OTSystematic ReviewJournal of neuroengineering and rehabilitation2026

Multimodal colour modulation for cognitive enhancement in intelligent rehabilitation: a systematic review and translational guidance.

Lina Xu, Xingkai Wang, Wenan Li and 5 others

PMID 42116152

WHAT IT FOUND

Making screen text and backgrounds clearly distinguishable was the most consistent finding.

Hue and saturation effects varied by task and display, and lasting rehabilitation benefit in patients was not shown.

Key findings

01Across the reviewed colour studies, making screen contrast and legibility secure was the most consistent finding; hue and saturation effects depended on task, display, and baseline conditions.

02The evidence base was mostly healthy-only and general cognitive or human-computer interaction tasks, so rehabilitation-specific benefit remains indirect.

03Colour modulation has not been shown to produce lasting rehabilitation gains; direct evidence for retention, transfer, adherence, and clinically meaningful benefit remains limited.

STILL TO COME

How it was doneWhat they foundWhat it means for OTs

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What it does not show

The review protocol was not prospectively registered. The review could not combine studies numerically because tasks, colour parameters, populations, and outcomes were too heterogeneous. Most evidence came from healthy adults or general human-computer interaction settings, not rehabilitation-specific patients. The review reports which way studies leaned, not how large any benefit was or whether it mattered clinically. Retention, transfer, adherence, and clinically meaningful benefit were not sufficiently demonstrated. Colour calibration, device settings, ambient lighting, and adaptive control logic were often incompletely reported. Risk of bias was concentrated in study selection, randomisation detail, and reporting domains. Language restriction to English and incomplete retrieval may have missed relevant studies. A formal certainty rating was not applied; confidence judgements were qualitative and cluster-level.

The easy way to misread this

Do not conclude that coloured backgrounds or hue changes will improve cognitive rehabilitation in patients. The review found only conditional immediate-task effects, mostly in healthy people, and it did not show lasting benefit, transfer, adherence, or clinically meaningful improvement in rehabilitation populations.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →