Progress in telerehabilitation of post-stroke cognitive impairment_West China Medical Journal

Authors：

MOU Jin ^1,2 , MA Rui ¹ ,  QU Yun ¹

1. Rehabilitation Medicine Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Department of Rehabilitation Medicine, the Fourth People’s Hospital of Zigong, Zigong, Sichuan 643000, P. R. China;

Corresponding author：

QU Yun, Email: dr_yunqu@163.com

Keywords：

Post-stroke cognitive impairment; Cognitive telerehabilitation; Computer-assisted; Virtual reality; Artificial intelligence

DOI：

10.7507/1002-0179.201912032

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Post-stroke cognitive dysfunction is a common complication of stroke, and active rehabilitation therapy can effectively promote the recovery of patients. As a new treatment method, telecognitive rehabilitation is used in rehabilitation treatment of cognitive disorders. Its main technologies include computer-assisted cognitive rehabilitation, virtual reality technology, and artificial intelligence technology. It can use the Internet platform to provide homogeneous treatment, make patients more convenient for cognitive rehabilitation treatment, help to ensure the continuity of rehabilitation treatment, and save medical costs. This article describes the definition of cognitive telerehabilitation, the development and application of cognitive telerehabilitation technology, and summarizes the existing problems. The purpose is to provide a reference for the clinical application of cognitive telerehabilitation in China and future research directions.

Citation： MOU Jin, MA Rui, QU Yun. Progress in telerehabilitation of post-stroke cognitive impairment. West China Medical Journal, 2020, 35(6): 724-728. doi: 10.7507/1002-0179.201912032 Copy

