Effects of domotics on cognitive, social and personal functioning in patients with chronic stroke: A pilot study.


Journal

Disability and health journal
ISSN: 1876-7583
Titre abrégé: Disabil Health J
Pays: United States
ID NLM: 101306633

Informations de publication

Date de publication:
01 2020
Historique:
received: 09 01 2019
revised: 31 07 2019
accepted: 11 08 2019
pubmed: 11 9 2019
medline: 16 4 2020
entrez: 11 9 2019
Statut: ppublish

Résumé

Stroke can cause severe brain lesions, leading to multiple cognitive, emotional and motor disorders. In fact, it is one of the main causes of death and disability worldwide, with a negative impact on quality of life for both patient and caregiver. Home automation (also known as domotics) could allow stroke patients to manage and improve their daily lives. The aim of our pilot study was to evaluate the effects of domotics on cognitive functions and personal/social autonomy in patients with stroke. We enrolled 40 patients affected by chronic stroke undergoing neurorehabilitation at IRCCS Centro Neurolesi (Messina, Italy), between June 2017 and March 2019. All of the patients were randomized into either the control group (undergoing traditional training based on face-to-face interaction between therapist and patient, and practical activities), or the experimental group (undergoing Home Automation training). Each participant was evaluated before and immediately after the training period. Each different training consisted of 3 sessions per week for eight weeks (i.e. a total of 24 sessions), each session lasting about 60 min. For both the conventional and experimental trainings, treatments were performed in groups, and all the patients were provided with the same amount of treatment. Patients in the experimental group showed a greater improvement in cognitive and social performance, as compared to the control group. Our study shows that domotics could be effective in improving social and cognitive functioning, autonomy and functional recovery in patients affected by chronic stroke.

Sections du résumé

BACKGROUND
Stroke can cause severe brain lesions, leading to multiple cognitive, emotional and motor disorders. In fact, it is one of the main causes of death and disability worldwide, with a negative impact on quality of life for both patient and caregiver. Home automation (also known as domotics) could allow stroke patients to manage and improve their daily lives.
OBJECTIVE
The aim of our pilot study was to evaluate the effects of domotics on cognitive functions and personal/social autonomy in patients with stroke.
METHODS
We enrolled 40 patients affected by chronic stroke undergoing neurorehabilitation at IRCCS Centro Neurolesi (Messina, Italy), between June 2017 and March 2019. All of the patients were randomized into either the control group (undergoing traditional training based on face-to-face interaction between therapist and patient, and practical activities), or the experimental group (undergoing Home Automation training). Each participant was evaluated before and immediately after the training period. Each different training consisted of 3 sessions per week for eight weeks (i.e. a total of 24 sessions), each session lasting about 60 min. For both the conventional and experimental trainings, treatments were performed in groups, and all the patients were provided with the same amount of treatment.
RESULTS
Patients in the experimental group showed a greater improvement in cognitive and social performance, as compared to the control group.
CONCLUSION
Our study shows that domotics could be effective in improving social and cognitive functioning, autonomy and functional recovery in patients affected by chronic stroke.

Identifiants

pubmed: 31501039
pii: S1936-6574(19)30148-7
doi: 10.1016/j.dhjo.2019.100838
pii:
doi:

Types de publication

Journal Article Randomized Controlled Trial

Langues

eng

Sous-ensembles de citation

IM

Pagination

100838

Informations de copyright

Copyright © 2019 Elsevier Inc. All rights reserved.

Auteurs

Maria Grazia Maggio (MG)

IRCCS Centro Neurolesi "Bonino Pulejo", Messina, Italy.

Giuseppa Maresca (G)

IRCCS Centro Neurolesi "Bonino Pulejo", Messina, Italy.

Margherita Russo (M)

IRCCS Centro Neurolesi "Bonino Pulejo", Messina, Italy.

Maria Chiara Stagnitti (MC)

IRCCS Centro Neurolesi "Bonino Pulejo", Messina, Italy.

Smeralda Anchesi (S)

IRCCS Centro Neurolesi "Bonino Pulejo", Messina, Italy.

Carmela Casella (C)

Stroke Unit, AOU Policlinico Universitario "G Martino", Messina, Italy.

Caterina Zichitella (C)

IRCCS Centro Neurolesi "Bonino Pulejo", Messina, Italy.

Alfredo Manuli (A)

IRCCS Centro Neurolesi "Bonino Pulejo", Messina, Italy.

Maria Cristina De Cola (MC)

IRCCS Centro Neurolesi "Bonino Pulejo", Messina, Italy.

Rosaria De Luca (R)

IRCCS Centro Neurolesi "Bonino Pulejo", Messina, Italy.

Rocco Salvatore Calabrò (RS)

IRCCS Centro Neurolesi "Bonino Pulejo", Messina, Italy. Electronic address: roccos.calabro@irccsme.it.

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