Effects of domotics on cognitive, social and personal functioning in patients with chronic stroke: A pilot study

Maggio, Maria Grazia; Maresca, Giuseppa; Russo, Margherita; Stagnitti, Maria Chiara; Anchesi, Smeralda; Casella, Carmela; Zichitella, Caterina; Manuli, Alfredo; Cola, Maria Cristina De; Luca, Rosaria De; Calabrò, Rocco Salvatore

doi:10.1016/j.dhjo.2019.100838

Cited by 9 publications

(6 citation statements)

References 14 publications

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“…The providers trained the therapists to use the equipment. In the HA room, patients had access to a centralized control system that allowed them to monitor and modify environmental parameters such as detecting smoke, water, or gas leakage [ 23 , 24 ]. The kitchen shelves and other storage areas were adjustable in terms of their size and depth, while the kitchen wall units, hood, and sink had axial automation.…”

Section: Methodsmentioning

confidence: 99%

“…In an earlier research work, we employed HA to assist clinical and rehabilitation processes. As a result, stroke [ 23 ] and Parkinson’s patients [ 24 ] experienced better cognitive and social abilities, along with enhanced functional autonomy. Recent technological advances, such as virtual reality and exoskeletons, have demonstrated the potential to improve the motor performance of SCI patients [ 25 ], as well as their psychosocial well-being and QoL [ 26 ].…”

Section: Introductionmentioning

confidence: 99%

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The Effects of Home Automation on Personal and Social Autonomies in Spinal Cord Injury Patients: A Pilot Study

Maresca,

Latella,

Formica

et al. 2024

JCM

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Background: Spinal cord injury (SCI) is a severe and progressive neurological condition caused by trauma to the nervous system, resulting in lifelong disability and severe comorbidities. This condition imposes serious limitations on everyday life, interfering with patients’ social lives and compromising their quality of life, psychological well-being, and daily living activities. Rehabilitation is essential to helping SCI patients gain more independence in their daily routines. Home automation (HA) systems provide personalized support to users, allowing them to manage various aspects of their living environment, promoting independence and well-being. This study aims to demonstrate the efficacy of an HA system in enhancing personal and social autonomies in SCI patients, resulting in improved cognitive function and reduced anxiety–depressive symptoms compared to traditional training. Methods: We enrolled 50 SCI patients undergoing neurorehabilitation at IRCCS Centro Neurolesi (Messina, Italy). These patients were randomly assigned to one of two groups: a control group (CG) and an experimental group (EG). The CG received traditional training, while the EG underwent HA training. We evaluated the patients before (T0) and after (T1) rehabilitation using various scales, including the Montreal Cognitive Assessment (MoCA), the Beck Depression Inventory (BDI), the Hamilton Rating Scale for Anxiety (HRS-A), the 12-Item Short-Form Survey (SF-12), the Functional Independence Measure (FIM), Activities of Daily Living (ADL), Instrumental Activities of Daily Living Scale (IADL), and the EQ-5D-5L. Results: The effect of the experimental treatment showed an improvement in all patients test scores in the EG, especially regarding cognitive functions, mood disorders, activities of daily living, and quality of life. Conclusion: Our findings suggest that HA may be effective in improving daily autonomy and, in turn, alleviating mood disorders and enhancing psychological well-being.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Effects of Home Automation on Personal and Social Autonomies in Spinal Cord Injury Patients: A Pilot Study

Maresca,

Latella,

Formica

et al. 2024

JCM

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“…As emphasized by Resquìn et al [69], careful attention must be given to patient inclusion criteria for innovative treatment, such as robotic devices, a point also endorsed by Huang et al [50]. Several studies [71][72][73][74][75][76] have indicated that robotics appears to be more beneficial for individuals with moderate to severe deficits. In contrast, patients with better motor function may not derive additional benefits from training with innovative devices compared to conventional methods.…”

Section: Limits To the Use Of Innovative Devicesmentioning

confidence: 99%

Improving Outcomes in People with Spinal Cord Injury: Encouraging Results from a Multidisciplinary Advanced Rehabilitation Pathway