1.	Aprile I, Di Stasio E, Romitelli F, et al. Effects of rehabilitation on quality of life in patients with chronic stroke. Brain Injury, 2008, 22(6): 451-456.
2.	曲艳吉, 卓琳, 詹思延. 中国脑卒中后认知障碍流行病学特征的系统评价. 中华老年心脑血管病杂志, 2013, 15(12): 1294-1301.
3.	Pendlebury ST. Prevalence, incidence, and factors associated with pre-stroke and post-stroke dementia: a systematic review and meta-analysis. Lancet Neurol, 2009, 8(11): 1006-1018.
4.	Pendlebury ST. Dementia in patients hospitalized with stroke: rates, time course, and clinico-pathologic factors. Int J Stroke, 2012, 7(7): 570-581.
5.	Saban KL, Sherwood PR, Devon HA, et al. Measures of psychological stress and physical health in family caregivers of stroke survivors: a literature review. J Neurosci Nurs, 2010, 42(3): 128-138.
6.	解恒革. 认知损害应成为卒中后综合管理的重点. 内科杂志, 2017, 56(2): 89-91.
7.	都天慧, 屈云. 远程康复在脑卒中后患者康复中的应用及发展. 中华物理医学与康复杂志, 2016, 38(12): 955-957.
8.	王阳秭, 李鸿艳, 冯琼, 等. 远程康复在脑卒中康复中的应用进展. 中国康复医学杂志, 2019, 34(10): 1241-1244.
9.	Appleby E, Gill ST, Hayes LK, et al. Effectiveness of telerehabilitation in the management of adults with stroke: a systematic review. PLoS One, 2019, 14(11): e0225150.
10.	Brennan DM, Mawson S. Telerehabilitation: enabling the remote delivery of healthcare, rehabilitation, and self management. Stud Health Technol Inform, 2009, 145: 231-248.
11.	Cruz VT, Pais J, Bento V, et al. A rehabilitation tool designed for intensive web-based cognitive training: description and usability study. JMIR Res Protoc, 2013, 2(2): e59.
12.	窦祖林, 文伟光, 谭声辉, 等. 认知障碍的远程康复进展. 中华物理医学与康复杂志, 2003, 25(9): 568-571.
13.	Tam SF, Man WK, Hui-Chan CW, et al. Evaluating efficacy of tele-cognitive rehabilitation for functional performance in three case studies. Occup Ther Inter, 2003, 10(1): 20-38.
14.	Saywell N, Vandal AC, Brown P, et al. Telerehabilitation to improve outcomes for people with stroke: study protocol for a randomised controlled trial. Trials, 2012, 13: 233.
15.	Langan J, Delave K, Phillips L, et al. Home-based telerehabilitation shows improved upper limb function in adults with chonic stroke: a pilot study. J Rehabil Med, 2013, 45(2): 217-220.
16.	谭声辉, 宋元良, 文伟光, 等. 电脑辅助及远程认知康复的发展与应用. 中华物理医学与康复杂志, 2003, 25(9): 572-573.
17.	陆小锋, 裴栋彬, 贾杰, 等. 脑卒中患者康复治疗远程智能监测平台的设计. 中国康复医学杂志, 2015, 30(10): 1049-1052.
18.	Halbert K, Bautista C. Telehealth use to promote quality outcomes and reduce costs in stroke care. Crit Care Nurs Clin North Am, 2019, 31(2): 133-139.
19.	钟小燕, 白晶, 罗荣. 我国“互联网+医疗”服务模式. 中国卫生事业管理, 2019, 36(1): 20-22, 28.
20.	Mansbach WE, Mace RA. The efficacy of a computer-assisted cognitive rehabilitation program for patients with mild cognitive deficits: a pilot study. Exp Aging Res, 2017, 43(1): 94-104.
21.	De Luca R, Calabrò RS, Gervasi G, et al. Is computer-assisted training effective in improving rehabilitative outcomes after brain injury? A case-control hospital-based study. Disabil Health J, 2014, 7(3): 356-360.
22.	Navarro MD, Lloréns R, Noé E, et al. Validation of a low-cost virtual reality system for training street-crossing. A comparative study in healthy, neglected and non-neglected stroke individuals. Neuropsychol Rehabil, 2013, 23(4): 597-618.
23.	De Luca R, Leonardi S, Spadaro L, et al. Improving cognitive function in patients with stroke: can computerized training be the future?. J Stroke Cerebrovasc Dis, 2018, 27(4): 1055-1060.
24.	Mandonnet E. Understanding entangled cerebral networks: a prerequisite for restoring brain function with brain-computer interfaces. Front Syst Neurosci, 2014, 8: 82.
