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  1. Article ; Online: Tele-rehabilitation for cognitive home-based treatment in young traumatic brain injury: a pilot study.

    Bertolucci, Federica / Fossati, Loredana / Agostini, Barbara / Malasoma, Chiara / Sgandurra, Giuseppina / Del Lucchese, Benedetta / Miccoli, Mario / Posteraro, Federico

    European journal of physical and rehabilitation medicine

    2024  

    Language English
    Publishing date 2024-03-21
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 2426908-6
    ISSN 1973-9095 ; 1973-9087
    ISSN (online) 1973-9095
    ISSN 1973-9087
    DOI 10.23736/S1973-9087.24.08379-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Far Transfer Effects of Trainings on Executive Functions in Neurodevelopmental Disorders: A Systematic Review and Metanalysis.

    Bombonato, Clara / Del Lucchese, Benedetta / Ruffini, Costanza / Di Lieto, Maria Chiara / Brovedani, Paola / Sgandurra, Giuseppina / Cioni, Giovanni / Pecini, Chiara

    Neuropsychology review

    2023  Volume 34, Issue 1, Page(s) 98–133

    Abstract: Executive Functions are a set of interrelated, top-down processes essential for adaptive goal-directed behaviour, frequently impaired across different neurodevelopmental disorders with variable degrees of severity. Many executive-function-training ... ...

    Abstract Executive Functions are a set of interrelated, top-down processes essential for adaptive goal-directed behaviour, frequently impaired across different neurodevelopmental disorders with variable degrees of severity. Many executive-function-training studies in children with neurodevelopmental disorders have focused on near effects, investigating post-treatment improvements on directly trained processes, while enhancements of skills not directly trained, defined as far effects, are less considered, albeit these could be extremely relevant for reducing the negative impact of a disorder's core symptomatology. This systematic review and metanalysis aims to investigate the far effect outcomes after EF training in children with different types of neurodevelopmental disorders. 17 studies met the inclusion criteria for the systematic review, while 15 studies were selected in the metanalysis. An overall statistically significant effect size was found in the majority of far effect outcome measures considered in the studies. In particular, trainings on executive functions determine significant far effects on daily life functioning (0.46, 95% CI: [0.05-0.87]) and clinical symptoms (0.33, 95% CI: [0.15-0.51]). Despite a high variability of the results, intensity, frequency and the laboratory/life contexts dimension seem to be the most influential variables in determining far effects. This systematic review and metanalysis highlights the need to measure far effects of executive function training in neurodevelopmental disorders, selecting treatments not only on directly targeted processes, but also according to far impacts on the functional weakness of the disorder.
    MeSH term(s) Child ; Humans ; Executive Function ; Outcome Assessment, Health Care ; Neurodevelopmental Disorders
    Language English
    Publishing date 2023-01-12
    Publishing country United States
    Document type Systematic Review ; Meta-Analysis ; Journal Article ; Review
    ZDB-ID 1062572-0
    ISSN 1573-6660 ; 1040-7308
    ISSN (online) 1573-6660
    ISSN 1040-7308
    DOI 10.1007/s11065-022-09574-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: The wide world of technological telerehabilitation for pediatric neurologic and neurodevelopmental disorders - a systematic review.

    Del Lucchese, Benedetta / Parravicini, Stefano / Filogna, Silvia / Mangani, Gloria / Beani, Elena / Di Lieto, Maria Chiara / Bardoni, Alessandra / Bertamino, Marta / Papini, Marta / Tacchino, Chiara / Fedeli, Francesca / Cioni, Giovanni / Sgandurra, Giuseppina

    Frontiers in public health

    2024  Volume 12, Page(s) 1295273

    Abstract: Introduction: The use of Information and Communication Technology (ICT) for assessing and treating cognitive and motor disorders is promoting home-based telerehabilitation. This approach involves ongoing monitoring within a motivating context to help ... ...

