Effect of RehaCom cognitive rehabilitation software on working memory and processing speed in chronic ischemic stroke patients

Amiri, Sanaz; Hassani-Abharian, Peyman; Vaseghi, Salar; Kazemi, Rouzbeh; Nasehi, Mohammad Mahdi

doi:10.1080/10400435.2021.1934608

Cited by 9 publications

(12 citation statements)

References 57 publications

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“…They observed that RehaCom treatment improved all cognitive functions, and this effect was maintained over time (i.e., at three-month follow-up) ( 38 ). Moreover, Amir et al ( 39 ) carried out a study of 50 stroke survivors. They showed a significant improvement in working memory and processing speed in the experimental group compared to the control group after a 5-week training with the software ( 39 ).…”

Section: Resultsmentioning

confidence: 99%

Computer-assisted cognitive rehabilitation in neurological patients: state-of-art and future perspectives

Maggio,

De Bartolo,

Calabrò

et al. 2023

Front. Neurol.

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Background and aimAdvances in computing technology enabled researchers and clinicians to exploit technological devices for cognitive training and rehabilitation interventions. This expert review aims to describe the available software and device used for cognitive training or rehabilitation interventions of patients with neurological disorders.MethodsA scoping review was carried out to analyze commercial devices/software for computerized cognitive training (CCT) in terms of feasibility and efficacy in both clinical and home settings. Several cognitive domains responding to the different patients’ needs are covered.ResultsThis review showed that cognitive training for patients with neurological diseases is largely covered by several devices that are widely used and validated in the hospital setting but with few translations to remote/home applications. It has been demonstrated that technology and software-based devices are potential and valuable tools to administer remotely cognitive rehabilitation with accessible costs.ConclusionAccording to our results, CCT entails the possibility to continue cognitive training also in different settings, such as home, which is a significant breakthrough for the improvement of community care. Other possible areas of use should be the increase in the amount of cognitive therapy in the free time during the hospital stay.

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Section: Resultsmentioning

confidence: 99%

Computer-assisted cognitive rehabilitation in neurological patients: state-of-art and future perspectives

Maggio,

De Bartolo,

Calabrò

et al. 2023

Front. Neurol.

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“…The timing and duration of the stimulation are crucial factors determining the impact of stimulation, and it has been reported that offline effects of tDCS might be more pronounced than online effects ( 71 ). Furthermore, RehaCom is an intensive rehabilitation training paradigm that has proven effective in improving cognitive functions after stroke ( 72 , 73 ). The combination of stimulation with an intensive training paradigm like RehaCom might be the best way forward for cognitive rehabilitation.…”

Section: Discussionmentioning

confidence: 99%

Can Transcranial Electrical Stimulation Facilitate Post-stroke Cognitive Rehabilitation? A Systematic Review and Meta-Analysis

Khan

Yuan

Bao³

et al. 2022

Front. Rehabilit. Sci.

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BackgroundNon-invasive brain stimulation methods have been widely utilized in research settings to manipulate and understand the functioning of the human brain. In the last two decades, transcranial electrical stimulation (tES) has opened new doors for treating impairments caused by various neurological disorders. However, tES studies have shown inconsistent results in post-stroke cognitive rehabilitation, and there is no consensus on the effectiveness of tES devices in improving cognitive skills after the onset of stroke.ObjectivesWe aim to systematically investigate the efficacy of tES in improving post-stroke global cognition, attention, working memory, executive functions, visual neglect, and verbal fluency. Furthermore, we aim to provide a pathway to an effective use of stimulation paradigms in future studies.MethodsPreferred reporting items for systematic reviews and meta-analysis (PRISMA) guidelines were followed. Randomized controlled trials (RCTs) were systematically searched in four different databases, including Medline, Embase, Pubmed, and PsychInfo. Studies utilizing any tES methods published in English were considered for inclusion. Standardized mean difference (SMD) for each cognitive domain was used as the primary outcome measure.ResultsThe meta-analysis includes 19 studies assessing at least one of the six cognitive domains. Five RCTs studying global cognition, three assessing visual neglect, five evaluating working memory, three assessing attention, and nine studies focusing on aphasia were included for meta-analysis. As informed by the quantitative analysis of the included studies, the results favor the efficacy of tES in acute improvement in aphasic deficits (SMD = 0.34, CI = 0.02–0.67, p = 0.04) and attention deficits (SMD = 0.59, CI = −0.05–1.22, p = 0.07), however, no improvement was observed in any other cognitive domains.ConclusionThe results favor the efficacy of tES in an improvement in aphasia and attentive deficits in stroke patients in acute, subacute, and chronic stages. However, the outcome of tES cannot be generalized across cognitive domains. The difference in the stimulation montages and parameters, diverse cognitive batteries, and variable number of training sessions may have contributed to the inconsistency in the outcome. We suggest that in future studies, experimental designs should be further refined, and standardized stimulation protocols should be utilized to better understand the therapeutic effect of stimulation.

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“…A meta-analysis including 20 randomized controlled trials found a moderate effect size among treated patients ( 95 ). RehaCom has emerged as the computerized program most studied for people with multiple sclerosis with short- and long-term benefits in attention, cognitive processing speed, memory, and executive function ( 25 , 26 , 96–99 ). On the other side, strategy-based compensatory approaches emphasize manualized behavioral therapy that is administered by a therapist for individuals or groups.…”

Section: Cognitive Tr and Multiple Sclerosismentioning

confidence: 99%

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

Maggio,

Baglio,

Arcuri

et al. 2024

Front. Neurol.

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

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Effect of RehaCom cognitive rehabilitation software on working memory and processing speed in chronic ischemic stroke patients

Cited by 9 publications

References 57 publications

Computer-assisted cognitive rehabilitation in neurological patients: state-of-art and future perspectives

Computer-assisted cognitive rehabilitation in neurological patients: state-of-art and future perspectives

Can Transcranial Electrical Stimulation Facilitate Post-stroke Cognitive Rehabilitation? A Systematic Review and Meta-Analysis

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

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