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Faria AL, Almeida Y, Branco D, Câmara J, Cameirão M, Ferreira L, Moreira A, Paulino T, Rodrigues P, Spinola M, Vilar M, Bermúdez i Badia S, Simões M, Fermé E. NeuroAIreh@b: an artificial intelligence-based methodology for personalized and adaptive neurorehabilitation. Front Neurol 2024; 14:1258323. [PMID: 38322797 PMCID: PMC10846403 DOI: 10.3389/fneur.2023.1258323] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2023] [Accepted: 12/21/2023] [Indexed: 02/08/2024] Open
Abstract
Cognitive impairments are a prevalent consequence of acquired brain injury, dementia, and age-related cognitive decline, hampering individuals' daily functioning and independence, with significant societal and economic implications. While neurorehabilitation represents a promising avenue for addressing these deficits, traditional rehabilitation approaches face notable limitations. First, they lack adaptability, offering one-size-fits-all solutions that may not effectively meet each patient's unique needs. Furthermore, the resource-intensive nature of these interventions, often confined to clinical settings, poses barriers to widespread, cost-effective, and sustained implementation, resulting in suboptimal outcomes in terms of intervention adaptability, intensity, and duration. In response to these challenges, this paper introduces NeuroAIreh@b, an innovative cognitive profiling and training methodology that uses an AI-driven framework to optimize neurorehabilitation prescription. NeuroAIreh@b effectively bridges the gap between neuropsychological assessment and computational modeling, thereby affording highly personalized and adaptive neurorehabilitation sessions. This approach also leverages virtual reality-based simulations of daily living activities to enhance ecological validity and efficacy. The feasibility of NeuroAIreh@b has already been demonstrated through a clinical study with stroke patients employing a tablet-based intervention. The NeuroAIreh@b methodology holds the potential for efficacy studies in large randomized controlled trials in the future.
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Affiliation(s)
- Ana Lúcia Faria
- Department of Psychology, Faculty of Arts and Humanities, University of Madeira, Funchal, Portugal
- NOVA Laboratory for Computer Science and Informatics, Caparica, Portugal
- Agência Regional para o Desenvolvimento da Investigação, Tecnologia e Inovação, Funchal, Portugal
| | - Yuri Almeida
- NOVA Laboratory for Computer Science and Informatics, Caparica, Portugal
- Department of Informatics Engineering, Faculty of Exact Sciences and Engineering University of Madeira, Funchal, Portugal
| | - Diogo Branco
- NOVA Laboratory for Computer Science and Informatics, Caparica, Portugal
- Agência Regional para o Desenvolvimento da Investigação, Tecnologia e Inovação, Funchal, Portugal
- Department of Informatics Engineering, Faculty of Exact Sciences and Engineering University of Madeira, Funchal, Portugal
| | - Joana Câmara
- NOVA Laboratory for Computer Science and Informatics, Caparica, Portugal
- Agência Regional para o Desenvolvimento da Investigação, Tecnologia e Inovação, Funchal, Portugal
- Faculty of Psychology and Educational Sciences, University of Coimbra, Coimbra, Portugal
- Center for Research in Neuropsychology and Cognitive and Behavioral Intervention, Coimbra, Portugal
| | - Mónica Cameirão
- NOVA Laboratory for Computer Science and Informatics, Caparica, Portugal
- Agência Regional para o Desenvolvimento da Investigação, Tecnologia e Inovação, Funchal, Portugal
- Department of Informatics Engineering, Faculty of Exact Sciences and Engineering University of Madeira, Funchal, Portugal
| | - Luis Ferreira
- NOVA Laboratory for Computer Science and Informatics, Caparica, Portugal
- Department of Informatics Engineering, Faculty of Exact Sciences and Engineering University of Madeira, Funchal, Portugal
| | - André Moreira
- Faculty of Psychology and Educational Sciences, University of Coimbra, Coimbra, Portugal
- Center for Research in Neuropsychology and Cognitive and Behavioral Intervention, Coimbra, Portugal
| | - Teresa Paulino
