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Cognitive telerehabilitation in neurological patients: systematic review and meta-analysis

Telerehabilitation (TR) seems to be an encouraging solution for the delivery of cognitive treatments in patients with neurological disorders. This study was aimed to analyze and synthesize the evidence on the efficacy of cognitive TR interventions in patients with neurological diseases, compared wit...

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Autores principales: Cacciante, Luisa, Pietà, Camilla della, Rutkowski, Sebastian, Cieślik, Błażej, Szczepańska-Gieracha, Joanna, Agostini, Michela, Kiper, Pawel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8613517/
https://www.ncbi.nlm.nih.gov/pubmed/34822030
http://dx.doi.org/10.1007/s10072-021-05770-6
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author Cacciante, Luisa
Pietà, Camilla della
Rutkowski, Sebastian
Cieślik, Błażej
Szczepańska-Gieracha, Joanna
Agostini, Michela
Kiper, Pawel
author_facet Cacciante, Luisa
Pietà, Camilla della
Rutkowski, Sebastian
Cieślik, Błażej
Szczepańska-Gieracha, Joanna
Agostini, Michela
Kiper, Pawel
author_sort Cacciante, Luisa
collection PubMed
description Telerehabilitation (TR) seems to be an encouraging solution for the delivery of cognitive treatments in patients with neurological disorders. This study was aimed to analyze and synthesize the evidence on the efficacy of cognitive TR interventions in patients with neurological diseases, compared with conventional face-to-face rehabilitation. From a total of 4485 records, 9 studies met the inclusion criteria for qualitative analysis. At the end of the process, 7 studies remained for quantitative analysis. By comparing TR with face-to-face treatments for cognitive impairments, we assessed improvements in global cognitive domain (Mini Mental State Exam) (MD = −0.86; 95% CI −2.43, 0.72, I(2) = 0%), in learning and memory domains (SMD = 0.26, 95% CI −0.22, 0.74, I(2) = 24%), in verbal fluency (SMD = 0.08, 95% CI −0.47, 0.62, I(2) = 0%), and in executive functions (i.e., problem-solving, central processing speed and working memory) (SMD = 0.38, 95% CI 0.06, 0.71, I(2) = 0%). In all the included studies, improvement in the performance of the TR groups was comparable to that achieved through face-to-face intervention. Significant differences between those two modalities of providing treatments were observed for working memory and total executive function comparison, in favor of TR. The results of this study can sustain the efficacy of TR and its application for the treatment of neurological patients, especially when treated for executive function impairments. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s10072-021-05770-6.
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spelling pubmed-86135172021-11-26 Cognitive telerehabilitation in neurological patients: systematic review and meta-analysis Cacciante, Luisa Pietà, Camilla della Rutkowski, Sebastian Cieślik, Błażej Szczepańska-Gieracha, Joanna Agostini, Michela Kiper, Pawel Neurol Sci Review Article Telerehabilitation (TR) seems to be an encouraging solution for the delivery of cognitive treatments in patients with neurological disorders. This study was aimed to analyze and synthesize the evidence on the efficacy of cognitive TR interventions in patients with neurological diseases, compared with conventional face-to-face rehabilitation. From a total of 4485 records, 9 studies met the inclusion criteria for qualitative analysis. At the end of the process, 7 studies remained for quantitative analysis. By comparing TR with face-to-face treatments for cognitive impairments, we assessed improvements in global cognitive domain (Mini Mental State Exam) (MD = −0.86; 95% CI −2.43, 0.72, I(2) = 0%), in learning and memory domains (SMD = 0.26, 95% CI −0.22, 0.74, I(2) = 24%), in verbal fluency (SMD = 0.08, 95% CI −0.47, 0.62, I(2) = 0%), and in executive functions (i.e., problem-solving, central processing speed and working memory) (SMD = 0.38, 95% CI 0.06, 0.71, I(2) = 0%). In all the included studies, improvement in the performance of the TR groups was comparable to that achieved through face-to-face intervention. Significant differences between those two modalities of providing treatments were observed for working memory and total executive function comparison, in favor of TR. The results of this study can sustain the efficacy of TR and its application for the treatment of neurological patients, especially when treated for executive function impairments. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s10072-021-05770-6. Springer International Publishing 2021-11-25 2022 /pmc/articles/PMC8613517/ /pubmed/34822030 http://dx.doi.org/10.1007/s10072-021-05770-6 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Review Article
Cacciante, Luisa
Pietà, Camilla della
Rutkowski, Sebastian
Cieślik, Błażej
Szczepańska-Gieracha, Joanna
Agostini, Michela
Kiper, Pawel
Cognitive telerehabilitation in neurological patients: systematic review and meta-analysis
title Cognitive telerehabilitation in neurological patients: systematic review and meta-analysis
title_full Cognitive telerehabilitation in neurological patients: systematic review and meta-analysis
title_fullStr Cognitive telerehabilitation in neurological patients: systematic review and meta-analysis
title_full_unstemmed Cognitive telerehabilitation in neurological patients: systematic review and meta-analysis
title_short Cognitive telerehabilitation in neurological patients: systematic review and meta-analysis
title_sort cognitive telerehabilitation in neurological patients: systematic review and meta-analysis
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8613517/
https://www.ncbi.nlm.nih.gov/pubmed/34822030
http://dx.doi.org/10.1007/s10072-021-05770-6
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