The 3Ts of the new millennium neurorehabilitation gym: therapy, technology, translationality

Morone, Giovanni; Paolucci, Stefano; Mattia, Donatella; Pichiorri, Floriana; Tramontano, Marco; Iosa, Marco

doi:10.1080/17434440.2016.1218275

Cited by 25 publications

(13 citation statements)

References 20 publications

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“…Therefore, VR devices could be a promising tool in clinical settings for the rehabilitation of patients with neurological disorders. However, according to Morone et al [ 47 ], the effectiveness of VR in different contexts needs to be demonstrated, and precise user guidelines are required before new VR systems becoming commercially available.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Virtual Reality on Functional Performance after Spinal Cord Injury: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Miguel-Rubio

Rubio

Salazar

et al. 2020

JCM

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A spinal cord injury (SCI) usually results in a significant limitation in the functional outcomes, implying a challenge to the performance of activities of daily living. The main aim of this study is to analyze the effectiveness of virtual reality to improve functional performance in patients with SCI. The search was performed between October and December 2019 in Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medline, Cochrane Central Register of Controlled Trials, Physiotherapy Evidence Database (PEDro), PubMed, Scopus, Web of Science, and Embase. The methodological quality of the studies was evaluated through the PEDro scale, and the risk of bias was evaluated with the Cochrane collaboration’s tool. Seven articles were included in this systematic review, and five of them in the meta-analysis. Statistical analysis showed favorable results for functional performance in control group performing conventional therapy, measured by the functional independence measure (standardized mean difference (SMD)= −0.70; 95% confidence interval: −1.25 to −0.15). Results were inconclusive for other outcomes. Most studies have not shown beneficial effects on functional performance compared with conventional physical therapy. The results obtained showed that virtual reality may not be more effective than conventional physical therapy in improving functional performance in patients with SCI.

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Section: Discussionmentioning

confidence: 99%

Effectiveness of Virtual Reality on Functional Performance after Spinal Cord Injury: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Miguel-Rubio

Rubio

Salazar

et al. 2020

JCM

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“…New technological devices and some applications for computers and mobile phone (different start-ups created specific tasks) have been commercialized despite the lack of a clear proof of their effectiveness and/or a clear definition of user guidelines. 76 Public policies that ensure scientific scrutiny of this new technology should be in place to protect the interests of individuals with disability. According to Morone et al, 76 it is important to establish proof of the effectiveness of VR and to generate clearly defined user guidelines before new devices are made available commercially.…”

Section: Limitationsmentioning

confidence: 99%

“…76 Public policies that ensure scientific scrutiny of this new technology should be in place to protect the interests of individuals with disability. According to Morone et al, 76 it is important to establish proof of the effectiveness of VR and to generate clearly defined user guidelines before new devices are made available commercially. 5.…”

Section: Limitationsmentioning

confidence: 99%

The Clinical Utility of Virtual Reality in Neurorehabilitation: A Systematic Review

Massetti

Silva

Crocetta

et al. 2018

J Cent Nerv Syst Dis

164

121

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Background:Virtual reality (VR) experiences (through games and virtual environments) are increasingly being used in physical, cognitive, and psychological interventions. However, the impact of VR as an approach to rehabilitation is not fully understood, and its advantages over traditional rehabilitation techniques are yet to be established.Method:We present a systematic review which was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). During February and March of 2018, we conducted searches on PubMed (Medline), Virtual Health Library Search Portal databases (BVS), Web of Science (WOS), and Embase for all VR-related publications in the past 4 years (2015, 2016, 2017, and 2018). The keywords used in the search were “neurorehabilitation” AND “Virtual Reality” AND “devices.”Results:We summarize the literature which highlights that a range of effective VR approaches are available. Studies identified were conducted with poststroke patients, patients with cerebral palsy, spinal cord injuries, and other pathologies. Healthy populations have been used in the development and testing of VR approaches meant to be used in the future by people with neurological disorders. A range of benefits were associated with VR interventions, including improvement in motor functions, greater community participation, and improved psychological and cognitive function.Conclusions:The results from this review provide support for the use of VR as part of a neurorehabilitation program in maximizing recovery.

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“…In fact, optimal schemes of robot assistance to facilitate motor skill learning are debated 59. Thus, a robot is not a substitute for physical therapists but should be considered a tool in the hands of therapists to train different determinants of a multisystem rehabilitation and for improving patients’ skills 60. This leads to the need for a robot of active onboard control algorithms combined with functional motor learning tasks, to improve participation, required assistance, and reinforcement learning 61…”

Section: Current Perspective and Open Problemsmentioning

confidence: 99%

Robot-assisted gait training for stroke patients: current state of the art and perspectives of robotics

Morone¹,

Paolucci²,

Cherubini³

et al. 2017

NDT

Self Cite

217

141

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In this review, we give a brief outline of robot-mediated gait training for stroke patients, as an important emerging field in rehabilitation. Technological innovations are allowing rehabilitation to move toward more integrated processes, with improved efficiency and less long-term impairments. In particular, robot-mediated neurorehabilitation is a rapidly advancing field, which uses robotic systems to define new methods for treating neurological injuries, especially stroke. The use of robots in gait training can enhance rehabilitation, but it needs to be used according to well-defined neuroscientific principles. The field of robot-mediated neurorehabilitation brings challenges to both bioengineering and clinical practice. This article reviews the state of the art (including commercially available systems) and perspectives of robotics in poststroke rehabilitation for walking recovery. A critical revision, including the problems at stake regarding robotic clinical use, is also presented.

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The 3Ts of the new millennium neurorehabilitation gym: therapy, technology, translationality

Cited by 25 publications

References 20 publications

Effectiveness of Virtual Reality on Functional Performance after Spinal Cord Injury: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Effectiveness of Virtual Reality on Functional Performance after Spinal Cord Injury: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

The Clinical Utility of Virtual Reality in Neurorehabilitation: A Systematic Review

Robot-assisted gait training for stroke patients: current state of the art and perspectives of robotics

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