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10. Effects of home-based virtual reality telerehabilitation system in people with multiple sclerosis: A randomized controlled trial.

Author

Pagliari, Chiara, Di Tella, Sonia, Jonsdottir, Johanna, Mendozzi, Laura, Rovaris, Marco, De Icco, Roberto, Milanesi, Tommaso, Federico, Sara, Agostini, Michela, Goffredo, Michela, Pellicciari, Leonardo, Franceschini, Marco, Cimino, Vincenzo, Bramanti, Placido, and Baglio, Francesca

Subjects
TELEREHABILITATION, VIRTUAL reality, MULTIPLE sclerosis, RANDOMIZED controlled trials, COVID-19 pandemic
Abstract

Background and objective: Multiple sclerosis is an inflammatory and neurodegenerative disorder of the central nervous system that can lead to severe motor disability. The aim of this study was to verify the health care effects of an integrated telerehabilitation approach involving dual-domains (motor and cognitive) in people with multiple sclerosis using a virtual reality rehabilitation system compared to a home-based conventional rehabilitative intervention usual care for patient-relevant outcomes (motor, cognitive and participation). Methods: This multicentre interventional, randomized controlled trial included 70 participants with multiple sclerosis, 35 in the telerehabilitation group (30 sessions of home-based virtual reality rehabilitation system training, five sessions for week each lasting 45 min) and 35 in the usual care group (30 sessions of conventional treatment, five sessions for week). Participants completed the assessment of motor, cognitive and participation outcomes at baseline and after 6 weeks of treatment. Results: In total, 63.3% of the telerehabilitation group exhibited improvement in the physical domain of the quality of life (p = 0.045). The telerehabilitation group showed greater improvement than the usual care group in Mini-BESTest domains of balance (p = 0.014), postural control (p = 0.024), and dynamic walking (p = 0.020) at post-treatment. Higher adherence was registered for telerehabilitation compared with usual care (86.67% vs. 80.0%). Discussion: This study provides evidence that people with multiple sclerosis can benefit from telerehabilitation treatment in the physical domain of the quality of life and motor symptoms. Moreover, considering the persistent COVID-19 emergency, telerehabilitation can represent an effective telemedicine solution for safely delivering effective rehabilitation care to people with multiple sclerosis. Trial registration number and trial register: This trial was registered at ClinicalTrials.gov (NCT03444454). [ABSTRACT FROM AUTHOR]

Published
2024
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11. peri-Acenoacene Ribbons with Zigzag BN-Doped Peripheries

Author

Franceschini, Marco, Crosta, Martina, Ferreira, Rúben R., Poletto, Daniele, Demitri, Nicola, Zobel, J. Patrick, González, Leticia, and Bonifazi, Davide

Subjects
Borylation, Colloid and Surface Chemistry, Two dimensional materials, Reaction products, General Chemistry, Molecules, Biochemistry, Fluorescence, Catalysis
Abstract

The abstract is available here: https://uscholar.univie.ac.at/o:1633179

Published
2022

14. Telerehabilitation for Stroke: A Personalized Multi-Domain Approach in a Pilot Study.

Author

Federico, Sara, Cacciante, Luisa, De Icco, Roberto, Gatti, Roberto, Jonsdottir, Johanna, Pagliari, Chiara, Franceschini, Marco, Goffredo, Michela, Cioeta, Matteo, Calabrò, Rocco Salvatore, Maistrello, Lorenza, Turolla, Andrea, and Kiper, Pawel

Subjects
STROKE, TELEREHABILITATION, FINE motor ability, PILOT projects, STROKE patients, NEUROREHABILITATION
Abstract

Stroke, a leading cause of long-term disability worldwide, manifests as motor, speech language, and cognitive impairments, necessitating customized rehabilitation strategies. In this context, telerehabilitation (TR) strategies have emerged as promising solutions. In a multi-center longitudinal pilot study, we explored the effects of a multi-domain TR program, comprising physiotherapy, speech therapy, and neuropsychological treatments. In total, 84 stroke survivors (74 analyzed) received 20 tailored sessions per domain, addressing individual impairments and customized to their specific needs. Positive correlations were found between initial motor function, cognitive status, independence in activities of daily living (ADLs), and motor function improvement after TR. A lower initial health-related quality of life (HRQoL) perception hindered progress, but improved ADL independence and overall health status, and reduced depression correlated with a better QoL. Furthermore, post-treatment improvements were observed in the entire sample in terms of fine motor skills, upper-limb functionality, balance, independence, and cognitive impairment. This multi-modal approach shows promise in enhancing stroke rehabilitation and highlights the potential of TR in addressing the complex needs of stroke survivors through a comprehensive support and interdisciplinary collaboration, personalized for each individual's needs. [ABSTRACT FROM AUTHOR]