25.	Torrisi M, Maresca G, De CM, et al. Using telerehabilitation to improve cognitive function in post-stroke survivors: is this the time for the continuity of care?. Int J Rehab Res, 2019, 42(4): 344-351.
26.	Zeng N, Pope Z, Lee JE. Virtual reality exercise for anxiety and depression: a preliminary review of current research in an emerging field. J Clin Med, 2018, 7(3): E42.
27.	闫婷婷, 郑蔚. 人工智能技术在孤独症谱系障碍儿童认知及社会功能康复中的应用进展. 中国康复医学杂志, 2019, 34(8): 994-998.
28.	李思奇, 赵依双, 张玉梅. 人工智能在脑卒中后认知障碍评定与康复中的应用. 中国医刊, 2019, 54(10): 1066-1070.
29.	刘锐芬, 周晶, 曾庆, 等. 计算机辅助认知训练对脑卒中后认知障碍的效果. 广东医学, 2019, 40(10): 1401-1404.
30.	胡艳群, 张立力, 钟薇, 等. 自适应认知训练对非痴呆型血管性认知障碍患者认知能力和生活质量的影响. 海南医学, 2017, 28(16): 2624-2627.
31.	Oliver M, Teruel M, Molina JP, et al. Ambient intelligence environment for home cognitive telerehabilitation. Sensors (Basel), 2018, 18(11): E3671.
32.	Chen Y, Chen Y, Zheng K, et al. A qualitative study on user acceptance of a home-based stroke telerehabilitation system. Top Stroke Rehabil, 2020, 27(2): 81-92.
33.	Fredrickson J, Maruff P, Woodward M, et al. Evaluation of the usability of a brief computerized cognitive screening test in older people for epidemiological studies. Neuroepidemiology, 2010, 34(2): 65-75.
34.	Holliday SL, Navarrete MG, Hermosillo-Romo D, et al. Validating a computerized neuropsychological test battery for mixed ethnic lupus patients. Lupus, 2003, 12(9): 697-703.
35.	van de Ven RM, Schmand B, Groet E, et al. The effect of computer-based cognitive flexibility training on recovery of executive function after stroke: rationale, design and methods of the TAPASS study. BMC Neurol, 2015, 15: 144.
36.	Hill NT, Mowszowski L, Naismith SL, et al. Computerized cognitive training in older adults with mild cognitive impairment or dementia: a systematic review and meta-analysis. Am J Psychiatry, 2017, 174(4): 329-340.
37.	Zhou Q, Lu X, Zhang Y, et al. Telerehabilitation combined speech-language and cognitive training effectively promoted recovery in aphasia patients. Front Psychol, 2018, 9: 2312.
38.	陈静, 金巍, 金燕, 等. 远程家庭康复对脑卒中偏瘫患者运动和认知以及平衡能力的影响. 中华物理医学与康复杂志, 2016, 38(12): 909-911.
39.	高明明, 恽晓平, 张慧丽, 等. 记忆障碍远程康复训练模式的疗效. 中国康复理论与实践, 2016, 22(5): 518-522.
40.	Cotelli M, Manenti R, Brambilla M, et al. Cognitive telerehabilitation in mild cognitive impairment, Alzheimer’s disease and frontotemporal dementia: a systematic review. J Telemed Telecare, 2019, 25(2): 67-79.
41.	De Luca R, Latella D, Maggio MG, et al. Computer assisted cognitive rehabilitation improves visuospatial and executive functions in Parkinson’s disease: preliminary results. NeuroRehabilitation, 2019, 45(2): 285-290.
42.	Arsoy E, Tüzün E. Effects of computer-assisted cognitive rehabilitation in benign multiple sclerosis. Turk J Med Sci, 2018, 48(5): 999-1005.
43.	Park E, Yun BJ, Min YS, et al. Effects of a mixed reality-based cognitive training system compared to a conventional computer-assisted cognitive training system on mild cognitive impairment: a pilot study. Cogn Behav Neurol, 2019, 32(3): 172-178.
44.	Zucchella C, Capone A, Codella V, et al. Assessing and restoring cognitive functions early after stroke. Funct Neurol, 2014, 29(4): 255-262.
45.	刘聪聪, 祝筠, 陈淑雷, 等. 脑卒中远程康复研究进展. 护理研究, 2014, 28(4): 385-387.
46.	王秋华, 王丽, 张国力, 等. 早期社区康复的脑卒中患者认知功能恢复的影响因素研究. 中华老年心脑血管病杂志, 2015, 17(3): 246-249.
47.	程蕊容, 辛秀峰, 刘章佩, 等. 卒中后认知障碍的研究进展. 临床荟萃, 2018, 33(1): 89-92.

