Strengths, Limitations, and Future Perspectives
traumatic
The strengths of the study are linked to the development and implementation of complete and dedicated motor and cognitive TR training using a VR system, whereas most of the previous studies have mainly focused on feasibility/usability. In addition, our VR system was available in the asynchronous modality to enable patients to undergo repetitive and intensive training, even without the direct supervision of the therapist. In addition, the caregivers acted as cotherapists during the rehabilitation session, reducing their burden and efforts and helping improve patient outcomes. Indeed, the growing literature demonstrates the importance of family members in the rehabilitation pathway and the patient’s reintegration [The main limitations of the study are the relatively small sample size that prevents us from generalizing our promising results to the entire SABI population, in addition to the lack of follow-up. Nonetheless, it was difficult to enroll a larger and homogenous SABI sample, also considering the organizational problems related to the COVID-19 pandemic. Another concern may be that we included both vascular and traumatic SABI, which are known to have different recovery patterns and functional outcomes. However, the aim of the study was to investigate the feasibility and potential efficacy of TR in this patient population to pave the way for the continuity of care.The lack of “human touch” and face-to-face interaction, which is a well-known special tool for nonverbal communication with patients [Considering that TR is a growing and potentially efficacious field, it should be analyzed in terms of cost and effectiveness [