Published
2023
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15. Non-Immersive Virtual Reality Telerehabilitation System Improves Postural Balance in People with Chronic Neurological Diseases

Author

Goffredo, Michela, primary, Pagliari, Chiara, additional, Turolla, Andrea, additional, Tassorelli, Cristina, additional, Di Tella, Sonia, additional, Federico, Sara, additional, Pournajaf, Sanaz, additional, Jonsdottir, Johanna, additional, De Icco, Roberto, additional, Pellicciari, Leonardo, additional, Calabrò, Rocco Salvatore, additional, Baglio, Francesca, additional, and Franceschini, Marco, additional

Published
2023
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16. Action Observation Treatment for Upper Limb Rehabilitation in Patients With Stroke: Protocol for a Multicenter Randomized Controlled Trial

Author

Tropea, Peppino, primary, Infarinato, Francesco, additional, Sterpi, Irma, additional, Ottaviani, Marco, additional, Antoniotti, Paola, additional, Romano, Paola, additional, Picardi, Michela, additional, Goffredo, Michela, additional, Re, Riccardo, additional, Pournajaf, Sanaz, additional, Seregni, Agnese, additional, Caronni, Antonio, additional, Franceschini, Marco, additional, and Corbo, Massimo, additional

Published
2023
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17. The Use of Machine Learning for Inferencing the Effectiveness of a Rehabilitation Program for Orthopedic and Neurological Patients

Author

Santilli, Valter, primary, Mangone, Massimiliano, additional, Diko, Anxhelo, additional, Alviti, Federica, additional, Bernetti, Andrea, additional, Agostini, Francesco, additional, Palagi, Laura, additional, Servidio, Marila, additional, Paoloni, Marco, additional, Goffredo, Michela, additional, Infarinato, Francesco, additional, Pournajaf, Sanaz, additional, Franceschini, Marco, additional, Fini, Massimo, additional, and Damiani, Carlo, additional

Published
2023
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20. Non-Immersive Virtual Reality Telerehabilitation System Improves Postural Balance in People with Chronic Neurological Diseases

Author

Goffredo, Michela, Pagliari, Chiara, Turolla, Andrea, Tassorelli, Cristina, Di Tella, Sonia, Federico, Sara, Pournajaf, Sanaz, Jonsdottir, Johanna, De Icco, Roberto, Pellicciari, Leonardo, Calabrò, Rocco Salvatore, Baglio, Francesca, Franceschini, Marco, Di Tella, Sonia (ORCID:0000-0002-2248-5120), Goffredo, Michela, Pagliari, Chiara, Turolla, Andrea, Tassorelli, Cristina, Di Tella, Sonia, Federico, Sara, Pournajaf, Sanaz, Jonsdottir, Johanna, De Icco, Roberto, Pellicciari, Leonardo, Calabrò, Rocco Salvatore, Baglio, Francesca, Franceschini, Marco, and Di Tella, Sonia (ORCID:0000-0002-2248-5120)

Abstract

Background: People with chronic neurological diseases, such as Parkinson's Disease (PD) and Multiple Sclerosis (MS), often present postural disorders and a high risk of falling. When difficulties in achieving outpatient rehabilitation services occur, a solution to guarantee the continuity of care may be telerehabilitation. This study intends to expand the scope of our previously published research on the impact of telerehabilitation on quality of life in an MS sample, testing the impact of this type of intervention in a larger sample of neurological patients also including PD individuals on postural balance. Methods: We included 60 participants with MS and 72 with PD. All enrolled subjects were randomized into two groups: 65 in the intervention group and 67 in the control group. Both treatments lasted 30-40 sessions (5 days/week, 6-8 weeks). Motor, cognitive, and participation outcomes were registered before and after the treatments. Results: All participants improved the outcomes at the end of the treatments. The study's primary outcome (Mini-BESTest) registered a greater significant improvement in the telerehabilitation group than in the control group. Conclusions: Our results demonstrated that non-immersive virtual reality telerehabilitation is well tolerated and positively affects static and dynamic balance and gait in people with PD and MS.