1. Aprile I, Di Stasio E, Romitelli F, et al. Effects of rehabilitation on quality of life in patients with chronic stroke. Brain Injury, 2008, 22(6): 451-456.
2. 曲艳吉, 卓琳, 詹思延. 中国脑卒中后认知障碍流行病学特征的系统评价. 中华老年心脑血管病杂志, 2013, 15(12): 1294-1301.
3. Pendlebury ST. Prevalence, incidence, and factors associated with pre-stroke and post-stroke dementia: a systematic review and meta-analysis. Lancet Neurol, 2009, 8(11): 1006-1018.
4. Pendlebury ST. Dementia in patients hospitalized with stroke: rates, time course, and clinico-pathologic factors. Int J Stroke, 2012, 7(7): 570-581.
5. Saban KL, Sherwood PR, Devon HA, et al. Measures of psychological stress and physical health in family caregivers of stroke survivors: a literature review. J Neurosci Nurs, 2010, 42(3): 128-138.
6. 解恒革. 认知损害应成为卒中后综合管理的重点. 内科杂志, 2017, 56(2): 89-91.
7. 都天慧, 屈云. 远程康复在脑卒中后患者康复中的应用及发展. 中华物理医学与康复杂志, 2016, 38(12): 955-957.
8. 王阳秭, 李鸿艳, 冯琼, 等. 远程康复在脑卒中康复中的应用进展. 中国康复医学杂志, 2019, 34(10): 1241-1244.
9. Appleby E, Gill ST, Hayes LK, et al. Effectiveness of telerehabilitation in the management of adults with stroke: a systematic review. PLoS One, 2019, 14(11): e0225150.
10. Brennan DM, Mawson S. Telerehabilitation: enabling the remote delivery of healthcare, rehabilitation, and self management. Stud Health Technol Inform, 2009, 145: 231-248.
11. Cruz VT, Pais J, Bento V, et al. A rehabilitation tool designed for intensive web-based cognitive training: description and usability study. JMIR Res Protoc, 2013, 2(2): e59.
12. 窦祖林, 文伟光, 谭声辉, 等. 认知障碍的远程康复进展. 中华物理医学与康复杂志, 2003, 25(9): 568-571.
13. Tam SF, Man WK, Hui-Chan CW, et al. Evaluating efficacy of tele-cognitive rehabilitation for functional performance in three case studies. Occup Ther Inter, 2003, 10(1): 20-38.
14. Saywell N, Vandal AC, Brown P, et al. Telerehabilitation to improve outcomes for people with stroke: study protocol for a randomised controlled trial. Trials, 2012, 13: 233.
15. Langan J, Delave K, Phillips L, et al. Home-based telerehabilitation shows improved upper limb function in adults with chonic stroke: a pilot study. J Rehabil Med, 2013, 45(2): 217-220.
16. 谭声辉, 宋元良, 文伟光, 等. 电脑辅助及远程认知康复的发展与应用. 中华物理医学与康复杂志, 2003, 25(9): 572-573.
17. 陆小锋, 裴栋彬, 贾杰, 等. 脑卒中患者康复治疗远程智能监测平台的设计. 中国康复医学杂志, 2015, 30(10): 1049-1052.
18. Halbert K, Bautista C. Telehealth use to promote quality outcomes and reduce costs in stroke care. Crit Care Nurs Clin North Am, 2019, 31(2): 133-139.
19. 钟小燕, 白晶, 罗荣. 我国“互联网+医疗”服务模式. 中国卫生事业管理, 2019, 36(1): 20-22, 28.
20. Mansbach WE, Mace RA. The efficacy of a computer-assisted cognitive rehabilitation program for patients with mild cognitive deficits: a pilot study. Exp Aging Res, 2017, 43(1): 94-104.
21. De Luca R, Calabrò RS, Gervasi G, et al. Is computer-assisted training effective in improving rehabilitative outcomes after brain injury? A case-control hospital-based study. Disabil Health J, 2014, 7(3): 356-360.
22. Navarro MD, Lloréns R, Noé E, et al. Validation of a low-cost virtual reality system for training street-crossing. A comparative study in healthy, neglected and non-neglected stroke individuals. Neuropsychol Rehabil, 2013, 23(4): 597-618.
23. De Luca R, Leonardi S, Spadaro L, et al. Improving cognitive function in patients with stroke: can computerized training be the future?. J Stroke Cerebrovasc Dis, 2018, 27(4): 1055-1060.
24. Mandonnet E. Understanding entangled cerebral networks: a prerequisite for restoring brain function with brain-computer interfaces. Front Syst Neurosci, 2014, 8: 82.
