Advances in Emerging Technologies for Rehabilitation: Personalized Perspective

A special issue of Journal of Personalized Medicine (ISSN 2075-4426). This special issue belongs to the section "Methodology, Drug and Device Discovery".

Deadline for manuscript submissions: 30 April 2025 | Viewed by 5517

Special Issue Editors


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Guest Editor
1. Healthcare Innovation Technology Lab, IRCCS San Camillo Hospital, 30126 Venezia, Italy
2. Physical Medicine and Rehabilitation Unit, Azienda ULSS 3 Serenissima, 30126 Venezia, Italy
Interests: stroke; virtual reality; robotics; rehabilitation; neurorehabilitation; neurological diseases; motor learning; motor control; telerehabilitation; priming techniques
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Guest Editor
1. Healthcare Innovation Technology Lab, IRCCS San Camillo Hospital, 30126 Venezia, Italy
2. Faculty of Health Science, Jan Dlugosz University, 42-200 Częstochowa, Poland
Interests: mental health; psychiatric disorders; body balance; postural stability; telerehabilitation; virtual reality; exoskeletons
Special Issues, Collections and Topics in MDPI journals

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Guest Editor
Institute of Health Sciences, University of Rzeszów, 35-310 Rzeszów, Poland
Interests: postural stability; balance; gait analysis; physiotherapy; musculoskeletal rehabilitation; neurorehabilitation; stroke
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

In recent years, the utilization of virtual reality, robotics, health wearables, and telemedicine has become more common in science and clinical practice. Since the COVID-19 pandemic, all forms of remote support have become useful and sometimes even indispensable in general medicine. This situation did not differ between physical and psychosocial rehabilitation. Remote support can cover a wide spectrum of technologies, from simple telephone consultations, through very popular videoconferences, to advanced videoconferencing with integrated wearable sensors and feedback, which allows interaction with the patient in real time. Virtual reality (VR), another new technology, has become a subject of interest for researchers worldwide. VR can cover a wide spectrum of technologies, starting from simple feedback using a monitor, through the popular head-mounted display (VR goggle), to advanced EMG-based robotic devices that can be integrated within the VR environment. So personalized treatment and management are also increasingly important.

However, owing to its novelty, these topics still need to be explored. There are still areas that are uncovered, while others require further work and systematization. Therefore, we propose this Special Issue as a contribution to the technology-supported field. Submissions are welcome for the following article types: original research, and reviews. We welcome the submission of manuscripts, including but not limited to the following topics.

Dr. Paweł Kiper
Dr. Błażej Cieślik
Dr. Agnieszka Guzik
Guest Editors

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Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Personalized Medicine is an international peer-reviewed open access monthly journal published by MDPI.

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Keywords

  • virtual reality
  • mixed reality
  • augmented reality
  • robotic interventions
  • exoskeletons
  • eHealth
  • mHealth
  • wearable technology
  • telerehabilitation
  • remote support
  • barriers and challenges of new technologies in rehabilitation
  • psychosocial effects of new technology interventions
  • insights in novel approaches in technology-supported rehabilitation
  • biometric technology
  • personalized perspective

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Published Papers (4 papers)

