the introduction of new technologies. Computer-assisted cognitive rehabilitation aims to re-train the residual neurological capacity by creating individualized strategies through cognitive models [ 257 ]. It targets the improvement of processing speed, language, attention and memory by making use of specific software and multimedia libraries [ 40 , 258 , 259 ].…”

Section: Emerging Techniques and Future Considerationsmentioning

confidence: 99%

“…The advantages of computer-assisted cognitive rehabilitation reside in its ability to perform cognitive recovery while providing visual and auditory feedback in real time. Furthermore, it increases adherence and motivation through a diversity of immersive scenarios, and it offers the option for patients to engage in it from home [ 257 ].…”

Section: Emerging Techniques and Future Considerationsmentioning

confidence: 99%

Neurorehabilitation in Multiple Sclerosis—A Review of Present Approaches and Future Considerations

Sîrbu¹,

Thompson

Pleşa

et al. 2022

JCM

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Multiple sclerosis is an increasingly prevalent disease, representing the leading cause of non-traumatic neurological disease in Europe and North America. The most common symptoms include gait deficits, balance and coordination impairments, fatigue, spasticity, dysphagia and an overactive bladder. Neurorehabilitation therapeutic approaches aim to alleviate symptoms and improve the quality of life through promoting positive immunological transformations and neuroplasticity. The purpose of this study is to evaluate the current treatments for the most debilitating symptoms in multiple sclerosis, identify areas for future improvement, and provide a reference guide for practitioners in the field. It analyzes the most cited procedures currently in use for the management of a number of symptoms affecting the majority of patients with multiple sclerosis, from different training routines to cognitive rehabilitation and therapies using physical agents, such as electrostimulation, hydrotherapy, cryotherapy and electromagnetic fields. Furthermore, it investigates the quality of evidence for the aforementioned therapies and the different tests applied in practice to assess their utility. Lastly, the study looks at potential future candidates for the treatment and evaluation of patients with multiple sclerosis and the supposed benefits they could bring in clinical settings.

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Do people with multiple sclerosis benefit from PC-based neurorehabilitation? A pilot study

Cited by 7 publications

References 44 publications

Can powered exoskeletons improve gait and balance in multiple sclerosis? A retrospective study

Can powered exoskeletons improve gait and balance in multiple sclerosis? A retrospective study

The Role of Innovation Technology in the Rehabilitation of Patients Affected by Huntington’s Disease: A Scoping Review

Neurorehabilitation in Multiple Sclerosis—A Review of Present Approaches and Future Considerations

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