Telerehabilitation for people with aphasia: A systematic review and meta-analysis

Cacciante, Luisa; Kiper, Paweł; Garzon, Martina; Baldan, Francesca; Federico, Sara M.; Turolla, Andrea; Agostini, Michela

doi:10.1016/j.jcomdis.2021.106111

Cited by 34 publications

(13 citation statements)

References 34 publications

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“…The various areas in which this technology has found useful application include reduction of anxiety; 16 treatment of post-traumatic stress disorder, depression and paranoid delusions; 17,18 reduction of discomfort in cancer patients undergoing chemotherapy; 19,20 reduction of acute pain during wound treatment and physical therapy in patients with burn injuries; 21 functional ability training and motor rehabilitation in patients with central nervous system dysfunctions (including stroke patients); 22 and rehabilitation of cognitive and linguistic functions. [23][24][25] The authors of the above-cited studies emphasize the lack of VR-based technological solutions that, in addition to the physical rehabilitation of stroke patients, would offer therapeutic tools that could alleviate mental disorders and improve the mood and motivation of patients. 26 Therefore, the aim of this study was to assess the effectiveness of added immersive VR intervention to conventional rehabilitation on functional activity and mental state of stroke survivors.…”

Section: Introductionmentioning

confidence: 99%

Effects of Immersive Virtual Therapy as a Method Supporting Recovery of Depressive Symptoms in Post-Stroke Rehabilitation: Randomized Controlled Trial

Kiper¹,

Przysiezna²,

Cieślik³

et al. 2022

CIA

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Purpose Depressive symptoms constitute an important group of mental problems that alter the course of post-stroke rehabilitation by reducing quality of life, physical activity, social functioning, and interpersonal relationships. Although several studies have shown the efficacy of virtual reality (VR) in the motor treatment of poststroke patients, there is a lack of studies that would also evaluate the impact of VR on psychological aspects. Thus, we investigated the effectiveness of immersive VR therapy on both functional activity and depressive symptoms in stroke survivors. Patients and Methods We conducted a single blind, randomized controlled trial comparing VR therapy with Schultz’s Autogenic Training (SAT). Patients randomized to the VR group received treatment in an immersive VR therapeutic garden with elements of psychotherapy and physical activity of the upper extremities, whereas patients in the control group received SAT. Additionally, patients in both groups received standard neurological rehabilitation. The full research cycle lasted six weeks. We used Geriatric Depression Scale, Generalized Self-Efficacy Scale, Acceptance of Illness Scale, Visual Analogue Scale of pain, Hospital Anxiety and Depression Scale, Barthel Index, Lawton Instrumental Activities of Daily Living Scale and Rivermead Motor Assessment for outcome assessment. This trial was registered with ClinicalTrials.gov (NCT03830372). Results We assessed 60 patients and randomly assigned to the VR or control group. The VR group showed a significant reduction in depressive symptoms (ηp 2 = 0.13, p < 0.01) compared to SAT. The applied VR therapy significantly increased the sense of self-efficacy and the level of acceptance of the illness; however, this effect was similar to that obtained with the standard intervention. We did not observe statistically significant changes in the functional parameters of post-stroke patients. Conclusion The use of VR therapy combined with neurological rehabilitation had a positive effect on improving mood and reducing depressive symptoms in post-stroke patients.

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Section: Introductionmentioning

confidence: 99%

Effects of Immersive Virtual Therapy as a Method Supporting Recovery of Depressive Symptoms in Post-Stroke Rehabilitation: Randomized Controlled Trial

Kiper¹,

Przysiezna²,

Cieślik³

et al. 2022

CIA

Self Cite

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“…It is worth noting that current evidence suggests the feasibility of TR and its wellacceptability by both therapists and patients [9,29]. Indeed, in literature, many experiences of TR for motor [30], cognitive [31], and speech-language rehabilitation [32] have been published. In the great majority of these studies, we can face the so-called "closed" systems, which are useful for research (i.e., enrolment of selected patients according to research protocol), but they seem to be unavailable for community health services, especially in the pandemic reality, where the research protocols cannot be applied.…”

