Vibrotactile-Based Rehabilitation on Balance and Gait in Patients with Neurological Diseases: A Systematic Review and Metanalysis
Postural instability and fear of falling represent two major causes of decreased mobility and quality of life in cerebrovascular and neurologic diseases. In recent years, rehabilitation strategies were carried out considering a combined sensorimotor intervention and an active involvement of the pati...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-04-01
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| Series: | Brain Sciences |
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| Online Access: | https://www.mdpi.com/2076-3425/11/4/518 |
| _version_ | 1797537164922191872 |
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| author | Sara De Angelis Alessandro Antonio Princi Fulvio Dal Farra Giovanni Morone Carlo Caltagirone Marco Tramontano |
| author_facet | Sara De Angelis Alessandro Antonio Princi Fulvio Dal Farra Giovanni Morone Carlo Caltagirone Marco Tramontano |
| author_sort | Sara De Angelis |
| collection | DOAJ |
| description | Postural instability and fear of falling represent two major causes of decreased mobility and quality of life in cerebrovascular and neurologic diseases. In recent years, rehabilitation strategies were carried out considering a combined sensorimotor intervention and an active involvement of the patients during the rehabilitation sessions. Accordingly, new technological devices and paradigms have been developed to increase the effectiveness of rehabilitation by integrating multisensory information and augmented feedback promoting the involvement of the cognitive paradigm in neurorehabilitation. In this context, the vibrotactile feedback (VF) could represent a peripheral therapeutic input, in order to provide spatial proprioceptive information to guide the patient during task-oriented exercises. The present systematic review and metanalysis aimed to explore the effectiveness of the VF on balance and gait rehabilitation in patients with neurological and cerebrovascular diseases. A total of 18 studies met the inclusion criteria and were included. Due to the lack of high-quality studies and heterogeneity of treatments protocols, clinical practice recommendations on the efficacy of VF cannot be made. Results show that VF-based intervention could be a safe complementary sensory-motor approach for balance and gait rehabilitation in patients with neurological and cerebrovascular diseases. More high-quality randomized controlled trials are needed. |
| first_indexed | 2024-03-10T12:11:13Z |
| format | Article |
| id | doaj.art-1561ac6ace034a2f9184b844f454f466 |
| institution | Directory Open Access Journal |
| issn | 2076-3425 |
| language | English |
| last_indexed | 2024-03-10T12:11:13Z |
| publishDate | 2021-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Brain Sciences |
| spelling | doaj.art-1561ac6ace034a2f9184b844f454f4662023-11-21T16:09:18ZengMDPI AGBrain Sciences2076-34252021-04-0111451810.3390/brainsci11040518Vibrotactile-Based Rehabilitation on Balance and Gait in Patients with Neurological Diseases: A Systematic Review and MetanalysisSara De Angelis0Alessandro Antonio Princi1Fulvio Dal Farra2Giovanni Morone3Carlo Caltagirone4Marco Tramontano5Fondazione Santa Lucia IRCCS, 00179 Rome, ItalyFondazione Santa Lucia IRCCS, 00179 Rome, ItalySOMA-Istituto Osteopatia Milano, 20126 Milan, ItalyFondazione Santa Lucia IRCCS, 00179 Rome, ItalyFondazione Santa Lucia IRCCS, 00179 Rome, ItalyFondazione Santa Lucia IRCCS, 00179 Rome, ItalyPostural instability and fear of falling represent two major causes of decreased mobility and quality of life in cerebrovascular and neurologic diseases. In recent years, rehabilitation strategies were carried out considering a combined sensorimotor intervention and an active involvement of the patients during the rehabilitation sessions. Accordingly, new technological devices and paradigms have been developed to increase the effectiveness of rehabilitation by integrating multisensory information and augmented feedback promoting the involvement of the cognitive paradigm in neurorehabilitation. In this context, the vibrotactile feedback (VF) could represent a peripheral therapeutic input, in order to provide spatial proprioceptive information to guide the patient during task-oriented exercises. The present systematic review and metanalysis aimed to explore the effectiveness of the VF on balance and gait rehabilitation in patients with neurological and cerebrovascular diseases. A total of 18 studies met the inclusion criteria and were included. Due to the lack of high-quality studies and heterogeneity of treatments protocols, clinical practice recommendations on the efficacy of VF cannot be made. Results show that VF-based intervention could be a safe complementary sensory-motor approach for balance and gait rehabilitation in patients with neurological and cerebrovascular diseases. More high-quality randomized controlled trials are needed.https://www.mdpi.com/2076-3425/11/4/518balance rehabilitationgait rehabilitationneurological diseasecerebrovascular diseasemotor-cognitivevibrotactile feedback |
| spellingShingle | Sara De Angelis Alessandro Antonio Princi Fulvio Dal Farra Giovanni Morone Carlo Caltagirone Marco Tramontano Vibrotactile-Based Rehabilitation on Balance and Gait in Patients with Neurological Diseases: A Systematic Review and Metanalysis Brain Sciences balance rehabilitation gait rehabilitation neurological disease cerebrovascular disease motor-cognitive vibrotactile feedback |
| title | Vibrotactile-Based Rehabilitation on Balance and Gait in Patients with Neurological Diseases: A Systematic Review and Metanalysis |
| title_full | Vibrotactile-Based Rehabilitation on Balance and Gait in Patients with Neurological Diseases: A Systematic Review and Metanalysis |
| title_fullStr | Vibrotactile-Based Rehabilitation on Balance and Gait in Patients with Neurological Diseases: A Systematic Review and Metanalysis |
| title_full_unstemmed | Vibrotactile-Based Rehabilitation on Balance and Gait in Patients with Neurological Diseases: A Systematic Review and Metanalysis |
| title_short | Vibrotactile-Based Rehabilitation on Balance and Gait in Patients with Neurological Diseases: A Systematic Review and Metanalysis |
| title_sort | vibrotactile based rehabilitation on balance and gait in patients with neurological diseases a systematic review and metanalysis |
| topic | balance rehabilitation gait rehabilitation neurological disease cerebrovascular disease motor-cognitive vibrotactile feedback |
| url | https://www.mdpi.com/2076-3425/11/4/518 |
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