Bonanno Mirjam, De Luca Rosaria, De Nunzio Alessandro Marco, Quartarone Angelo, Calabrò Rocco Salvatore
IRCCS Centro Neurolesi "Bonino-Pulejo", Via Palermo, SS 113, C. da Casazza, 98124 Messina, Italy.
Department of Research and Development, LUNEX International University of Health, Exercise and Sports, Avenue du Parc des Sports, 50, 4671 Differdange, Luxembourg.
Brain Sci. 2022 Dec 7;12(12):1678. doi: 10.3390/brainsci12121678.
Motor and cognitive rehabilitation in individuals with traumatic brain injury (TBI) is a growing field of clinical and research interest. In fact, novel rehabilitative approaches allow a very early verticalization and gait training through robotic devices and other innovative tools boosting neuroplasticity, thanks to the high-intensity, repetitive and task-oriented training. In the same way, cognitive rehabilitation is also evolving towards advanced interventions using virtual reality (VR), computer-based approaches, telerehabilitation and neuromodulation devices. This review aimed to systematically investigate the existing evidence concerning the role of innovative technologies in the motor and cognitive neurorehabilitation of TBI patients. We searched and reviewed the studies published in the Cochrane Library, PEDro, PubMed and Scopus between January 2012 and September 2022. After an accurate screening, only 29 papers were included in this review. This systematic review has demonstrated the beneficial role of innovative technologies when applied to cognitive rehabilitation in patients with TBI, while evidence of their effect on motor rehabilitation in this patient population is poor and still controversial.
创伤性脑损伤（TBI）患者的运动和认知康复是一个临床和研究兴趣日益浓厚的领域。事实上，新颖的康复方法借助高强度、重复性和任务导向性训练，通过机器人设备和其他创新工具促进神经可塑性，从而实现非常早期的直立训练和步态训练。同样，认知康复也在朝着使用虚拟现实（VR）、基于计算机的方法、远程康复和神经调节设备的先进干预方向发展。本综述旨在系统地研究有关创新技术在TBI患者运动和认知神经康复中作用的现有证据。我们检索并回顾了2012年1月至2022年9月期间发表在Cochrane图书馆、PEDro、PubMed和Scopus上的研究。经过精确筛选，本综述仅纳入了29篇论文。该系统综述表明，创新技术应用于TBI患者的认知康复时具有有益作用，而其对该患者群体运动康复效果的证据不足且仍存在争议。
