Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski Publishing Ltd.
ISSN:
1312-773X (Online)
Issue:
2025, vol. 31, issue1
Subject Area:
Public Health
-
DOI:
10.5272/jimab.2025311.6091
Published online: 26 March 2025
Review article
J of IMAB. 2025 Jan-Mar;31(1):6091-6094
INFLUENCE OF NEW TECHNOLOGIES ON POST-STROKE REHABILITATION
Petya Kasnakova1, 2


, Biyanka Tornyova1, 2
, Tanya Paskaleva2
, Georgi Gelov3,
1)Department of Health Care Management, Faculty of Public Health, Medical University - Plovdiv, Bulgaria.
2)Department of Healthcare, Branch of Haskovo, Trakia University, Stara Zagora, Bulgaria.
3)General Surgery Department, MHAT "Haskovo "- Haskovo, Bulgaria.
ABSTRACT:
The rapid development of new technologies contributes to the improvement of telemedicine and telerehabilitation. Telepractices in modern rehabilitation have a positive impact on functional, motor, and cognitive recovery.
The aim of the present study is to investigate and analyze the possibilities of new technologies for functional recovery and cognitive functions in rehabilitation after a stroke.
Material and Methods: A systematic search of the PubMed, Embase, and Google Scholar databases was performed. The search was conducted from March to August 2024 using the keyword "telerehabilitation", "E-rehabilitation ", "occupational therapy ", and "stroke ".
Results: Stroke recovery is a complex and lengthy process. The functional telerehabilitation system facilitates therapeutic intervention by using interactive virtual environments and biomedical technologies. Applied rehabilitation training programs with new technologies have a positive effect and significantly restore the functional level after a stroke in self-care, motor abilities of the upper limbs (dexterity of movements, grip strength, kinematics), cognitive abilities (attention, memory, visual-spatial abilities), and locomotion.
Conclusion: Modern telerehabilitation is a relatively new approach with unlimited applications. Telepractice facilitates the access of stroke patients to health services and supports the recovery of impaired function to the maximum extent, permanently improving independence and quality of life.
Keywords: telerehabilitation, recovery, occupational therapy, stroke, technologies,
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Please cite this article as: Kasnakova P, Tornyova B, Paskaleva T, Gelov G. Influence of New Technologies on Post-Stroke Rehabilitation. J of IMAB. 2025 Jan-Mar;31(1):6091-6094. [Crossref - 10.5272/jimab.2025311.6091]
Correspondence to: Petya Kasnakova, PhD, Department of Health Care Management, Faculty of Public Health, Medical University – Plovdiv; 15A, Vasil Aprilov Blvd., Plovdiv, Bulgaria; E-mail: petya.kasnakova@mu-plovdiv.bg
REFERENCES:
1. Rehabilitation 2030: A Call for Action. WHO. 6 – 7 February 2017. [Internet ]
2. Bickenbach J, Sabariego C, Stucki G. Beneficiaries of Rehabilitation. Arch Phys Med Rehabil. 2021 Mar;102(3):543-548. [PubMed ]
3. Bethge M, von Groote P, Giustini A, Gutenbrunner C. The World Report on Disability: a challenge for rehabilitation medicine. Am J Phys Med Rehabil. 2014 Jan;93(1 Suppl 1): S4-11. [PubMed]
4. Zampolini M, Todeschini E, Bernabeu Guitart M, Hermens H, Ilsbroukx S, et al. Tele-rehabilitation: present and future. Ann Ist Super Sanita. 2008;44(2):125-34. [PubMed ]
5. de Araújo FMA, Viana Filho PRF, Adad Filho JA, Fonseca Ferreira NM, Valente A, Soares SFSP. A new approach of developing games for motor rehabilitation using Microsoft Kinect. 2019 IEEE 7th International Conference on Serious Games and Applications for Health (SeGAH). Kyoto, Japan. 2019; pp.1-6. [Crossref]
6. Ciajlo I, Hukic A, Dolinsek I, Zajc D, Vesel M, Krizmanic T, et al. Telerehabilitation of upper extremities with target based games for persons with Parkinson's disease. 2017 International Conference on Virtual Rehabilitation (ICVR). Montreal, QC, Canada. 2017; pp. 1-2. [Crossref]
7. Russell TG. Physical rehabilitation using telemedicine. J Telemed Telecare. 2007;13(5):217-20. [PubMed ]
8. Levac DE, Taylor MM, Payne B, Ward N. Influence of virtual environment complexity on motor learning in typically developing children and children with cerebral palsy. International Conference on Virtual Rehabilitation, ICVR. IEEE Xplore. 13 February 2020. [Crossref]
9. Quadrado VH, Silva TDD, Favero FM, Tonks J, Massetti T, Monteiro CBM. Motor learning from virtual reality to natural environments in individuals with Duchenne muscular dystrophy. Disabil Rehabil Assist Technol. 2019 Jan;14(1):12-20. [PubMed ]
10. Algarni FS, Alshammari MO, Sidimohammad U, Khayat SA, Aljabbary A, Altowaijri AM. Tele-Rehabilitation Service from the Patient's Perspective: A Cross-Sectional Study. J Patient Exp. 2022 Oct 6;9:23743735221130820. [PubMed ]
11. Yeh SC, Lee SH, Chan RC, Chen S. A kinect-based system for stroke rehabilitation. Proceedings - 2019 12th International Conference on Ubi-Media Computing, Ubi-Media 2019, 192–198. [Crossref ]
12. Barrios M, Rodriguez L, Pachón C, Medina B, Sierra, J. E. Functional telerehabilitation based on interactive virtual environments as a rehabilitation proposal for patients with disabilities. Espacios. 2019; 40(25):1–14.