Section: Discussionmentioning

confidence: 99%

Feasibility, Acceptability and Limitations of Speech and Language Telerehabilitation during COVID-19 Lockdown: A Qualitative Research Study on Clinicians’ Perspectives

et al. 2021

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The COVID-19 pandemic brought out the need to deliver health care services at a distance in the form of telerehabilitation (TR). This study aimed to analyse the Italian speech and language therapists’ (SLTs) opinions on the feasibility of the TR in the field of speech-language therapy during the COVID-19 pandemic. We developed an anonymous survey to determine the SLTs’ opinions on feasibility of TR during lockdown caused by COVID-19. We analysed the survey’s answers provided by 136 SLTs. Cronbach’s alpha coefficient showed good reliability of the survey. The SLTs working previously with TR showed better judgements regarding this method. The comparison analysis between TR and face-to-face treatment delivery showed statistically significant differences as follows: “importance” (4.35 vs. 3.32, p = 0.001), “feasibility” (3.37 vs. 2.11, p < 0.001), “alternative form” (3.64 vs. 2.58, p = 0.001) and “comparison” (2.24 vs. 1.69, p < 0.001), but not with “familiarity” (p = 0.81). The survey showed that most of the Italian SLTs were not satisfied with TR systems. SLTs who used TR previously had a better opinion on this treatment modality. Experience and familiarity with TR systems were key factors for the use of this new rehabilitation modality.

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“…Results from VR, telerehabilitation, and computer-/tablet-based treatment studies are overwhelmingly positive, but lack of comparison studies and/or adequate control groups/tasks makes it difficult to identify superior protocols or attribute outcomes to the technological component of the treatment [104,105]. Some studies have shown similar response to remote delivery as in-person, supporting the notion that teletherapy is a viable and effective option [106][107][108]. There are also limited data showing better outcomes with computerized selfpractice than some traditional approaches/tasks [109,110], but any conclusions that one approach is collectively better than the other are inappropriate or, at least, premature.…”

Section: Language Speech and Communicationmentioning

confidence: 99%

Reversing the Ruin: Rehabilitation, Recovery, and Restoration After Stroke

Stockbridge

Bunker

Hillis

2022

Curr Neurol Neurosci Rep

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Purpose of Review Stroke is a common cause of disability in aging adults. A given individual’s needs after stroke vary as a function of the stroke extent and location. The purpose of this review was to discuss recent clinical investigations addressing rehabilitation of an array of overlapping functional domains. Recent Findings Research is ongoing in the domains of movement, cognition, attention, speech, language, swallowing, and mental health. To best assist patients’ recovery, innovative research has sought to develop and evaluate behavioral approaches, identify and refine synergistic approaches that augment the response to behavioral therapy, and integrate technology where appropriate, particularly to introduce and titrate real-world complexity and improve the overall experience of therapy. Summary Recent and ongoing trials have increasingly adopted a multidisciplinary nature — augmenting refined behavioral therapy approaches with methods for increasing their potency, such as pharmaceutical or electrical interventions. The integration of virtual reality, robotics, and other technological advancements has generated immense excitement, but has not resulted in consistent improvements over more universally accessible, lower technology therapy.

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Telerehabilitation for people with aphasia: A systematic review and meta-analysis

Cited by 34 publications

References 34 publications

Effects of Immersive Virtual Therapy as a Method Supporting Recovery of Depressive Symptoms in Post-Stroke Rehabilitation: Randomized Controlled Trial

Effects of Immersive Virtual Therapy as a Method Supporting Recovery of Depressive Symptoms in Post-Stroke Rehabilitation: Randomized Controlled Trial

Feasibility, Acceptability and Limitations of Speech and Language Telerehabilitation during COVID-19 Lockdown: A Qualitative Research Study on Clinicians’ Perspectives

Reversing the Ruin: Rehabilitation, Recovery, and Restoration After Stroke

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