    Abstract Introduction: The use of Information and Communication Technology (ICT) for assessing and treating cognitive and motor disorders is promoting home-based telerehabilitation. This approach involves ongoing monitoring within a motivating context to help patients generalize their skills. It can also reduce healthcare costs and geographic barriers by minimizing hospitalization. This systematic review focuses on investigating key aspects of telerehabilitation protocols for children with neurodevelopmental or neurological disorders, including technology used, outcomes, caregiver involvement, and dosage, to guide clinical practice and future research.
    Method: This systematic review adhered to PRISMA guidelines and was registered in PROSPERO. The PICO framework was followed to define the search strategy for technology-based telerehabilitation interventions targeting the pediatric population (aged 0-18) with neurological or neurodevelopmental disorders. The search encompassed Medline/PubMed, EMBASE, and Web of Science databases. Independent reviewers were responsible for selecting relevant papers and extracting data, while data harmonization and analysis were conducted centrally.
    Results: A heterogeneous and evolving situation emerged from our data. Our findings reported that most of the technologies adopted for telerehabilitation are commercial devices; however, research prototypes and clinical software were also employed with a high potential for personalization and treatment efficacy. The efficacy of these protocols on health or health-related domains was also explored by categorizing the outcome measures according to the International Classification of Functioning, Disability, and Health (ICF). Most studies targeted motor and neuropsychological functions, while only a minority of papers explored language or multi-domain protocols. Finally, although caregivers were rarely the direct target of intervention, their role was diffusely highlighted as a critical element of the home-based rehabilitation setting.
    Discussion: This systematic review offers insights into the integration of technological devices into telerehabilitation programs for pediatric neurologic and neurodevelopmental disorders. It highlights factors contributing to the effectiveness of these interventions and suggests the need for further development, particularly in creating dynamic and multi-domain rehabilitation protocols. Additionally, it emphasizes the importance of promoting home-based and family-centered care, which could involve caregivers more actively in the treatment, potentially leading to improved clinical outcomes for children with neurological or neurodevelopmental conditions.
    Systematic review registration: PROSPERO (CRD42020210663).
    MeSH term(s) Humans ; Neurodevelopmental Disorders/rehabilitation ; Telerehabilitation/methods ; Child ; Nervous System Diseases/rehabilitation ; Child, Preschool ; Adolescent ; Infant
    Language English
    Publishing date 2024-04-17
    Publishing country Switzerland
    Document type Systematic Review ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2711781-9
    ISSN 2296-2565 ; 2296-2565
    ISSN (online) 2296-2565
    ISSN 2296-2565
    DOI 10.3389/fpubh.2024.1295273
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: The Virtual City Paradigm

    Del Lucchese, Benedetta / Belmonti, Vittorio / Brovedani, Paola / Caponi, Maria Celeste / Castilla, Alexander / Masi, Gabriele / Tacchi, Annalisa / Zaoui, Mohamed / Cioni, Giovanni / Berthoz, Alain

    Frontiers in psychiatry

    2021  Volume 12, Page(s) 708434

    Abstract: Navigation is a complex process, requiring target localization, route planning or retrieval, and physical displacement. Executive functions (EFs) such as working memory, inhibition and planning are fundamental for succeeding in this complex activity and ... ...

    Abstract Navigation is a complex process, requiring target localization, route planning or retrieval, and physical displacement. Executive functions (EFs) such as working memory, inhibition and planning are fundamental for succeeding in this complex activity and are often impaired in Attention Deficit and Hyperactivity Disorder (ADHD). Our aim was to analyze the feasibility of a new ecological navigation task, the Virtual City paradigm™ (VC™) to test visuo-spatial memory and EFs in children with ADHD. Visuo-spatial short and working memory, inhibition and planning skills were tested with standardized tasks. The VC™, a new paradigm developed by our group, used the Virtual Carpet
    Language English
    Publishing date 2021-08-12
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2564218-2
    ISSN 1664-0640
    ISSN 1664-0640
    DOI 10.3389/fpsyt.2021.708434
    Database MEDical Literature Analysis and Retrieval System OnLINE

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