13. Ferencik N, Bundzel M, Hruska L, Cik I. Patient assessment using computer games in rehabilitation. SAMI 2020 - IEEE 18th World Symposium on Applied Machine Intelligence and Informatics, Proceedings, 51–55. [Crossref ]
14. Stroke Action Plan for Europe (2018-2030). Stroke Alliance for Europe. [Internet]
15. García-Pérez P, Rodríguez-Martínez MDC, Lara JP, Cruz-Cosme C. Early Occupational Therapy Intervention in the Hospital Discharge after Stroke. Int J Environ Res Public Health. 2021 Dec 7;18(24):12877. [PubMed]
16. Villa-Berges E, Laborda Soriano AA, Lucha-López O, Tricas-Moreno JM, Hernández-Secorún M, Gómez-Martínez M, et al. Motor Imagery and Mental Practice in the Subacute and Chronic Phases in Upper Limb Rehabilitation after Stroke: A Systematic Review. Occup Ther Int. 2023 Jan 24;2023:3752889. [PubMed ]
17. Norine F, Teasell R, Bhogal S, Speechley M, Hussein N. The Efficacy of Stroke Rehabilitation. 2013. 1-48.
18. Smania N, Picelli A, Gandolfi M, et al. Rehabilitation of sensorimotor integration deficits in balance impairment of patients with stroke hemiparesis: a before/after pilot study. Neurological Sciences. 2008; 29(5):313–319.
19. Kilova K, Uzunova S. Telemedicine in assistance to healthcare in the COVID-19 pandemic. Acta Medica Bulgarica. 2020; 47(4), 63-68.
20. Langhorne P, Bernhardt J, Kwakkel G. Stroke rehabilitation. Lancet. 2011 May 14;377(9778):1693-702. [PubMed ]
21. Rowland TJ, Cooke DM, Gustafsson LA. Role of occupational therapy after stroke. Ann Indian Acad Neurol. 2008 Jan;11(Suppl 1):S99-S107. [PubMed]
22. Almasi S, Ahmadi H, Asadi F, Shahmoradi L, Arji G, Alizadeh M, et al. Kolivand H. Kinect-Based Rehabilitation Systems for Stroke Patients: A Scoping Review. Biomed Res Int. 2022 Mar 27;2022:4339054. [PubMed ]
23. Adomavičienė A, Daunoravičienė K, Kubilius R, Varžaitytė L, Raistenskis J. Influence of New Technologies on Post-Stroke Rehabilitation: A Comparison of Armeo Spring to the Kinect System. Medicina (Kaunas). 2019 Apr 9;55(4):98. [PubMed]
24. Smania N, Corato E, Tinazzi M, Stanzani C, Fiaschi A, Girardi P, et al. Effect of balance training on postural instability in patients with idiopathic Parkinson's disease. Neurorehabil Neural Repair. 2010; 24(9): 826-834.
25. Casanova M, Muñoz J, Henao O, David L. Exergames como herramienta para la evaluación del equilibrio postural en un paciente con esclerosis múltiple. IEEE. 2015.
26. Subrahmanyam BV, Jacob Mathew v. State of Punjab, the judgment stipulates the guidelines to be followed before launching a prosecution against a doctor for negligence. J Neurosci Rural Practice. 2013; 4(1:99–100.
27. Raposo, V.L. Telemedicine: The legal framework (or the lack of it) in Europe. GMS Health Technol Assess. 2016; 12:Doc03.
28. Laver KE, Lange B, George S, Deutsch JE, Saposnik G, Crotty M. Virtual reality for stroke rehabilitation. Cochrane Database Syst Rev. 2017 Nov 20;11(11):CD008349. [PubMed]
29. Laver KE, Adey-Wakeling Z, Crotty M, Lannin NA, George S, Sherrington C. Telerehabilitation services for stroke. Cochrane Database Syst Rev. 2020 Jan 31;1(1):CD010255. [PubMed]
30. Marwaa MN, Kristensen HK, Guidetti S, Ytterberg C. Physiotherapists' and occupational therapists' perspectives on information and communication technology in stroke rehabilitation. PLoS One. 2020 Aug 28;15(8):e0236831. [PubMed]
31. Leong SC, Tang YM, Toh FM, Fong KNK. Examining the effectiveness of virtual, augmented, and mixed reality (VAMR) therapy for upper limb recovery and activities of daily living in stroke patients: a systematic review and meta-analysis. J Neuroeng Rehabil. 2022 Aug 24;19(1):93. [PubMed]
32. Chen J, Or CK, Chen T. Effectiveness of Using Virtual Reality-Supported Exercise Therapy for Upper Extremity Motor Rehabilitation in Patients With Stroke: Systematic Review and Meta-analysis of Randomized Controlled Trials. J Med Internet Res. 2022 Jun 20;24(6):e24111. [PubMed]
33. Mancheva P, Nenova G. Quality of Life, Legal Awareness of Euthanasia and Disability. J of IMAB. 2022 Apr-Jun;28(2):4566-4568. [Crossref ]
34. Mihaylova V, Ivanova I, Alakidi A, Kilova K, Liochkova M. Physical Activity and Rehabilitation–A Key to Healthy Aging. Acta Medica Bulgarica. 2021; 48(4), 62-68.
Received: 05 September 2024
Published online: 26 March 2025
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