Current Topics in Technology-enabled Stroke Rehabilitation and Reintegration: a Scoping Review and Content Analysis.

Abstract

There is a worldwide health crisis stemming from the rising incidence of various debilitating chronic diseases, with stroke as a leading contributor. Chronic stroke management encompasses rehabilitation and reintegration, and can require decades of personalized medicine and care. Information technology (IT) tools have the potential to support individuals managing chronic stroke symptoms. This scoping review identifies prevalent topics and concepts in research literature on IT technology for stroke rehabilitation and reintegration, utilizing content analysis, based on topic modelling techniques from natural language processing to identify gaps in this literature. Our methodological search initially identified over 14,000 publications of the last two decades in the Web of Science and Scopus databases, which we filter, using keywords and a qualitative review, to a core corpus of 1062 documents. We generate a 3-topic, 4-topic and 5-topic model and interpret the resulting topics as four distinct thematics in the literature, which we label as Robotics, Software, Functional and Cognitive. We analyze the prevalence and distinctiveness of each thematic and identify some areas relatively neglected by the field. These are mainly in the Cognitive thematic, especially for systems and devices for sensory loss rehabilitation, tasks of daily living performance and social participation. The results indicate that IT-enabled stroke literature has focused on Functional outcomes and Robotic technologies, with lesser emphasis on Cognitive outcomes and combined interventions. We hope this review broadens awareness, usage and mainstream acceptance of novel technologies in rehabilitation and reintegration among clinicians, carers and patients.