Eficacia de la rehabilitación cognitiva multisensorial: revisión sistemática
DOI:
https://doi.org/10.23938/ASSN.1013Palabras clave:
Rehabilitación, Cognición, Funcionalidad, Calidad de vida, Método PerfettiResumen
La rehabilitación cognitiva multisensorial (RCM) es un tratamiento para la recuperación del movimiento a través de ejercicios neurocognitivos que activan los procesos perceptivos y cognitivos del paciente fundamentales para el aprendizaje motor. El objetivo de la revisión fue evaluar la eficacia de la RCM sobre funcionalidad y calidad de vida en pacientes adultos y pediátricos en comparación con otras intervenciones o la no intervención. Se realizó una revisión sistemática de ensayos clínicos controlados aleatorizados, estudios piloto y series de casos, publicados entre 2012 y 2021 en las bases de datos PubMed, PEDro, Cochrane Library y CINHAL Complete. Diez estudios cumplieron los criterios de elegibilidad. La RCM muestra beneficios similares o superiores a otras intervenciones sobre la funcionalidad del miembro superior, la marcha, el equilibrio y la calidad de vida en pacientes neurológicos y traumatológicos. Se necesitan más estudios con mayores muestras y calidad para valorar los efectos a largo plazo.
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SALLÉS L, GIRONÈS X, MARTÍN-CASAS P, LAFUENTE JV. A neurocognitive approach to recovery of movement following stroke. Phys Ther Rev 2015; 20: 283–289. https://doi.org/10.1080/10833196.2015.1111579
CANO DE LA CUERDA R, COLLADO VAZQUEZ S. Neurorrehabilitación. Métodos específicos de valoración y tratamiento. 2ª ed. Buenos Aires: Médica Panamericana, 2012.
Perfetti C. El ejercicio terapéutico cognoscitivo para la reeducación motora del hemipléjico adulto. 1ª ed. Barcelona: Edikamed, 1999.
RIZZOLATTI G, SINIGAGLIA C. The functional role of the parieto-frontal mirror circuit: interpretations and misinterpretations. Nat Rev Neurosci 2010; 11: 264–274. https://doi.org/10.1038/nrn2805
VAN DE WINCKEL A, DE PATRE D, RIGONI M, FIECAS M, HENDRICKSON TJ, LARSON M, et al. Exploratory study of how Cognitive Multisensory Rehabilitation restores parietal operculum connectivity and improves upper limb movements in chronic stroke. Sci Reports 2020; 10: 20278. https://doi.org/10.1038/s41598-020-77272-y
NUDO RJ. Neural bases of recovery after brain injury. J Commun Disord 2011; 44: 515–520. https://doi.org/10.1016/j.jcomdis.2011.04.004
BELDA-LOIS J, MENA-DEL HORNO S, BERMEJO-BOSCH I, MORENO J, PONS J, FARINA D, ET AL. REHABILITATION OF GAIT AFTER STROKE: A REVIEW TOWARDS A TOP-DOWN APPROACH. J NEUROENG REHABIL 2011; 8: 66. HTTPS://DOI.ORG/10.1186/1743-0003-8-66
DE PATRE D, VAN DE WINCKEL A, PANTÉ F, RIZZELLO C, ZERNITZ M, MANSOUR M, et al. Visual and motor recovery after “cognitive therapeutic exercises” in cortical blindness: A case study. J Neurol Phys Ther 2017; 41: 164–172. https://doi.org/10.1097/NPT.0000000000000189
DOMINGUEZ-FERRAZ D, DA SILVA-RIBEIRO NM, DE MATOS-PINHEIRO I, PEDREIRA-DA FONSECA E. Eficacia del método Perfetti en el tratamiento de secuelas del accidente cerebrovascular: una revisión sistemática. Cuest Fisioter 2014; 43: 196–205.
MOHER D, LIBERATI A, TETZLAFF J, ALTMAN DG, ALTMAN D, ANTES G, et al. Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Med 2009; 6: e1000097. https://doi.org/10.1371/journal.pmed.1000097
SCHULZ KF, ALTMAN DG, MOHER D. CONSORT 2010 statement: Updated guidelines for reporting parallel group randomised trials. BMC Medicine 2010; 8: 18. https://doi.org/10.1186/1741-7015-8-18
MAHER CG, SHERRINGTON C, HERBERT RD, MOSELEY AM, ELKINS M. Reliability of the PEDro scale for rating quality of randomized controlled trials. Phys Ther 2003; 83: 713–721. https://doi.org/10.1093/ptj/83.8.713
University of Oxford. Oxford Centre for Evidence-Based Medicine: Levels of evidence (March 2009). Consultado el 20 de octubre de 2021. https://www.cebm.ox.ac.uk/resources/levels-of-evidence
CHANUBOL R, WONGPHAET P, CHAVANICH N, WERNER C, HESSE S, BARDELEBEN A, et al. A randomized controlled trial of Cognitive sensory motor training therapy on the recovery of arm function in acute stroke patients. Clin Rehabil 2012; 26: 1096–1104. https://doi.org/10.1177/0269215512444631/
MORREALE M, MARCHIONE P, PILI A, LAUTA A, CASTIGLIA SF, SPALLONE A, et al. Early versus delayed rehabilitation treatment in hemiplegic patients with ischemic stroke: proprioceptive or cognitive approach? Eur J Phys Rehabil Med 2016; 52: 81–89.
