Efficacy of digital therapeutics on neuromotor recovery in occupational therapy: A mixed-methods systematic review
TL;DR
Digital therapeutics appear to be promising adjuncts for neuromotor recovery in occupational therapy, and wider adoption will depend on improving affordability, access and workforce preparedness.
Abstract
Digital therapeutics are evidence-based, software-driven interventions that use virtual reality, robotics, wearables and telerehabilitation to support neuromotor recovery. These interventions align with neuroplasticity and task-specific training and may overcome some limitations of conventional rehabilitation. This mixed-methods systematic review examined the efficacy of digital therapeutics in neuromotor recovery, focusing on motor function, activities of daily living, neuroplasticity and user perceptions. The review was registered in PROSPERO. Nine electronic databases were searched, and 14 studies were included following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA 2020) guided selection. Study quality was appraised using Joanna Briggs Institute (JBI) critical appraisal tools, and findings were synthesised using a convergent integrated approach. Digital therapeutics were associated with improvements in motor function, activities of daily living, neuroplasticity and independence. Qualitative findings showed high engagement, while barriers included cost, infrastructure limitations and the need for therapist training. Digital therapeutics appear to be promising adjuncts for neuromotor recovery in occupational therapy. Wider adoption will depend on improving affordability, access and workforce preparedness.