Effectiveness of computer-based telerehabilitation software (RehaCom) compared to other treatments for patients with cognitive impairments: A systematic review

Background The rehabilitation process for cognitive disorders is long and complex, which can lead to reduced rehabilitation outcomes and reduced quality improvement. Thus, there is a need to use new methods to boost conventional rehabilitation (e.g., drug therapy, herbal therapy, paper, and pencil t...

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Main Authors: Fatemeh Sarpourian, Kambiz Bahaadinbeigy, Seyed Ali Fatemi Aghda, Farhad Fatehi, Saeid Ebrahimi, Meysam Fallahnezhad
Format: Article
Language:English
Published: SAGE Publishing 2024-11-01
Series:Digital Health
Online Access:https://doi.org/10.1177/20552076241290957
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author Fatemeh Sarpourian
Kambiz Bahaadinbeigy
Seyed Ali Fatemi Aghda
Farhad Fatehi
Saeid Ebrahimi
Meysam Fallahnezhad
author_facet Fatemeh Sarpourian
Kambiz Bahaadinbeigy
Seyed Ali Fatemi Aghda
Farhad Fatehi
Saeid Ebrahimi
Meysam Fallahnezhad
author_sort Fatemeh Sarpourian
collection DOAJ
description Background The rehabilitation process for cognitive disorders is long and complex, which can lead to reduced rehabilitation outcomes and reduced quality improvement. Thus, there is a need to use new methods to boost conventional rehabilitation (e.g., drug therapy, herbal therapy, paper, and pencil tasks). Innovations such as RehaCom can be helpful to remove the obstacles to treatment, but evidence for their effectiveness is limited. Objectives To compare the effectiveness of RehaCom with other cognitive therapies (computer-based, non- computer) in patients with cognitive impairment (CI). Methods Eight bibliographic databases (PubMed, Cochran Library, Scopus, Science Direct, Web of Science, Embase, ProQuest, and google scholar) were used in this research. The initial search resulted in the extraction of 2466 articles; after the review of the title, abstract, and full text, 19 articles were selected. Quality assessment was performed using the CONSORT checklist. Then, data extraction was done using the form set by the researcher in Word 2016 software. Results Overall, RehaCom achieved more positive clinical effects compared to other cognitive therapies (e.g., improvement in memory, attention, and motor function) on multiple sclerosis ( n  = 7), schizophrenia ( n  = 6), stroke ( n  = 3), Parkinson ( n  = 1), mild CI ( n  = 1), and acquired brain damage ( n  = 1). In six studies, a follow-up period of some weeks to 6 months has been used. Additionally, six studies used conventional therapy plus RehaCom for intervention. Except one study, all studies used RehaCom individual training. Conclusions This review provides evidence for the potential effectiveness of RehaCom for the improvement of clinical outcomes in patients with CI. However, more robust Randomised Controlled Trials (RCTs) are needed to confirm the observed positive effects.
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spelling doaj-art-6bf8b5a9655046658556a75708d028eb2024-11-26T12:03:58ZengSAGE PublishingDigital Health2055-20762024-11-011010.1177/20552076241290957Effectiveness of computer-based telerehabilitation software (RehaCom) compared to other treatments for patients with cognitive impairments: A systematic reviewFatemeh Sarpourian0Kambiz Bahaadinbeigy1Seyed Ali Fatemi Aghda2Farhad Fatehi3Saeid Ebrahimi4Meysam Fallahnezhad5 Department of Health Information Management, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran Medical Informatics Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran Department of Health Information Management, School of Health Management and Information Sciences, , Tehran, Iran Centre for Online Health, , Brisbane, Australia Department of Health Information Management, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran Department of Health Information Management, School of Health Management and Information Sciences, , Tehran, IranBackground The rehabilitation process for cognitive disorders is long and complex, which can lead to reduced rehabilitation outcomes and reduced quality improvement. Thus, there is a need to use new methods to boost conventional rehabilitation (e.g., drug therapy, herbal therapy, paper, and pencil tasks). Innovations such as RehaCom can be helpful to remove the obstacles to treatment, but evidence for their effectiveness is limited. Objectives To compare the effectiveness of RehaCom with other cognitive therapies (computer-based, non- computer) in patients with cognitive impairment (CI). Methods Eight bibliographic databases (PubMed, Cochran Library, Scopus, Science Direct, Web of Science, Embase, ProQuest, and google scholar) were used in this research. The initial search resulted in the extraction of 2466 articles; after the review of the title, abstract, and full text, 19 articles were selected. Quality assessment was performed using the CONSORT checklist. Then, data extraction was done using the form set by the researcher in Word 2016 software. Results Overall, RehaCom achieved more positive clinical effects compared to other cognitive therapies (e.g., improvement in memory, attention, and motor function) on multiple sclerosis ( n  = 7), schizophrenia ( n  = 6), stroke ( n  = 3), Parkinson ( n  = 1), mild CI ( n  = 1), and acquired brain damage ( n  = 1). In six studies, a follow-up period of some weeks to 6 months has been used. Additionally, six studies used conventional therapy plus RehaCom for intervention. Except one study, all studies used RehaCom individual training. Conclusions This review provides evidence for the potential effectiveness of RehaCom for the improvement of clinical outcomes in patients with CI. However, more robust Randomised Controlled Trials (RCTs) are needed to confirm the observed positive effects.https://doi.org/10.1177/20552076241290957
spellingShingle Fatemeh Sarpourian
Kambiz Bahaadinbeigy
Seyed Ali Fatemi Aghda
Farhad Fatehi
Saeid Ebrahimi
Meysam Fallahnezhad
Effectiveness of computer-based telerehabilitation software (RehaCom) compared to other treatments for patients with cognitive impairments: A systematic review
Digital Health
title Effectiveness of computer-based telerehabilitation software (RehaCom) compared to other treatments for patients with cognitive impairments: A systematic review
title_full Effectiveness of computer-based telerehabilitation software (RehaCom) compared to other treatments for patients with cognitive impairments: A systematic review
title_fullStr Effectiveness of computer-based telerehabilitation software (RehaCom) compared to other treatments for patients with cognitive impairments: A systematic review
title_full_unstemmed Effectiveness of computer-based telerehabilitation software (RehaCom) compared to other treatments for patients with cognitive impairments: A systematic review
title_short Effectiveness of computer-based telerehabilitation software (RehaCom) compared to other treatments for patients with cognitive impairments: A systematic review
title_sort effectiveness of computer based telerehabilitation software rehacom compared to other treatments for patients with cognitive impairments a systematic review
url https://doi.org/10.1177/20552076241290957
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