Maggio,

Bonanno,

Manuli

et al. 2024

Brain Sciences

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Spinal cord injury (SCI) consists of damage to any segment of the spinal cord extending to potential harm to nerves in the cauda equina. Rehabilitative efforts for SCI can involve conventional physiotherapy, innovative technologies, as well as cognitive treatment and psychological support. The aim of this study is to evaluate the feasibility of a dedicated, multidisciplinary, and integrated intervention path for SCI, encompassing both conventional and technological interventions, while observing their impact on cognitive, motor, and behavioral outcomes and the overall quality of life for individuals with SCI. Forty-two patients with SCI were included in the analysis utilizing electronic recovery system data. The treatment regimen included multidisciplinary rehabilitation approaches, such as traditional physiotherapy sessions, speech therapy, psychological support, robotic devices, advanced cognitive rehabilitation, and other interventions. Pre–post comparisons showed a significant improvement in lower limb function (Fugl Meyer Assessment-FMA < 0.001), global cognitive functioning (Montreal Cognitive Assessment-MoCA p < 0.001), and perceived quality of life at both a physical and mental level (Short Form-12-SF-12 p < 0.001). Furthermore, we found a significant reduction in depressive state (Beck Depression Inventory-BDI p < 0.001). In addition, we assessed patient satisfaction using the Short Form of the Patient Satisfaction Questionnaire (PSQ), offering insights into the subjective evaluation of the intervention. In conclusion, this retrospective study provides positive results in terms of improvements in motor function, cognitive functions, and quality of life, highlighting the importance of exploring multidisciplinary approaches.

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“…Adults with a clinical diagnosis of PSCI were included in the study (20). All patients met the following inclusion criteria: (1) patients with the first stroke and lesions located in the cerebral…”

Section: Participantsmentioning

confidence: 99%

“…Stroke is one of the leading causes of death and adult disability, and it is highly associated with an increased risk of cognitive impairment ( 1 ). The Stroke and Cognition Consortium (STROKOG) harmonized data from 13 studies based in eight countries found that 44% of hospitalized stroke participants were impaired in global cognition ( 2 ).…”

Section: Introductionmentioning

confidence: 99%

Effects of dual-task training in patients with post-stroke cognitive impairment: A randomized controlled trial

Sun

Li²,

Zhu³

et al. 2022

Front. Neurol.

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BackgroundEvidence for the efficacy of cognitive-motor dual-task (CMDT) training in patients with post-stroke cognitive impairment (PSCI) and no dementia is still lacking. More importantly, although some studies on the cognitive effect of CMDT training show an improvement in cognitive performance, the results are still controversial, and the intervention mechanism of CMDT training on cognitive function improvement is not clear. The main purpose of this study was to analyze the effects of CMDT training on cognitive function, neuron electrophysiology, and frontal lobe hemodynamics in patients with PSCI.MethodsHere we tested the effects of CMDT training on cognitive function in PSCI patients. Forty subjects who met the criteria of PSCI were randomly assigned to control and experimental groups. CMDT training or cognitive task (CT) training was administered to each patient in the experimental and control groups, respectively. All subjects performed Mini-mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA) scale before and after the intervention, and the event-related potentials (ERP) and functional near-infrared spectroscopy (fNIRS) were used to evaluate the changes in neuron electrophysiology and hemodynamics.ResultsForty patients were randomized across Beijing Rehabilitation Hospital Capital Medical University in Beijing. At the end of the intervention, 33 subjects completed the experimental process. The CMDT group showed significant improvement in the MMSE (P = 0.01) and MoCA (P = 0.024) relative to the CT group. The results of ERP and fNIRS showed that CMDT training could shorten the latency of P300 (P = 0.001) and the peak time of oxygenated hemoglobin (P = 0.004). The results showed that CMDT training shortened the response time of central neurons and significantly increased the rate of oxygen supply to the frontal lobe.ConclusionCMDT training in patients with PSCI improved global cognitive function, which was supported by the improved neural efficiency of associated brain areas.Clinical trial registrationhttp://www.chictr.org.cn, identifier ChiCTR2000034862.

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Effects of domotics on cognitive, social and personal functioning in patients with chronic stroke: A pilot study

Cited by 9 publications

References 14 publications

The Effects of Home Automation on Personal and Social Autonomies in Spinal Cord Injury Patients: A Pilot Study

The Effects of Home Automation on Personal and Social Autonomies in Spinal Cord Injury Patients: A Pilot Study

Improving Outcomes in People with Spinal Cord Injury: Encouraging Results from a Multidisciplinary Advanced Rehabilitation Pathway

Effects of dual-task training in patients with post-stroke cognitive impairment: A randomized controlled trial

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