A Systematic Review of Telerehabilitation and mHealth Interventions for Spinal Cord Injury

Wellbeloved-Stone, Claire A.; Weppner, Justin; Valdez, Rupa S.

doi:10.1007/s40141-016-0138-1

Cited by 16 publications

(14 citation statements)

References 51 publications

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“…Transitional rehabilitation services should aim to: Understand the specific and unique aspects of the rural home environment to which individuals will return, thereby seeking transition experiences that best approximate that environment (eg, accessing transport similar to that offered rurally) Provide specialised training and teaching to personal care workers, both those engaged prior to and following the transition of the individual back to their home community to reduce the disruption created by changing care workers at the point of transition Identify, engage and link individuals with appropriate local health care services and resources prior to transition, providing specialist education to those local services (eg, using telehealth) and Develop satellite transitional rehabilitation models in rural communities or strengthen telehealth/telerehabilitation models. Telehealth models have traditionally been poorly used in SCI rehabilitation 15‐17 and may help to extend specialist support into rural communities …”

Section: Discussionmentioning

confidence: 99%

Returning to rural communities following transitional rehabilitation after spinal cord injury

Kendall

Harre

Schuurs

et al. 2021

Australian J Rural Health

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Section: Discussionmentioning

confidence: 99%

Returning to rural communities following transitional rehabilitation after spinal cord injury

Kendall

Harre

Schuurs

et al. 2021

Australian J Rural Health

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“…To present evidence-based data, we carried out a literature search that yielded the references previously cited in this Commentary. Other references were equally relevant ( Buckingham et al, 2016 ; Guo & Albright, 2018 ; Hill & Phillips, 2006 ; Hillier & Inglis-Jassiem, 2010 ; Jaglal et al, 2009 ; Laver et al, 2012 ; National SCI Strategy Board-Initial Management of Adults with Spinal Cord Injuries, 2012 ; Thompson, 2013 ; Wellbeloved-Stone et al, 2016 ). Finally, we have relied on our wide exposure to digital health technology since 2003.…”

Section: Methodsmentioning

confidence: 99%

Digital Health Rehabilitation Can Improve Access to Care in Spinal Cord Injury in the UK: A Proposed Solution

2020

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Lack of specialist beds, inadequate finance and shortage of skilled staff make it difficult for Spinal Cord Injury Centres (SCICs) in the United Kingdom (UK) to admit all newly injured individuals. Length of stay of those admitted can be too brief. At discharge, follow-up care is sparse and inadequate. We therefore propose that specialist spinal units redefine their roles and act as catalysts to build capacity by enhancing expertise in the wider community. SCICs can devolve certain tasks locally to less specialised units with their support, training, and guidance. This Commentary further proposes that use of Digital Health Technologies, (i.e., to deploy telemedicine, telehealth, and telerehabilitation), can enhance rehabilitation opportunities. The authors set-forth their vision for a comprehensive web portal that will serve as a primary resource for evidence-based practice, information on guidelines, care pathways, and protocols of SCI management. At any stage during the acute management of SCI and following discharge, rehabilitation specialists could conduct remote consultation with persons with SCI and acute care specialists via the web portal, allowing timely access to specialist input and better clinical outcomes. The proposed portal would also provide information, advice and support to persons with SCI and their family members. The strategic use of digital health technologies has been shown to result in cost and time savings and increase positive outcomes.

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“…To help overcome these barriers, health care providers can offer services through the latest innovative communications technologies, otherwise known as telehealth [9]. Telerehabilitation, using information and communication technology (ICT), refers to providing comprehensive medical services to patients who have difficulty accessing medical facilities or who prefer a home-setting for undergoing rehabilitation [10]. Technological advances such as these enable patients to actively engage in their care, especially when confronted by challenges when accessing appropriate medical services [11].…”

Section: Introductionmentioning

confidence: 99%

ICT-Based Health Care Services for Individuals with Spinal Cord Injuries: A Feasibility Study

Wanho

Lee

Kim

et al. 2020

Sensors

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In the Republic of Korea, 90.5% of those living with spinal cord injury (SCI) are faced with medical complications that require chronic care. Some of the more common ones include urinary tract infections, pressure sores, and pain symptomatology. These and other morbidities have been recognized to deteriorate the individual’s health, eventually restricting their community participation. Telerehabilitation, using information and communication technology, has propelled a modern-day movement in providing comprehensive medical services to patients who have difficulty in mobilizing themselves to medical care facilities. This study aims to verify the effectiveness of health care and management in the SCI population by providing ICT-based health care services. We visited eight individuals living with chronic SCI in the community, and provided ICT-based health management services. After using respiratory and urinary care devices with the provision of home visit occupational therapy, data acquisition was achieved and subsequently entered into a smart device. The entered information was readily accessible to the necessary clinicians and researchers. The clients were notified if there were any concerning results from the acquired data. Subsequently, they were advised to follow up with their providers for any immediate medical care requirements. Digital hand-bike ergometers and specialized seating system cushions are currently in development. The ICT-based health care management service for individuals with SCI resulted in a favorable expected level of outcome. Based on the results of this study, we have proposed and are now in preparation for a randomized clinical trial.

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A Systematic Review of Telerehabilitation and mHealth Interventions for Spinal Cord Injury

Cited by 16 publications

References 51 publications

Returning to rural communities following transitional rehabilitation after spinal cord injury

Returning to rural communities following transitional rehabilitation after spinal cord injury

Digital Health Rehabilitation Can Improve Access to Care in Spinal Cord Injury in the UK: A Proposed Solution

ICT-Based Health Care Services for Individuals with Spinal Cord Injuries: A Feasibility Study

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