Evolution of Cognitive Rehabilitation After Stroke From Traditional Techniques to Smart and Personalized Home-Based Information and Communication Technology Systems: Literature Review.
José M Cogollor, Javier Rojo-Lacal, Joachim Hermsdörfer and 7 others
PMID 29581093WHAT IT FOUND
Stroke-related apraxia, action disorganization and hemiparesis disrupt daily tasks.
Traditional cognitive rehabilitation relies on therapist guidance, and home technology systems are emerging, but this review does not show that they improve function.
Key findings
01Stroke-related apraxia, action disorganization syndrome and hemiparesis can interfere with daily activities.
02Traditional rehabilitation often requires therapist guidance and repeated visits, and the reviewed techniques show mixed effects on daily tasks.
03Home technology systems are described as monitoring daily tasks and giving feedback, but adoption barriers include privacy, cost, training and perceived usefulness.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
It is a review, not a clinical trial, so it does not test whether any rehabilitation method improves patient function. It includes many prototypes and projects, and the paper does not report how strongly each piece of evidence was judged. The conclusion that home technology will improve independence is an author expectation, not a measured result. The search and selection are described broadly, so it is unclear how complete or unbiased the evidence map is.
Declared interests
The authors declare no conflicts of interest.
The easy way to misread this
Do not read the home technology systems described here as proven treatments for cognitive rehabilitation. The paper maps existing projects and says some systems could improve independence, but it does not present a direct test of patient outcomes.