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KMID : 1151720230120010045
Journal of Korean Society of Cognitive Rehabilitation
2023 Volume.12 No. 1 p.45 ~ p.71
The Effect of Digital Therapeutic Devices on Cognitive Function in Stroke Patients in Korea: A Meta-Analysis
Ji Eun-Kyu

Son Sang-Won
Kwon Jae-Sung
Abstract
Objective: The aim of this study was to analyze the literature on digital therapeutic devices(DTDs) used in cognitive rehabilitation interventions through a meta-analysis to provide a clinical evidence for DTDs in Korea.

Methods: This study was conducted using the Korean database from January 1, 2000 to December 31, 2022. The keywords were ¡°stroke¡±, ¡°digital therapeutic devices¡±, and ¡°rehabilitation¡±, and the range of DTDs was ¡°Computer-Based Cognitive Rehabilitation (CBCR)¡±, ¡°Virtual and Augmented Reality (VR/AR)¡±, and ¡°Mobile Applications (App)¡± most frequently used in Korea. The study design collected randomized controlled trials (RCTs) and non-randomized studies on intervention (NRSI).

Results: A total of 613 studies were collected through each database, and 25 studies RCTs (15 studies), NRSI (10 studies) were finally selected according to the criteria. Among them, CBCR (13 studies), VR/AR (11 studies), and App (1 study) were found, and the effect size (ES) was CBCR (ES=0.727, p=0.000), VR/AR (ES=0.564, p=0.000), both DTDs had a medium ES and were statistically significant.

Conclusion: This study provided clinical evidence that CBCR and VR/AR are effective as DTDs for cognitive training of stroke patients in Korea. Therefore, it is necessary to increase the level of awareness and accessibility of occupational therapists to DTDs. In addition, it is expected that the development and research of low-cost DTDs will increase so that they can be applied to stroke patients in various environments.
KEYWORD
Stroke, Digital Therapeutics, Digital Therapeutic Device, Meta analysis, Occupational therapy
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