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

Soopramanien, Anbananden; Jamwal, Shiva; Thomas, Peter

doi:10.5195/ijt.2020.6312

Cited by 10 publications

(3 citation statements)

References 19 publications

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“…Telerehabilitation has a number of potential advantages over in-person rehabilitation. It can improve access to rehabilitation for those who live remote to healthcare services, and reduce monetary, time and environmental costs associated with travel to rehabilitation services (Smith et al, 2020;Soopramanien et al, 2020). Telerehabilitation can support the standardisation of delivery of care and information provision, promote selfmanagement and contextualisation of rehabilitation to the person's home and community environment, and help engage whänau 1 in the rehabilitation process (Chen et al, 2019;Matamala-Gomez et al, 2020).…”

mentioning

confidence: 99%

Implementation of telerehabilitation in response to COVID-19: Lessons learnt from neurorehabilitation clinical practice and education

Signal

Martin²,

Leys

et al. 2023

NZJP

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The health response to the COVID-19 pandemic has had significant impacts on neurorehabilitation provision both internationally and in New Zealand. Telerehabilitation, the delivery of rehabilitation at a distance using information and communication technologies, was advocated as a means of addressing the rehabilitation needs of our patients while maintaining physical distancing and reducing the risk of viral transmission. Despite research evidence indicating that telerehabilitation is as effective as in-person rehabilitation for people with neurological conditions, there were significant challenges in delivering and sustaining telerehabilitation practice. We draw upon our experiences in delivering telerehabilitation in neurorehabilitation clinical practice and education to reflect on the process of practice change and to consider how these experiences can inform practice development in the future. We propose that rehabilitation organisations and physiotherapists continue to develop capability to provide telerehabilitation; that physiotherapists and the physiotherapy profession focus on translating their communicative, relational and clinical skills to the digital space to ensure they are competent in telerehabilitation; and that, as a profession, we focus on what constitutes "best practice" in telerehabilitation, and how in-person and telerehabilitation can be integrated to provide engaging, evidence-based and person-centred rehabilitation.

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confidence: 99%

Implementation of telerehabilitation in response to COVID-19: Lessons learnt from neurorehabilitation clinical practice and education

Signal

Martin²,

Leys

et al. 2023

NZJP

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“…Various telerehabilitation programs have been used in patients with orthopedic, neurological, respiratory, and cardiovascular diseases, and have been shown to be effective [12][13][14][15]. Telerehabilitation is considered to have potential benefits for patients, such as better accessibility, reduced time burden, and cost effectiveness [16][17][18]. It has also been shown that it may be as effective as on-site rehabilitation [6][7][8].…”

Section: Principal Findingsmentioning

confidence: 99%

An Affordable, User-friendly Telerehabilitation System Assembled Using Existing Technologies for Individuals Isolated With COVID-19: Development and Feasibility Study

Mukaino¹,

Tatemoto²,

Kumazawa³

et al. 2020

JMIR Rehabil Assist Technol

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Background Isolation due to a COVID-19 infection can limit activities and cause physical and mental decline, especially in older adults and people with disabilities. However, due to limited contact, adequate rehabilitation is difficult to provide for quarantined patients. Telerehabilitation technology could be a solution; however, issues specific to COVID-19 should be taken into consideration, such as strict quarantine and respiratory symptoms, as well as accessibility to deal with rapid increases in need due to the pandemic. Objective This study aims to develop and to investigate the feasibility of a telerehabilitation system for patients who are quarantined due to COVID-19 by combining existing commercial devices and computer applications. Methods A multidisciplinary team has identified the requirements for a telerehabilitation system for COVID-19 and developed the system to satisfy those requirements. In the subsequent feasibility study, patients diagnosed with COVID-19 (N=10; mean age 60 years, SD 18 years) were included. A single session of telerehabilitation consisted of stretching exercises, a 15-minute exercise program, and a video exercise program conducted under real-time guidance by a physical therapist through a video call. The system included a tablet computer, a pulse oximeter, videoconferencing software, and remote control software. The feasibility of the system was evaluated using the Telemedicine Satisfaction Questionnaire (TSQ; 14 items) and an additional questionnaire on the telerehabilitation system (5 items). Each item was rated from “1 = strongly disagree” to “5 = strongly agree.” Results The telerehabilitation system was developed by combining existing devices and applications, including a pulse oximeter and remote control mechanism, to achieve user-friendliness, affordability, and safety, which were determined as the system requirements. In the feasibility study, 9 out of 10 patients were able to use the telerehabilitation system without any on-site help. On the TSQ, the mean score for each item was 4.7 (SD 0.7), and in the additional items regarding telerehabilitation, the mean score for each item was 4.3 (SD 1.0). Conclusions These findings support the feasibility of this simple telerehabilitation system in quarantined patients with COVID-19, encouraging further investigation on the merit of the system’s use in clinical practice.

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“…Telerehabilitation is gaining attention as a new means to address such problems, improving access for patients living in remote areas and reducing the financial and time costs associated with outpatient rehabilitation [8]. However, in a telerehabilitation environment, the therapist and patient are normally far away from each other, making it difficult for the therapist to palpate and understand the condition of the patient's hand [9].…”

Section: Introductionmentioning

confidence: 99%

Finger Joint Stiffness Estimation with Joint Modular Soft Actuators for Hand Telerehabilitation

Matsunaga,

Kokubu,

Tortos Vinocour

et al. 2023

Robotics

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In a telerehabilitation environment, it is difficult for a therapist to understand the condition of a patient’s finger joints because of the lack of direct assessment. In particular, not enabling the provision of spasticity evaluation significantly reduces the optimal performance of telerehabilitation. In a previous study, it has been proposed that finger stiffness could be estimated using an analytical model of a whole-finger soft actuator. However, because the whole-finger soft actuators require high air pressure for high bending performance and are costly to customize for each patient, using joint modular soft actuators for telerehabilitation turns to be a necessity, though stiffness estimation with joint modular soft actuators has not been studied yet. Another problem is caused by using a marker-based joint angle measurement, which requires the markers to be attached to the exact positions, and limits its application in telerehabilitation. In this study, we proposed a procedure of finger joint stiffness estimation that combines information acquired from a joint modular soft actuator and a marker-less hand joint position acquisition device. Correction parameters were added to the previous analytical model for -the bending analysis of a joint assisted using a joint modular soft actuator. Moreover, a multi-variate regression model was implemented for correcting joint angles obtained from the hand joint position acquisition device. As a result, a reasonable accuracy of stiffness estimation was achieved for rehabilitation with the joint modular soft actuators, which suggests the possibility of using the proposed method to evaluate the finger spasticity in a telerehabilitation environment. This is a big step forward towards optimal hand telerehabilitation.

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

Cited by 10 publications

References 19 publications

Implementation of telerehabilitation in response to COVID-19: Lessons learnt from neurorehabilitation clinical practice and education

Implementation of telerehabilitation in response to COVID-19: Lessons learnt from neurorehabilitation clinical practice and education

An Affordable, User-friendly Telerehabilitation System Assembled Using Existing Technologies for Individuals Isolated With COVID-19: Development and Feasibility Study

Finger Joint Stiffness Estimation with Joint Modular Soft Actuators for Hand Telerehabilitation

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