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Review

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24 pages, 1447 KiB  
Review
Effects of Haptic Feedback Interventions in Post-Stroke Gait and Balance Disorders: A Systematic Review and Meta-Analysis
by Maria Gomez-Risquet, Rocío Cáceres-Matos, Eleonora Magni and Carlos Luque-Moreno
J. Pers. Med. 2024, 14(9), 974; https://doi.org/10.3390/jpm14090974 - 14 Sep 2024
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Abstract
Background: Haptic feedback is an established method to provide sensory information (tactile or kinesthetic) about the performance of an activity that an individual can not consciously detect. After a stroke, hemiparesis usually leads to gait and balance disorders, where haptic feedback can [...] Read more.
Background: Haptic feedback is an established method to provide sensory information (tactile or kinesthetic) about the performance of an activity that an individual can not consciously detect. After a stroke, hemiparesis usually leads to gait and balance disorders, where haptic feedback can be a promising approach to promote recovery. The aim of the present study is to understand its potential effects on gait and balance impairments, both after interventions and in terms of immediate effects. Methods: This research was carried out using the following scientific databases: Embase, Scopus, Web of Science, and Medline/PubMed from inception to May 2024. The Checklist for Measuring quality, PEDro scale, and the Cochrane collaboration tool were used to assess the methodological quality and risk of bias of the studies. Results: Thirteen articles were chosen for qualitative analysis, with four providing data for the meta-analysis. The findings did not yield definitive evidence on the effectiveness of haptic feedback for treating balance and gait disorders following a stroke. Conclusions: Further research is necessary in order to determine the effectiveness of haptic feedback mechanisms, with larger sample sizes and more robust methodologies. Longer interventions and pre–post design in gait training with haptic feedback are necessary. Full article
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17 pages, 1464 KiB  
Systematic Review
Effectiveness of Nintendo Wii Fit© for Physical Therapy in Patients with Multiple Sclerosis: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
by Alvaro Alba-Rueda, Amaranta De Miguel-Rubio and David Lucena-Anton
J. Pers. Med. 2024, 14(9), 896; https://doi.org/10.3390/jpm14090896 - 24 Aug 2024
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Abstract
Multiple sclerosis (MS) is a chronic, inflammatory, and autoimmune disease that mainly affects the central nervous system and currently has no cure. Exergaming is considered a non-immersive approach to improving functional and motor skills in the treatment of MS. The aim of this [...] Read more.
Multiple sclerosis (MS) is a chronic, inflammatory, and autoimmune disease that mainly affects the central nervous system and currently has no cure. Exergaming is considered a non-immersive approach to improving functional and motor skills in the treatment of MS. The aim of this systematic review was to evaluate the effectiveness of the Nintendo Wii Fit© (NWF) on physical outcomes compared with control regimes in patients with MS. The search was performed in seven databases including articles published up to June 2024. The PICOS model was used to establish the study eligibility criteria. The Cochrane Collaboration tool and the PEDro scale were used to assess the risk of bias and evaluate the methodological quality of the studies, respectively. A meta-analysis using the standardized mean difference (SMD) and confidence interval (95% CI) was developed using the Review Manager 5.4 software. Seven articles were included in the systematic review. The statistical analysis showed favorable overall results for the NWF on functional mobility (SMD = 0.25; 95% CI = 0.09, 0.41) and fatigue (SMD = 0.41; 95% CI = 0.00, 0.82). In conclusion, this systematic review suggests that the NWF has shown favorable effects compared to control regimes on functional mobility and fatigue outcomes in patients with MS. Full article
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9 pages, 1998 KiB  
Study Protocol
Integration of Smart Home and Building Automation Systems in Virtual Reality and Robotics-Based Technological Environment for Neurorehabilitation: A Pilot Study Protocol
by Sara Federico, Mirko Zitti, Martina Regazzetti, Enrico Dal Pozzo, Błażej Cieślik, Alberto Pomella, Francesca Stival, Marco Pirini, Giorgia Pregnolato and Pawel Kiper
J. Pers. Med. 2024, 14(5), 522; https://doi.org/10.3390/jpm14050522 - 14 May 2024
Cited by 1 | Viewed by 1324
Abstract
Technological innovation has revolutionized healthcare, particularly in neurological rehabilitation, where it has been used to address chronic conditions. Smart home and building automation (SH&BA) technologies offer promising solutions for managing chronic disabilities associated with such conditions. This single group, pre-post longitudinal pilot study, [...] Read more.
Technological innovation has revolutionized healthcare, particularly in neurological rehabilitation, where it has been used to address chronic conditions. Smart home and building automation (SH&BA) technologies offer promising solutions for managing chronic disabilities associated with such conditions. This single group, pre-post longitudinal pilot study, part of the H2020 HosmartAI project, aims to explore the integration of smart home technologies into neurorehabilitation. Eighty subjects will be enrolled from IRCCS San Camillo Hospital (Venice, Italy) and will receive rehabilitation treatment through virtual reality (VR) and robotics devices for 15 h per day, 5 days a week for 3 weeks in the HosmartAI Room (HR), equipped with SH&BA devices measuring the environment. The study seeks to optimize patient outcomes and refine rehabilitation practices. Findings will be disseminated through peer-reviewed publications and scientific meetings, contributing to advancements in neurological rehabilitation and guiding future research. Full article
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13 pages, 1179 KiB  
Study Protocol
A Mind–Body Intervention to Improve Physical Activity for Patients with Chronic Hip-Related Pain: Protocol for a Mixed Methods Study
by Kate N. Jochimsen, Kristin R. Archer, Robin A. Pollini, Robert A. Parker, Nomin Enkhtsetseg, Cale A. Jacobs and Ana Maria Vranceanu
J. Pers. Med. 2024, 14(5), 499; https://doi.org/10.3390/jpm14050499 - 9 May 2024
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Abstract
Background: Pain and dysfunction persist for most patients following hip-related pain treatment. Additionally, individuals with hip-related pain are typically less physically active than individuals without hip pain, despite evidence that regular physical activity reduces chronic musculoskeletal pain. Poor psychological health is common in [...] Read more.
Background: Pain and dysfunction persist for most patients following hip-related pain treatment. Additionally, individuals with hip-related pain are typically less physically active than individuals without hip pain, despite evidence that regular physical activity reduces chronic musculoskeletal pain. Poor psychological health is common in patients with hip-related pain and further reinforces low physical activity. Mind–body interventions can improve psychological health and activity levels but have yet to be integrated to provide comprehensive, psychologically informed care for patients with hip-related pain. Thus, we are using the NCCIH intervention development framework to develop Helping Improve PSychological Health (HIPS), a novel, multimodal mind–body intervention to improve physical activity for individuals with hip-related pain and poor psychological health. Methods: We will recruit physical therapists (N = 20) and patients with hip-related pain (N = 20) to participate in 60 min qualitative interviews (focus groups with therapists; one-on-one interviews with patients). Using these data, we will develop the initial HIPS intervention and provider training materials. One physical therapist will be trained to deliver the HIPS intervention to five participants in an open pilot trial. Participants will attend six 30 min HIPS intervention sessions. We will collect quantitative data on satisfaction, improvement, and physical activity, alongside qualitative exit interviews with participants and the physical therapist in order to refine the HIPS intervention and provider training materials. Results: This study has been approved by the MGB IRB. We aim to develop and test the initial feasibility of the HIPS intervention in an open pilot trial. The findings from this project will inform a subsequent feasibility RCT. Full article
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