Published
2023

21. [Editorial]

Author

Torella, Raffaele, Franceschini, Marco, Pontillo, Tiziana, Pieruccini, Cinzia, Rigopoulos, Antonio, and Sferra, Francesco

Published
2016

23. Robotic versus Conventional Overground Gait Training in Subacute Stroke Survivors: A Multicenter Controlled Clinical Trial

Author

Pournajaf, Sanaz, Calabrò, Rocco Salvatore, Naro, Antonino, Goffredo, Michela, Aprile, Irene, Tamburella, Federica, Filoni, Serena, Waldner, Andreas, Mazzoleni, Stefano, Focacci, Antonella, Ferraro, Francesco, Bonaiuti, Donatella, Franceschini, Marco, and TreadStroke Group, Null

Subjects
robotics, exoskeleton, stroke, gait, rehabilitation, end-effector, General Medicine
Abstract

Background: Although stroke survivors can benefit from robotic gait rehabilitation, stationary robot-assisted gait training needs further investigation. In this paper, we investigated the efficacy of this approach (with an exoskeleton or an end-effector robot) in comparison to the conventional overground gait training in subacute stroke survivors. Methods: In a multicenter controlled clinical trial, 89 subacute stroke survivors conducted twenty sessions of robot-assisted gait training (Robotic Group) or overground gait training (Control Group) in addition to the standard daily therapy. The robotic training was performed with an exoskeleton (RobotEXO-group) or an end-effector (RobotEND-group). Clinical outcomes were assessed before (T0) and after (T1) the treatment. The walking speed during the 10-Meter Walk Test (10 MWT) was the primary outcome of this study, and secondary outcomes were the 6-Minute Walk Test (6 MWT), Timed Up and Go test (TUG), and the modified Barthel Index (mBI). Results: The main characteristics assessed in the Robotic and Control groups did not differ at baseline. A significant benefit was detected from the 10 MWT in the Robotic Group at the end of the study period (primary endpoint). A benefit was also observed from the following parameters: 6 MWT, TUG, and mBI. Moreover, patients belonging to the Robot Group outperformed the Control Group in gait speed, endurance, balance, and ADL. The RobotEND-group improved their walking speed more than the RobotEXO-group. Conclusion: The stationary robot-assisted training improved walking ability better than the conventional training in subacute stroke survivors. These results suggest that people with subacute stroke may benefit from Robot-Assisted training in potentiating gait speed and endurance. Our results also support that end-effector robots would be superior to exoskeleton robots for improving gait speed enhancement.

Published
2023
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24. Action Observation Treatment for Upper Limb Rehabilitation in Patients With Stroke: Protocol for a Multicenter Randomized Controlled Trial (Preprint)

Author

Tropea, Peppino, primary, Infarinato, Francesco, additional, Sterpi, Irma, additional, Ottaviani, Marco, additional, Antoniotti, Paola, additional, Romano, Paola, additional, Picardi, Michela, additional, Goffredo, Michela, additional, Re, Riccardo, additional, Pournajaf, Sanaz, additional, Seregni, Agnese, additional, Caronni, Antonio, additional, Franceschini, Marco, additional, and Corbo, Massimo, additional

Published
2022
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25. The Reaching Phase of Feeding and Self-Care Actions Optimizes Action Observation Effects in Chronic Stroke Subjects

Author

Franceschini, Marco, primary, Ottaviani, Marco, additional, Romano, Paola, additional, Goffredo, Michela, additional, Pournajaf, Sanaz, additional, Lofrumento, Margherita, additional, Proietti, Stefania, additional, Sterpi, Irma, additional, Tricomi, Enrica, additional, Tropea, Peppino, additional, Corbo, Massimo, additional, Fadiga, Luciano, additional, and Infarinato, Francesco, additional

Published
2022
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29. Neurophysiological and Clinical Effects of Upper Limb Robot-Assisted Rehabilitation on Motor Recovery in Patients with Subacute Stroke: A Multicenter Randomized Controlled Trial Study Protocol.

