Anatomy Facility, School of Life Sciences, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK.
School of Life Sciences, University of Glasgow, Glasgow, UK.
Adv Exp Med Biol. 2021;1317:131-145. doi: 10.1007/978-3-030-61125-5_7.
Worldwide, it is estimated that millions of individuals suffer from a neurological disorder which can be the result of head injuries, ischaemic events such as a stroke, or neurodegenerative disorders such as Parkinson's disease (PD) and multiple sclerosis (MS). Problems with mobility and hemiparesis are common for these patients, making daily life, social factors and independence heavily affected. Current therapies aimed at improving such conditions are often tedious in nature, with patients often losing vital motivation and positive outlook towards their rehabilitation. The interest in the use of digital technology in neuro-rehabilitation has skyrocketed in the past decade. To gain insight, a systematic review of the literature in the field was conducting following the Preferred Reporting Items for Systematic Review and Meta-analyses (PRISMA) guidelines for three categories: stroke, Parkinson's disease and multiple sclerosis. It was found that the majority of the literature (84%) was in favour of the use of digital technologies in the management of neurological dysfunction; with some papers taking a "neutral" or "against" standpoint. It was found that the use of technologies such as virtual reality (VR), robotics, wearable sensors and telehealth was highly accepted by patients, helped to improve function, reduced anxiety and make therapy more accessible to patients living in more remote areas. The most successful therapies were those that used a combination of conventional therapies and new digital technologies.
据估计，全世界有数百万个人患有神经紊乱疾病，这些疾病可能是头部受伤、中风等缺血性事件或帕金森病（PD）和多发性硬化症（MS）等神经退行性疾病的结果。这些患者通常存在行动和偏瘫问题，这严重影响了他们的日常生活、社交因素和独立性。目前旨在改善这些情况的治疗方法往往很繁琐，患者往往会失去对康复的重要动力和积极态度。在神经康复中使用数字技术的兴趣在过去十年中急剧增加。为了深入了解这一情况，按照系统评价和荟萃分析的首选报告项目（PRISMA）指南，对该领域的文献进行了系统综述，分为三类：中风、帕金森病和多发性硬化症。结果发现，大多数文献（84%）都赞成在神经功能障碍的管理中使用数字技术；有些论文持“中立”或“反对”的立场。研究发现，虚拟现实（VR）、机器人、可穿戴传感器和远程医疗等技术的应用深受患者欢迎，有助于改善功能，降低焦虑，使生活在偏远地区的患者更容易获得治疗。最成功的治疗方法是那些将传统治疗方法和新数字技术相结合的治疗方法。
