In-Home Tele-Rehabilitation Improves Tetraplegic Hand Function

Kowalczewski, Jan; Chong, Su Ling; Galea, Mary P.; Procházka, A.

doi:10.1177/1545968310394869

Cited by 100 publications

(137 citation statements)

References 28 publications

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“…The 275 results of this study also corroborate with our previous work investigating web-based 276 physio and supports further development of this work (15).…”

supporting

confidence: 84%

“…A 270 reduction in log-in rates over time was not observed in the present study unlike 271 previous studies (15,22), this may be due to the relatively short intervention period. 272…”

contrasting

confidence: 70%

“…The present study adds to the current evidence that supports the use of 274 telerehabilitation for people with SCI and other neurological conditions (15)(16)(17). The 275 results of this study also corroborate with our previous work investigating web-based 276 physio and supports further development of this work (15).…”

supporting

confidence: 54%

“…This study found significant improvements in hand function and high participant 63 satisfaction (15). More recently, a 12 week exercise programme using face-to-face 64 physiotherapy and a handout, followed by video-conferencing sessions was 65 investigated in 16 people with SCI complaining of sub-acromial impingement (16).…”

mentioning

confidence: 83%

“…The website, www.webbasedphysio.com, was used to deliver individualised exercise 100 programmes (15 instructed participants to propel their wheelchair or walk as far as possible within six 133 minutes over a 20m straight corridor, and advised that they could slow down or stop 134 at any point during the test. The distance travelled during 6 minutes was recorded.…”

Section: Intervention 99mentioning

confidence: 99%

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The effectiveness and satisfaction of web-based physiotherapy in people with spinal cord injury: a pilot randomised controlled trial

et al. 2016

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(2016) The effectiveness and satisfaction of web-based physiotherapy in people with spinal cord injury: a pilot randomised controlled trial. Spinal Cord, (doi:10.1038/sc.2016 This is the author's final accepted version.There may be differences between this version and the published version. Support: This study was funded by the Queen Elizabeth National Spinal Injuries Unit, Glasgow. Conflict of interests:The authors declare no conflicts of interest.

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“…The 275 results of this study also corroborate with our previous work investigating web-based 276 physio and supports further development of this work (15).…”

supporting

confidence: 84%

“…A 270 reduction in log-in rates over time was not observed in the present study unlike 271 previous studies (15,22), this may be due to the relatively short intervention period. 272…”

contrasting

confidence: 70%

supporting

confidence: 54%

mentioning

confidence: 83%

Section: Intervention 99mentioning

confidence: 99%

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The effectiveness and satisfaction of web-based physiotherapy in people with spinal cord injury: a pilot randomised controlled trial

et al. 2016

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Motor Neuroprostheses

Procházka¹

2018

Comprehensive Physiology

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Neuroprostheses (NPs) are electrical stimulators that activate nerves, either to provide sensory input to the central nervous system (sensory NPs), or to activate muscles (motor NPs: MNPs). The first MNPs were belts with inbuilt batteries and electrodes developed in the 1850s to exercise the abdominal muscles. They became enormously popular among the general public, but as a result of exaggerated therapeutic claims they were soon discredited by the medical community. In the 1950s, MNPs reemerged for the serious purpose of activating paralyzed muscles. Neuromuscular electrical stimulation (NMES), when applied in a preset sequence, is called therapeutic electrical stimulation (TES). NMES timed so that it enhances muscle contraction in intended voluntary movements is called functional electrical stimulation (FES) or functional neuromuscular stimulation (FNS). It has been 50 years since the first FES device, a foot‐drop stimulator, was described and 40 years since the first implantable version was tested in humans. A commercial foot‐drop stimulator became available in the 1970s, but for various reasons, it failed to achieve widespread use. With advances in technology, such devices are now more convenient and reliable. Enhancing upper limb function is a more difficult task, but grasp‐release stimulators have been shown to provide significant benefits. This chapter deals with the technical aspects of NMES, the therapeutic and functional benefits of TES and FES, delayed‐onset and carryover effects attributable to “neuromodulation” and the barriers and opportunities in this rapidly developing field. © 2019 American Physiological Society. Compr Physiol 9:127‐148, 2019.

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Effect of the COVID‐19 pandemic on individuals with spinal cord injury: Mental health and use of telehealth

Mesa

Grasdal

Leong³

et al. 2022

PM&R

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Introduction Limited access to health care services and the self‐isolation measures due to the coronavirus disease 2019 (COVID‐19) pandemic may have had additional unintended negative effects, affecting the health of individuals with spinal cord injury (SCI). Objectives To examine the perceived influence of the COVID‐19 pandemic on individuals with SCI. First, this study looked to understand how the pandemic affected the use and perception of telehealth services for these individuals. Second, it investigated the effect of COVID‐19 on mental health. Design Cross‐sectional online survey. Setting Individuals with SCI living in the community in British Columbia, Canada. Patients This survey was offered to individuals with SCI and had 71 respondents, with 34% living in a rural setting and 66% in an urban setting. Interventions Not applicable. Main Outcome Measures Telehealth utility, Patient Health Questionnaire‐9 (PHQ‐9), Generalized Anxiety Disorder 7 (GAD‐7), Fear of COVID‐19 scale (FCV‐19S), and Perceived Vulnerability to Disease (PVD). Results Telehealth use in the SCI population has increased from 9.9% to 25.4% over the pandemic, with rates of telehealth use in urban centers nearing those of rural participants. Thirty‐one percent of respondents had probable depression and 7.0% had probable generalized anxiety disorder as measured by a score of ≥10 on the PHQ‐9 and GAD‐7, respectively. The mean scores on FCV‐19S and PVD were 17.0 (6.6 SD) and 4.29 (1.02 SD), respectively. Conclusion Telehealth use during COVID‐19 has more than doubled. It is generally well regarded by respondents, although only a fourth of the SCI population has reported its use. With this in mind, it is important to understand the barriers to further adoption. In addition, higher rates of probable depression were seen than those estimated by pre‐pandemic studies in other countries.

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In-Home Tele-Rehabilitation Improves Tetraplegic Hand Function

Abstract: FES-ET on a workstation, supervised over the Internet, is feasible and may be effective for patients who can meet the residual motor function requirements of our study.

Cited by 100 publications

References 28 publications

The effectiveness and satisfaction of web-based physiotherapy in people with spinal cord injury: a pilot randomised controlled trial

The effectiveness and satisfaction of web-based physiotherapy in people with spinal cord injury: a pilot randomised controlled trial

Motor Neuroprostheses

Effect of the COVID‐19 pandemic on individuals with spinal cord injury: Mental health and use of telehealth

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