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ORIGINAL ARTICLE  THE ITALIAN CONSENSUS CONFERENCE CICERONE Freefree

European Journal of Physical and Rehabilitation Medicine 2021 October;57(5):824-30

DOI: 10.23736/S1973-9087.21.07011-8

Copyright © 2021 EDIZIONI MINERVA MEDICA

lingua: Inglese

Robot-assisted arm therapy in neurological health conditions: rationale and methodology for the evidence synthesis in the CICERONE Italian Consensus Conference

Francesca GIMIGLIANO 1, Angela PALOMBA 2 , Chiara ARIENTI 3, Giovanni MORONE 4, Luca PERRERO 5, Michela AGOSTINI 6, Irene APRILE 7, Matteo PACI 8, Emanuela CASANOVA 9, Dario MARINO 10, Giuseppe LA ROSA 11, Federica BRESSI 12, Silvia STERZI 12, Daniele GIANSANTI 13, Alberto BATTISTINI 8, Sandra MICCINILLI 12, Serena FILONI 14, Monica SICARI 15, Salvatore PETROZZINO 15, Claudio M. SOLARO 16, Stefano GARGANO 17, Paolo BENANTI 18, Paolo BOLDRINI 19, Donatella BONAIUTI 20, Enrico CASTELLI 21, Francesco DRAICCHIO 22, Vincenzo FALABELLA 23, Silvia GALERI 3, Mauro GRIGIONI 13, Stefano MAZZOLENI 24, Stefano MAZZON 25, Franco MOLTENI 26, Maurizio PETRARCA 27, Alessandro PICELLI 28, Federico POSTERARO 29, Michele SENATORE 30, Giuseppe TURCHETTI 31, Sofia STRAUDI 32, on behalf of the Italian Consensus Conference on Robotics in Neurorehabilitation (CICERONE) 

1 Department of Mental and Physical Health and Preventive Medicine, Luigi Vanvitelli University of Campania, Naples, Italy; 2 Multidisciplinary Department of Medicine for Surgery and Orthodontics, Luigi Vanvitelli University of Campania, Naples, Italy; 3 IRCCS Don Carlo Gnocchi Foundation, Milan, Italy; 4 IRCCS Santa Lucia Foundation, Rome, Italy; 5 Unit of Neurorehabilitation, SS. Antonio e Biagio e Cesare Arrigo Hospital, Alessandria, Italy; 6 IRCCS San Camillo, Venice, Italy; 7 IRCCS Don Carlo Gnocchi Foundation, Florence, Italy; 8 Azienda USL di Bologna, Bologna, Italy; 9 Unit of Rehabilitation Medicine and Neurorehabilitation, IRCCS Istituto delle Scienze Neurologiche di Bologna (ISNB), Bologna, Italy; 10 IRCCS “Bonino Pulejo” Neurolysis Center, Messina, Italy; 11 Consorzio Siciliano di Riabilitazione (C.S.R.), Catania, Italy; 12 Campus Bio-Medico University, Rome, Italy; 13 National Center for Innovative Technologies in Public Health, Italian National Institute of Health, Rome, Italy; 14 Padre Pio Foundation and Rehabilitation Centers, San Giovanni Rotondo, Foggia, Italy; 15 Molinette Hospital, Città della Salute e della Scienza, Turin, Italy; 16 CRRF “Mons. Luigi Novarese,” Moncrivello, Vercelli, Italy; 17 Don Carlo Gnocchi Foundation, Turin, Italy; 18 Pontifical Gregorian University, Rome, Italy; 19 Società Italiana di Medicina Fisica e Riabilitativa (SIMFER), Rome, Italy; 20 Piero Redaelli Geriatric Institute, Milan, Italy; 21 Unit of Pediatric Neurorehabilitation, Bambino Gesù Children’s Hospital, Rome, Italy; 22 Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, INAIL, Rome, Italy; 23 Italian Federation of People with Spinal Cord Injuries (Faip Onlus), Rome, Italy; 24 Department of Electrical and Information Engineering, Polytechnic of Bari, Bari, Italy; 25 Department of Rehabilitation, AULSS6 Euganea, Padua, Italy; 26 Villa Beretta, Costa Masnaga, Lecco, Italy; 27 Movement Analysis and Robotics Laboratory MARlab, Bambino Gesù Children’s Hospital, Rome, Italy; 28 Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy; 29 Hospital of Versilia, AUSL Toscana Nord Ovest, Camaiore, Lucca, Italy; 30 Associazione Italiana Terapisti Occupazionali (AITO), Rome, Italy; 31 Sant’Anna School of Advanced Studies, Management Institute, Pisa, Italy; 32 Department of Neuroscience and Rehabilitation, University Hospital of Ferrara, Ferrara, Italy



BACKGROUND: Robot-assisted Arm Therapy (RAT) has been increasingly applied in the last years for promoting functional recovery in patients with disabilities related to neurological health conditions. Evidence of a knowledge-to-action gap for applying robot-assisted technologies in the rehabilitation of patients with neurological health conditions and the difficulty to apply and tailor the knowledge to the local contexts solicited the need for a national consensus conference on these interventions.
AIM: The aim of this paper was to explain the methodology used by the working group dedicated to synthesizing evidence on the effectiveness of RAT in neurological health conditions in the context of the CICERONE Italian Consensus Conference.
DESIGN: The methodological approach of the working group.
SETTING: All rehabilitation settings.
POPULATION: Patients with disability following a neurological health condition.
METHODS: Following the indications proposed by the Methodological Manual published by the Italian National Institute of Health, a Promoting Committee and a Technical Scientific Committee have been set up. Six working groups (WGs) have been composed to collect evidence on different questions, among which WG2.2 was focused on the effectiveness of RAT in neurological health conditions.
RESULTS: WG2.2 started its work defining the specific research questions. It was decided to adopt the ICF as the reference framework for the reporting of all outcomes. Literature search, data extraction and qualitative assessment, evidence analysis and synthesis have been performed.
CONCLUSIONS: This paper summarized the methodological approaches used by the WG2.2 of the CICERONE Italian Consensus Conference to define the effectiveness of RAT in the management of patients with neurological health conditions.
CLINICAL REHABILITATION IMPACT: WG2.2 synthesis might help clinicians, researchers, and all rehabilitation stakeholders to address the use of RAT in the Individualized Rehabilitation Plan, to guide the allocation of resources and define clinical protocols and indications for the management of patients with different neurological health conditions.


KEY WORDS: Rehabilitation; Robotic surgical procedures; Upper extremity; Neurological rehabilitation; Consensus development conference

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