RANZANI R, LAMBERCY O, METZGER JC, CALIFFI A, REGAZZI S, DINACCI D, et al. Neurocognitive robot-assisted rehabilitation of hand function: a randomized control trial on motor recovery in subacute stroke. J Neuroengineering Rehabil 2020; 17: 115. https://doi.org/10.1186/s12984-020-00746-7
LEE S, BAE S, JEON D, KIM KY. The effects of cognitive exercise therapy on chronic stroke patients’ upper limb functions, activities of daily living and quality of life. J Phys Ther Sci 2015; 27: 2787–2791. https://doi.org/10.1589/jpts.27.2787
MARZETTI E, RABINI A, PICCININI G, PIAZZIN D, VULPIANI M, VETRANO M, et al. Neurocognitive therapeutic exercise improves pain and function in patients with shoulder impingement syndrome: a single-blind randomized controlled clinical trial. Eur J Phys Rehabil Med 2014; 50: 255–264.
CAPPELLINO F, PAOLUCCI T, ZANGRANDO F, IOSA M, ADRIANI E, MANCINI P, et al. Neurocognitive rehabilitative approach effectiveness after anterior cruciate ligament reconstruction with patellar tendon. Eur J Phys Rehabil Med 2012; 48: 17–30.
SALLÉS L, MARTÍN-CASAS P, GIRONÈS X, DURÀ M, LAFUENTE J, PERFETTI C. A neurocognitive approach for recovering upper extremity movement following subacute stroke: a randomized controlled pilot study. J Phys Ther Sci 2017; 29: 665–672. https://doi.org/10.1589/jpts.29.665
BORTONE I, BARSOTTI M, LEONARDIS D, CRECCHI A, TOZZINI A, BONFIGLIO L, et al. Immersive virtual environments and wearable haptic devices in rehabilitation of children with neuromotor impairments: a single-blind randomized controlled crossover pilot study. J Neuroeng Rehabil 2020; 17: 144. https://doi.org/10.1186/s12984-020-00771-6
KOTARO N, NAKANO H, IKI S, ISHIGAKI T, KAWAGUCHI T. Effect of neurocognitive rehabilitation on upper limb function in community-dwelling chronic stroke patients: A pilot study. Physiother Theory Pract 2020. Online ahead of print. https://doi.org/10.1080/09593985.2020.1861669
CELLETTI C, PAOLUCCI T, MAGGI L, VOLPI G, BILLI M, MOLLICA R, et al. Pain management through neurocognitive therapeutic exercises in hypermobile Ehlers-Danlos syndrome patients with chronic low back pain. Biomed Res Int 2021; 2021: 6664864. https://doi.org/10.1155/2021/6664864
MEYER S, KARTTUNEN A, THIJS V, FEYS H, VERHEYDEN G. How do somatosensory deficits in the arm and hand relate to upper limb impairment, activity, and participation problems after stroke? A systematic review. Phys Ther 2014; 94: 1220–1231. https://doi.org/10.2522/ptj.20130271
TURVILLE M, CAREY LM, MATYAS TA, BLENNERHASSETT J. Change in functional arm use is associated with somatosensory skills after sensory retraining poststroke. Am J Occup Ther 2017; 71: 7103190070p1-9. https://doi.org/10.5014/ajot.2017.024950
WONGPHET P, BUTRACH W, SANGKRAI S, JITPRAPHAI C. Improved function of hemiplegic upper extremity after cognitive sensory motor training therapy in chronic stroke patients: Preliminary report of a case series. J Med Assoc Thail 2003; 86: 579–584.
CAREY L, MACDONELL R, MATYAS T. SENSe: Study of the Effectiveness of Neurorehabilitation on Sensation: a randomized controlled trial. Neurorehabil Neural Repair 2011; 25: 304–313. https://doi.org/10.1177/1545968310397705
CHIA F, KUYS S, LOW CHOY N. Sensory retraining of the leg after stroke: systematic review and meta-analysis. Clin Rehabil 2019; 33: 964–979. https://doi.org/10.1177/0269215519836461
BRIONES-CANTERO M, FERNÁNDEZ-DE-LAS-PEÑAS C, LLUCH-GIRBÉS E, OSUNA-PÉREZ MC, NAVARRO-SANTANA MJ, PLAZA-MANZANO G, et al. Effects of adding motor imagery to early physical therapy in patients with knee osteoarthritis who had received total knee arthroplasty: a randomized clinical trial. Pain Med 2020; 21: 3548–3555. https://doi.org/10.1093/pm/pnaa103
BREGHI I. El ejercicio terapéutico cognoscitivo en el niño con patología neurológica (Método Perfetti). Desenvolupa 2012; 34: 11.
BORTONE I, LEONARDIS D, SOLAZZI M, PROCOPIO C, CRECCHI A, BONFIGLIO L, et al. Integration of serious games and wearable haptic interfaces for neuro rehabilitation of children with movement disorders: A feasibility study. IEEE Int Conf Rehabil Robot 2017; 2017: 1094–1099. https://doi.org/10.1109/ICORR.2017.8009395
ACAR G, ALTUN GP, YURDALAN S, POLAT MG. Efficacy of neurodevelopmental treatment combined with the Nintendo® Wii in patients with cerebral palsy. J Phys Ther Sci 2016 ;28: 774–780. https://doi.org/10.1589/jpts.28.774
GABORIAU M. [Contributions of the Perfetti concept in musculoskeletal trauma]. Kinésithérapie, la Rev 2009; 9: 28–31. https://doi.org/10.1016/S1779-0123(09)70090-7
CAREY L, MATYAS T. Training of somatosensory discrimination after stroke: facilitation of stimulus generalization. Am J Phys Med Rehabil 2005; 84: 428–442. https://doi.org/10.1097/01.phm.0000159971.12096.7f
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