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J Telemed Telecare. 2019 Feb;25(2):67-79. doi: 10.1177/1357633X17740390. Epub 2017 Nov 8.

Cognitive telerehabilitation in mild cognitive impairment, Alzheimer's disease and frontotemporal dementia: A systematic review.

Author information

1
1 Neuropsychology Unit, IRCCS Centro San Giovanni di Dio Fatebenefratelli, Italy.
2
2 Statistics Service, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Italy.
3
3 MAC Memory Center, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Italy.
4
4 Molecular Markers Laboratory, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Italy.
5
5 IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy.
6
6 NEtS, Scuola Universitaria Superiore IUSS-Pavia, Italy.

Abstract

INTRODUCTION:

Given the limited effectiveness of pharmacological treatments, non-pharmacological interventions in neurodegenerative diseases have gained increasing attention in recent years and telerehabilitation has been proposed as a cognitive rehabilitation strategy. The purpose of this systematic review is to examine the evidence for the efficacy of cognitive telerehabilitation interventions compared with face-to-face rehabilitation in patients with mild cognitive impairment, Alzheimer's disease and frontotemporal dementia.

METHODS:

In accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a systematic search of the Medline database was conducted. Out of 14 articles assessed for eligibility, five studies were identified, three in participants with mild cognitive impairment or Alzheimer's disease, two in patients with primary progressive aphasia.

RESULTS:

The Physiotherapy Evidence Database scale was used to assess the methodological quality of four out of five studies included in this systematic review, with only one report receiving a high-quality rating. Effect-size analysis evidenced positive effects of telerehabilitation interventions, comparable with those reported for face-to-face rehabilitation.

DISCUSSION:

The available evidence for the effectiveness of cognitive telerehabilitation is limited, and the quality of the evidence needs to be improved. The systematic review provides preliminary evidence suggesting that cognitive telerehabilitation for neurodegenerative disease may have comparable effects as conventional in-person cognitive rehabilitation.

KEYWORDS:

Cognitive; dementia; mild cognitive impairment; progressive aphasia; telerehabilitation

PMID:
29117794
DOI:
10.1177/1357633X17740390
[Indexed for MEDLINE]

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