- NOVA Laboratory for Computer Science and Informatics, Caparica, Portugal
- Agência Regional para o Desenvolvimento da Investigação, Tecnologia e Inovação, Funchal, Portugal
- Department of Informatics Engineering, Faculty of Exact Sciences and Engineering University of Madeira, Funchal, Portugal
| | - Pedro Rodrigues
- Agência Regional para o Desenvolvimento da Investigação, Tecnologia e Inovação, Funchal, Portugal
- Department of Informatics Engineering, Faculty of Exact Sciences and Engineering University of Madeira, Funchal, Portugal
| | - Mónica Spinola
- NOVA Laboratory for Computer Science and Informatics, Caparica, Portugal
| | - Manuela Vilar
- Faculty of Psychology and Educational Sciences, University of Coimbra, Coimbra, Portugal
- Center for Research in Neuropsychology and Cognitive and Behavioral Intervention, Coimbra, Portugal
| | - Sergi Bermúdez i Badia
- NOVA Laboratory for Computer Science and Informatics, Caparica, Portugal
- Agência Regional para o Desenvolvimento da Investigação, Tecnologia e Inovação, Funchal, Portugal
- Department of Informatics Engineering, Faculty of Exact Sciences and Engineering University of Madeira, Funchal, Portugal
| | - Mario Simões
- Faculty of Psychology and Educational Sciences, University of Coimbra, Coimbra, Portugal
- Center for Research in Neuropsychology and Cognitive and Behavioral Intervention, Coimbra, Portugal
| | - Eduardo Fermé
- NOVA Laboratory for Computer Science and Informatics, Caparica, Portugal
- Department of Informatics Engineering, Faculty of Exact Sciences and Engineering University of Madeira, Funchal, Portugal
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Palma GCS, Freitas TB, Bonuzzi GMG, Torriani-Pasin C. Does Cognitive Impairment Impact Motor Learning? A Scoping Review of Elderly Individuals With Alzheimer's Disease and Mild Cognitive Impairment. Percept Mot Skills 2023; 130:1924-1951. [PMID: 37337358 DOI: 10.1177/00315125231182732] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/21/2023]
Abstract
Individuals with cognitive impairment may have motor learning deficits due to the high engagement of cognitive mechanisms during motor skill acquisition. We conducted a scoping review to address the quality of current research on the relationship between cognitive impairments (i.e., deficits in attention, memory, planning and executive functions) and motor learning among older adults with Alzheimer's Disease or Mild Cognitive Impairment. After screening thousands of articles, we selected 15 studies describing cognitive assessment tools, experimental designs, and the severity of cognitive impairment. Although seven studies reported that cognitive impairment impaired motor learning, most studies included a high risk of bias. We identified multiple assessment tools across these studies that make comparisons among findings difficult. Future research in this area should focus on the influence of increased practice days during motor learning acquisition and incorporate both retention and transfer tests. Cognitive assessments should target the specific cognitive skills or deficits most closely related to the motor learning process.
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Affiliation(s)
- Gisele C S Palma
- Motor Behavior Research in Neurorehabilitation (GEPENEURO), Laboratory of Motor Behavior (LACOM), University of São Paulo, São Paulo, Brazil
| | - Tatiana B Freitas
- Motor Behavior Research in Neurorehabilitation (GEPENEURO), Laboratory of Motor Behavior (LACOM), University of São Paulo, São Paulo, Brazil
| | - Giordano Márcio G Bonuzzi
- Department of Physical Education, State University of Piauí, Picos, Piauí, Brazil
- Department of Physical Education, Federal University of Vale do São Francisco, Petrolina, Pernambuco, Brazil
| | - Camila Torriani-Pasin
- Motor Behavior Research in Neurorehabilitation (GEPENEURO), Laboratory of Motor Behavior (LACOM), University of São Paulo, São Paulo, Brazil
- Neurorehabilitation, Exercise Science and Learning (NEUROEXCEL), Department of Physical Therapy and Movement Sciences, The University of Texas at El Paso, El Paso, Texas, USA
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