Impact of physical telerehabilitation on functional outcomes in seniors with mobility limitations

Finkelstein, Joseph; Wood, Jeffrey; Cha, Eunme

doi:10.1109/embc.2012.6347319

Cited by 37 publications

(14 citation statements)

References 13 publications

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“…Our previous studies demonstrated significant potential of telemedicine approaches in supporting home-based exercise in PwMS however they were focused mostly on balance and gait correction and didn't include patients with significant mobility impairments [24][25]. In this study, we introduced a telerehabilitation system supporting comprehensive tailored exercise program that includes flexibility, strengthening and aerobic component.…”

Section: Discussionmentioning

confidence: 95%

Introducing Telerehabilitation in Patients with Multiple Sclerosis with Significant Mobility Disability: Pilot Feasibility Study

Jeong

Finkelstein

2015

2015 International Conference on Healthcare Informatics

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Recent studies demonstrated that exercise interventions in significantly disabled patients with multiple sclerosis (PwMS) resulted in endurance and strength improvement and reduction of fatigue and spasticity. However engagement in long-term exercise training is limited in these patients due to multiple barriers including mobility, access to an exercise facility, and cost. It is unclear if PwMS with significant mobility disability are willing and able to engage in home-based telerehabilitation. The goal of this study was to assess level of acceptance and ability of these patients to carry out exercises using the telerehabilitation system without supervision. Ten PwMS with significant mobility disability were instructed how to use the telerehabilitation system and were then asked to use it independently according to predefined set of tasks. Feasibility was assessed by ability of study participants to successfully follow exercise tasks provided by a touch screen tablet. Telerehabilitation acceptance was measured by an attitudinal survey. Participant characteristics were: age=53±11, PDDS=5.3±2.4, years with MS=16±9. Average time required to train the patients to use the telerehabilitation system at home for flexibility and resistance exercises was 11±3 minutes and for active arm/leg biking: 3±1 minutes. All patients were able to successfully complete flexibility and resistance exercises and navigate the interface for arm biking exercise. Heart rate readings were affected by noise in some subjects. Active leg cycling was completed by 50% of patients; another half was unable to use it due to severe lower limb mobility impairment. Passive leg cycling supported by a splinting device was successfully operated by 100%. Overall, high acceptance and usability of the system in PwMS with severe mobility disability was demonstrated. This approach has a potential in supporting a comprehensive exercise delivery model in PwMS with significant mobility disability which will support individualized prescription of tailored endurance, strength, and therapeutic physiotherapy exercises.

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Section: Discussionmentioning

confidence: 95%

Introducing Telerehabilitation in Patients with Multiple Sclerosis with Significant Mobility Disability: Pilot Feasibility Study

Jeong

Finkelstein

2015

2015 International Conference on Healthcare Informatics

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“…The success of rehabilitation using VR has been demonstrated 10 , 11 , 12 , 13 , 14 , 15 ) . The accomplishments of a VR-based telerehabilitation system have also been reported 16 , 17 , 18 ) . Nevertheless previous studies of telerehabilitation systems have focused on individual movements, such as finger motion, upper limb motion, walking, and balancing, and no device yet produced can train upper and lower limbs and balancing comprehensively.…”

Section: Introductionmentioning

confidence: 85%

Development and evaluation of a new telerehabilitation system based on VR technology using multisensory feedback for patients with stroke

et al. 2015

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[Purpose] The purpose of this study was to develop a new telerehabilitation system based on VR technology for training of paralyzed upper and lower extremities and poor balance in patients with stroke. Moreover, the effectiveness of the system was verified by analysis of the recovery of these patients. [Subjects] Five healthy persons and five people with motor paralysis, caused by cerebrovascular disease, participated. [Methods] The features of our system are as follows: (1) Our system can train upper and lower limbs and balancing with 3D images. (2) A Kinect® is used for user posture detection. (3) A vibrator is used for feedback to a sensory receptor in order to promote the learning effect of motion. Upper limb and balance training were conducted in this study. [Results] The time necessary for the upper limb and balance training tasks was shortened for the participants with disabilities. The joint angle for the participants with disabilities tended to equate to that of the healthy participants over time. Moreover, our system had no side effects. [Conclusion] These points suggest that our system is effective and safe. The user interface and assessment of the conditions of patients from a distance should be studied in the future.

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“… 3 – 5 More recently, a few randomized studies demonstrated that motor rehabilitation treatments delivered via TR achieved similar results as standard rehabilitation care in poststroke patients. 6 – 8 Meanwhile, high levels of satisfaction with all aspects of TR of brain injuries have been reported. 9 , 10 …”

Section: Introductionmentioning

confidence: 99%

Feasibility and efficacy of cognitive telerehabilitation in early Alzheimer’s disease: a pilot study

Jelcic¹,

Agostini²,

Meneghello³

et al. 2014

CIA

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BackgroundThis pilot study compared the effects of lexical-semantic stimulation through telecommunication technology (LSS-tele) with in-person LSS (LSS-direct) and unstructured cognitive treatment (UCS) in patients with early Alzheimer’s disease.MethodsTwenty-seven patients with Alzheimer’s disease in the very early stage (Mini-Mental State Examination [MMSE] >26/30) were divided into three groups: seven patients received LSS-tele treatment, ten received standard LSS-direct intervention, and ten participants underwent UCS as control condition. Intervention treatments consisted of two weekly sessions of LSS (through teleconference or face to face depending on group assignment) or UCS exercises administered to small groups throughout a 3-month period. The main outcome measures were changes of global cognitive performance, language abilities, and memory function. Secondary outcome measures were changes in attention, working memory, executive functions, and visual-spatial abilities tests.ResultsThe mean MMSE score improved significantly in LSS-tele and LSS-direct treatments; LSS-tele improved language abilities, both phonemic and semantic, and stabilized delayed verbal episodic memory with respect to an improved performance after the LSS-direct intervention and to a memory decline observed in the control group. Improvement was not achieved in any neuropsychological test score after UCS.ConclusionClinical application of telecommunication technology to cognitive rehabilitation of elderly patients with neurodegenerative cognitive impairment is feasible and may improve global cognitive performance. Technical aspects to ameliorate efficacy of delivery may further improve its impact on domain-specific cognitive abilities.

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Impact of physical telerehabilitation on functional outcomes in seniors with mobility limitations

Cited by 37 publications

References 13 publications

Introducing Telerehabilitation in Patients with Multiple Sclerosis with Significant Mobility Disability: Pilot Feasibility Study

Introducing Telerehabilitation in Patients with Multiple Sclerosis with Significant Mobility Disability: Pilot Feasibility Study

Development and evaluation of a new telerehabilitation system based on VR technology using multisensory feedback for patients with stroke

Feasibility and efficacy of cognitive telerehabilitation in early Alzheimer’s disease: a pilot study

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Impact of physical telerehabilitation on functional outcomes in seniors with mobility limitations

Cited by 37 publications

References 13 publications

Introducing Telerehabilitation in Patients with Multiple Sclerosis with Significant Mobility Disability: Pilot Feasibility Study

Introducing Telerehabilitation in Patients with Multiple Sclerosis with Significant Mobility Disability: Pilot Feasibility Study

Development and evaluation of a new telerehabilitation system based on VR technology using multisensory feedback for patients with stroke

Feasibility and efficacy of cognitive telerehabilitation in early Alzheimer&rsquo;s disease: a&nbsp;pilot study

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Feasibility and efficacy of cognitive telerehabilitation in early Alzheimer’s disease: a pilot study