1. Can robotic gait rehabilitation plus Virtual Reality affect cognitive and behavioural outcomes in patients with chronic stroke? A randomized controlled trial involving three different protocols.
- Author
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Manuli A, Maggio MG, Latella D, Cannavò A, Balletta T, De Luca R, Naro A, and Calabrò RS
- Subjects
- Activities of Daily Living, Adult, Affect, Attention, Chronic Disease, Disability Evaluation, Executive Function, Female, Health Status, Humans, Italy, Male, Mental Health, Middle Aged, Quality of Life, Recovery of Function, Stroke diagnosis, Stroke physiopathology, Stroke psychology, Stroke Rehabilitation adverse effects, Time Factors, Treatment Outcome, Cognition, Exercise Therapy adverse effects, Gait, Robotics, Stroke therapy, Stroke Rehabilitation methods, Virtual Reality Exposure Therapy
- Abstract
Background: The rehabilitation of cognitive and behavioral abnormalities in individuals with stroke is essential for promoting patient's recovery and autonomy. The aim of our study is to evaluate the effects of robotic neurorehabilitation using Lokomat with and without VR on cognitive functioning and psychological well-being in stroke patients, as compared to traditional therapy., Methods: Ninety stroke patients were included in this randomized controlled clinical trial. The patients were assigned to one of the three treatment groups, i.e. the Robotic Rehabilitation group undergoing robotic rehab with VR (RRG+VR), the Robotic Rehabilitation Group (RRG-VR) using robotics without VR, and the Conventional Rehabilitation group (CRG) submitted to conventional physiotherapy and cognitive treatment., Results: The analysis showed that either the robotic training (with and without VR) or the conventional rehabilitation led to significant improvements in the global cognitive functioning, mood, and executive functions, as well as in activities of daily living. However, only in the RRG+VR we observed a significant improvement in cognitive flexibility and shifting skills, selective attention/visual research, and quality of life, with regard to the perception of the mental and physical state., Conclusion: Our study shows that robotic treatment, especially if associated with VR, may positively affect cognitive recovery and psychological well-being in patients with chronic stroke, thanks to the complex interation between movement and cognition., Competing Interests: Declaration of Competing Interest The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article., (Copyright © 2020 Elsevier Inc. All rights reserved.)
- Published
- 2020
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