‘Online therapy’ to reduce caregiver’s distress and to stimulate post-severe acquired brain injury motor and cognitive recovery: A Sicilian hospital experience in the COVID era
| Autor: | Carmela Rifici, Luana Billeri, Rosaria De Luca, Antonino Naro, Paola Lauria, Patrizia Pollicino, Giuseppina Sergi, Michele Torrisi, Michela Romano, Angelo Caminiti, Placido Bramanti, Sabrina Miceli, Marcella Di Cara, Luisa Sorrenti |
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| Rok vydání: | 2021 |
| Předmět: |
2019-20 coronavirus outbreak
medicine.medical_specialty Coronavirus disease 2019 (COVID-19) business.industry Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Emotional functions Health Informatics Cognition medicine.disease Hospital experience 03 medical and health sciences Distress 0302 clinical medicine Medicine 030212 general & internal medicine business Psychiatry Acquired brain injury 030217 neurology & neurosurgery |
| Zdroj: | Journal of Telemedicine and Telecare. :1357633X2199019 |
| ISSN: | 1758-1109 1357-633X |
| DOI: | 10.1177/1357633x21990195 |
| Popis: | Introduction Severe acquired brain injury(SABI) often results in the deterioration of physical, cognitive and emotional functions in the patient and a significant caregiver's distress syndrome, which is now amplified by the social isolation, depression and financial difficulties related to the COVID-19 pandemic. The use of web-based online-therapy has been shown to be useful to overcome caregiver's distress syndrome and further stimulate cognitive-motor recovery of SABI-patients. Our study aimed to investigate whether a systematic online Skype-therapy(OLST) may be of support in favoring global cognitive and sensory-motor recovery in SABI-patients and reducing caregiver distress. Methods Twenty-five SABI-subjects in inpatient regimen were provided with intensive OLST with the caregiver for 12 weeks in addition to standard neurorehabilitation. Each subject and caregiver was evaluated before and after the treatment by administering an ad hoc battery. Furthermore, 18 of 27 patients were provided with EEG recording in resting state. Results We found a significant reduction in caregiver's anxiety (pDiscussion OLST may be a useful and complementary treatment to optimize global cognitive and functional recovery in SABI-subjects and reduce caregivers' concerns in the Covid-era. OLST can foster cognitive-motor recovery potentially by favoring the plasticity-dependent functional recovery. Therefore, OLST could be proposed as a tool allowing social conversations also in the hospital setting. |
| Databáze: | OpenAIRE |
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