Author

Pournajaf, Sanaz, Morone, Giovanni, Straudi, Sofia, Goffredo, Michela, Leo, Maria Rosaria, Calabrò, Rocco Salvatore, Felzani, Giorgio, Paolucci, Stefano, Filoni, Serena, Santamato, Andrea, and Franceschini, Marco

Subjects
SUBACUTE care, STROKE patients, ROBOTIC exoskeletons, RESEARCH protocols, BRAIN stimulation, NEUROPLASTICITY
Abstract

Background: The efficacy of upper limb (UL) robot-assisted therapy (RAT) on functional improvement after stroke remains unclear. However, recently published randomized controlled trials have supported its potential benefits in enhancing the activities of daily living, arm and hand function, and muscle strength. Task-specific and high-intensity exercises are key points in facilitating motor re-learning in neurorehabilitation since RAT can provide an assisted-as-needed approach. This study aims to investigate the clinical effects of an exoskeleton robotic system for UL rehabilitation compared with conventional therapy (CT) in people with subacute stroke. As a secondary aim, we seek to identify patients' characteristics, which can predict better recovery after UL-RAT and detects whether it could elicit greater brain stimulation. Methods: A total of 84 subacute stroke patients will be recruited from 7 Italian rehabilitation centers over 3 years. The patients will be randomly allocated to either CT (control group, CG) or CT plus UL-RT through an Armeo®Power (Hocoma AG, CH, Volketswil, Switzerland) exoskeleton (experimental group, EG). A sample stratification based on distance since onset, DSO (DSO ≤ 30; DSO > 30), and Fugl–Meyer Assessment (FM)-UL (FM-UL ≤ 22; 22 < FM-UL ≤ 44) will be considered for the randomization. The outcomes will be recorded at baseline (T0), after 25 + 3 sessions of intervention (T1), and at 6 months post-stroke (T2). The motor functioning assessed by the FM-UL (0–66) will be considered the primary outcome. The clinical assessments will be set based on the International Classification of Function, Disability and Health (ICF). A patient satisfaction questionnaire will be evaluated in the EG at T1. A subgroup of patients will be evaluated at T0 and T1 via electroencephalography. Their brain electrical activity will be recorded during rest conditions with their eyes closed and open (5 min each). Conclusion: The results of this trial will provide an in-depth understanding of the efficacy of early UL-RAT through a whole arm exoskeleton and how it may relate to the neural plasticity process. The trial was registered at ClinicalTrial.gov with the registration identifier NCT04697368. [ABSTRACT FROM AUTHOR]

Published
2023
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32. sj-doc-1-nnr-10.1177_15459683221110884 – Supplemental material for The Reaching Phase of Feeding and Self-Care Actions Optimizes Action Observation Effects in Chronic Stroke Subjects

Author

Franceschini, Marco, Ottaviani, Marco, Romano, Paola, Goffredo, Michela, Pournajaf, Sanaz, Lofrumento, Margherita, Proietti, Stefania, Sterpi, Irma, Tricomi, Enrica, Tropea, Peppino, Corbo, Massimo, Fadiga, Luciano, and Infarinato, Francesco

Subjects
FOS: Clinical medicine, 110308 Geriatrics and Gerontology, 110904 Neurology and Neuromuscular Diseases, Neuroscience
Abstract

Supplemental material, sj-doc-1-nnr-10.1177_15459683221110884 for The Reaching Phase of Feeding and Self-Care Actions Optimizes Action Observation Effects in Chronic Stroke Subjects by Marco Franceschini, Marco Ottaviani, Paola Romano, Michela Goffredo, Sanaz Pournajaf, Margherita Lofrumento, Stefania Proietti, Irma Sterpi, Enrica Tricomi, Peppino Tropea, Massimo Corbo, Luciano Fadiga and Francesco Infarinato in Neurorehabilitation and Neural Repair

Published
2022
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33. A Novel Telerehabilitation Approach for Cognitive-Language Therapy in Chronic Stroke Subjects With Aphasia: Neurocognitive Intervention Through Neurorehabilitation Exercises and Assessments

Author

Infarinato, Francesco, primary, Romano, Paola, additional, Adinolfi, Francesco, additional, Franceschini, Marco, additional, Ginocchi, Roberta, additional, Goffredo, Michela, additional, Ottaviani, Marco, additional, Valente, Marianna, additional, and Pournajaf, Sanaz, additional

Published
2022
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35. Effects of home-based virtual reality telerehabilitation system in people with multiple sclerosis: A randomized controlled trial

Author

Pagliari, Chiara, primary, Di Tella, Sonia, additional, Jonsdottir, Johanna, additional, Mendozzi, Laura, additional, Rovaris, Marco, additional, De Icco, Roberto, additional, Milanesi, Tommaso, additional, Federico, Sara, additional, Agostini, Michela, additional, Goffredo, Michela, additional, Pellicciari, Leonardo, additional, Franceschini, Marco, additional, Cimino, Vincenzo, additional, Bramanti, Placido, additional, and Baglio, Francesca, additional

Published
2021
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36. Robot-Assisted Training for Upper Limb in Stroke (ROBOTAS): An Observational, Multicenter Study to Identify Determinants of Efficacy

