A Literature Review of High-Tech Physiotherapy Interventions in the Elderly with Neurological Disorders

Int J Environ Res Public Health. 2022 Jul 28;19(15):9233. doi: 10.3390/ijerph19159233.

Abstract

Neurological physiotherapy adopts a problem-based approach for each patient as determined by a thorough evaluation of the patient's physical and mental well-being. Τhis work aims to provide a literature review of physical therapy interventions in the elderly with neurological diseases (NDs) and discuss physiotherapy procedures and methods that utilize cutting-edge technologies for which clinical studies are available. Hence, the review focuses on acute NDs (stroke), deteriorating NDs (Parkinson's disease), and age-related cognitive impairment. The most used physiotherapy procedures on which clinical data are available are balance and gait training (robot-assisted or not), occupational therapy, classical physiotherapy, walking and treadmill training, and upper limb robot-assisted therapy. Respectively, the most often-used equipment are types of treadmills, robotic-assisted equipment (Lokomat® and Gait Trainer GT1), and portable walkway systems (GAITRite®), along with state-of-the-art technologies of virtual reality, virtual assistants, and smartphones. The findings of this work summarize the core standard tools and procedures, but more importantly, provide a glimpse of the new era in physiotherapy with the utilization of innovative equipment tools for advanced patient monitoring and empowerment.

Keywords: Parkinson’s disease; cognitive aging; e-health; neurological disorders; patient empowerment; physiotherapy; stroke.

Publication types

  • Review

MeSH terms

  • Aged
  • Exercise Therapy
  • Gait
  • Humans
  • Parkinson Disease* / rehabilitation
  • Physical Therapy Modalities
  • Stroke Rehabilitation*
  • Walking

Grants and funding

This research received no external funding.