25. Torrisi M, Maresca G, De CM, et al. Using telerehabilitation to improve cognitive function in post-stroke survivors: is this the time for the continuity of care?. Int J Rehab Res, 2019, 42(4): 344-351.
26. Zeng N, Pope Z, Lee JE. Virtual reality exercise for anxiety and depression: a preliminary review of current research in an emerging field. J Clin Med, 2018, 7(3): E42.
27. 闫婷婷, 郑蔚. 人工智能技术在孤独症谱系障碍儿童认知及社会功能康复中的应用进展. 中国康复医学杂志, 2019, 34(8): 994-998.
28. 李思奇, 赵依双, 张玉梅. 人工智能在脑卒中后认知障碍评定与康复中的应用. 中国医刊, 2019, 54(10): 1066-1070.
29. 刘锐芬, 周晶, 曾庆, 等. 计算机辅助认知训练对脑卒中后认知障碍的效果. 广东医学, 2019, 40(10): 1401-1404.
30. 胡艳群, 张立力, 钟薇, 等. 自适应认知训练对非痴呆型血管性认知障碍患者认知能力和生活质量的影响. 海南医学, 2017, 28(16): 2624-2627.
31. Oliver M, Teruel M, Molina JP, et al. Ambient intelligence environment for home cognitive telerehabilitation. Sensors (Basel), 2018, 18(11): E3671.
32. Chen Y, Chen Y, Zheng K, et al. A qualitative study on user acceptance of a home-based stroke telerehabilitation system. Top Stroke Rehabil, 2020, 27(2): 81-92.
33. Fredrickson J, Maruff P, Woodward M, et al. Evaluation of the usability of a brief computerized cognitive screening test in older people for epidemiological studies. Neuroepidemiology, 2010, 34(2): 65-75.
34. Holliday SL, Navarrete MG, Hermosillo-Romo D, et al. Validating a computerized neuropsychological test battery for mixed ethnic lupus patients. Lupus, 2003, 12(9): 697-703.
35. van de Ven RM, Schmand B, Groet E, et al. The effect of computer-based cognitive flexibility training on recovery of executive function after stroke: rationale, design and methods of the TAPASS study. BMC Neurol, 2015, 15: 144.
36. Hill NT, Mowszowski L, Naismith SL, et al. Computerized cognitive training in older adults with mild cognitive impairment or dementia: a systematic review and meta-analysis. Am J Psychiatry, 2017, 174(4): 329-340.
37. Zhou Q, Lu X, Zhang Y, et al. Telerehabilitation combined speech-language and cognitive training effectively promoted recovery in aphasia patients. Front Psychol, 2018, 9: 2312.
38. 陈静, 金巍, 金燕, 等. 远程家庭康复对脑卒中偏瘫患者运动和认知以及平衡能力的影响. 中华物理医学与康复杂志, 2016, 38(12): 909-911.
39. 高明明, 恽晓平, 张慧丽, 等. 记忆障碍远程康复训练模式的疗效. 中国康复理论与实践, 2016, 22(5): 518-522.
40. Cotelli M, Manenti R, Brambilla M, et al. Cognitive telerehabilitation in mild cognitive impairment, Alzheimer’s disease and frontotemporal dementia: a systematic review. J Telemed Telecare, 2019, 25(2): 67-79.
41. De Luca R, Latella D, Maggio MG, et al. Computer assisted cognitive rehabilitation improves visuospatial and executive functions in Parkinson’s disease: preliminary results. NeuroRehabilitation, 2019, 45(2): 285-290.
42. Arsoy E, Tüzün E. Effects of computer-assisted cognitive rehabilitation in benign multiple sclerosis. Turk J Med Sci, 2018, 48(5): 999-1005.
43. Park E, Yun BJ, Min YS, et al. Effects of a mixed reality-based cognitive training system compared to a conventional computer-assisted cognitive training system on mild cognitive impairment: a pilot study. Cogn Behav Neurol, 2019, 32(3): 172-178.
44. Zucchella C, Capone A, Codella V, et al. Assessing and restoring cognitive functions early after stroke. Funct Neurol, 2014, 29(4): 255-262.
45. 刘聪聪, 祝筠, 陈淑雷, 等. 脑卒中远程康复研究进展. 护理研究, 2014, 28(4): 385-387.
46. 王秋华, 王丽, 张国力, 等. 早期社区康复的脑卒中患者认知功能恢复的影响因素研究. 中华老年心脑血管病杂志, 2015, 17(3): 246-249.
47. 程蕊容, 辛秀峰, 刘章佩, 等. 卒中后认知障碍的研究进展. 临床荟萃, 2018, 33(1): 89-92.

West China Medical Journal

Progress in telerehabilitation of post-stroke cognitive impairment

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content