Author

Calabrò, Rocco Salvatore, primary, Morone, Giovanni, additional, Naro, Antonino, additional, Gandolfi, Marialuisa, additional, Liotti, Vitalma, additional, D’aurizio, Carlo, additional, Straudi, Sofia, additional, Focacci, Antonella, additional, Pournajaf, Sanaz, additional, Aprile, Irene, additional, Filoni, Serena, additional, Zanetti, Claudia, additional, Leo, Maria Rosaria, additional, Tedesco, Lucia, additional, Spina, Vincenzo, additional, Chisari, Carmelo, additional, Taveggia, Giovanni, additional, Mazzoleni, Stefano, additional, Smania, Nicola, additional, Paolucci, Stefano, additional, Franceschini, Marco, additional, and Bonaiuti, Donatella, additional

Published
2021
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37. Redefining a minimal assessment protocol for stroke rehabilitation: the new "Protocollo di Minima per l'ICtus" (PMIC2020)

Author

CECCHI, Francesca, primary, CASSIO, Anna, additional, LAVEZZI, Susanna, additional, SCARPONI, Federico, additional, GATTA, Giordano, additional, MONTIS, Andrea, additional, BERNUCCI, Chiara, additional, FRANCESCHINI, Marco, additional, BARGELLESI, Stefano, additional, PAOLUCCI, Stefano, additional, and TARICCO, Mariangela, additional

Published
2021
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42. A Novel Telerehabilitation Approach for Cognitive-Language Therapy in Chronic Stroke Subjects With Aphasia: Neurocognitive Intervention Through Neurorehabilitation Exercises and Assessments

Author

Infarinato, Francesco, Romano, Paola, Adinolfi, Francesco, Franceschini, Marco, Ginocchi, Roberta, Goffredo, Michela, Ottaviani, Marco, Valente, Marianna, and Pournajaf, Sanaz

Abstract

By stating “All people, everywhere, deserve the right care, right in their community,” [21]. the World Health Organization sets, in an exhortative way, the fundamental assumption for primary health care. Under these premises, we developed an augmented and extended approach to a home-rehabilitation system to provide intensive care to chronic stroke patients with aphasia. The system proposes neurocognitive intervention based on an information and communication technologies ecosystem through neurorehabilitation exercises and assessments. In this study, we analyzed the feasibility, satisfaction, and motivation of patients, and the clinical effect of the intervention using this complex platform which, among other functions, allows the administration of speech and language home therapy. Eight patients conducted a therapeutic plan, including speech therapy, using the remote asynchronous rehabilitation system; seven patients were included in the control group (CG) and followed a traditional speech-therapy program. The analysis of usage revealed that participants made continuous and intensive use of the platform. The results confirmed the acceptability, perceived usefulness, and ease of use of the proposed platform. Clinical assessments showed that the system administers speech and language rehabilitation as effectively as traditional therapy, allowing one to consider such an approach as a valid alternative to standard face-to-face speech therapy.

Published
2023
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43. Functional Gait Recovery after a Combination of Conventional Therapy and Overground Robot-Assisted Gait Training Is Not Associated with Significant Changes in Muscle Activation Pattern: An EMG Preliminary Study on Subjects Subacute Post Stroke

Author

Infarinato, Francesco, primary, Romano, Paola, additional, Goffredo, Michela, additional, Ottaviani, Marco, additional, Galafate, Daniele, additional, Gison, Annalisa, additional, Petruccelli, Simone, additional, Pournajaf, Sanaz, additional, and Franceschini, Marco, additional

Published
2021
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47. Factors Influencing Functional Outcome at Discharge

Author

Pellicciari, Leonardo, primary, Agosti, Maurizio, additional, Goffredo, Michela, additional, Pournajaf, Sanaz, additional, Le Pera, Domenica, additional, De Pisi, Francesco, additional, Franceschini, Marco, additional, and Damiani, Carlo, additional

Published
2020
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49. Data of patients undergoing rehabilitation programs

Author

Seccia, Ruggiero, primary, Boresta, Marco, additional, Fusco, Federico, additional, Tronci, Edoardo, additional, Di Gemma, Emanuele, additional, Palagi, Laura, additional, Mangone, Massimiliano, additional, Agostini, Francesco, additional, Bernetti, Andrea, additional, Santilli, Valter, additional, Damiani, Carlo, additional, Goffredo, Michela, additional, and Franceschini, Marco, additional

Published
2020
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