Projects of distant rehabilitation in neurology. The website of in-home rehabilitation in the territory of Krasnoyarsk Region

Abroskina, M V; Subocheva, S A; Koryagina, T. D.; Ilminskaya, Alexandra A.; Myagkova, Elena G.; Buslov, Igor; Ondar, V. S.; Прокопенко, С. В.; Ivanilova, T. N.

doi:10.17116/jnevro201911908184

Cited by 4 publications

(1 citation statement)

References 16 publications

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“…In the last decade, great changes have been taking place in the system of organization of medical rehabilitation (MR) in Russia: a new specialty «doctor of physical and rehabilitation medicine» has appeared, a clear three-stage system of routing of rehabilitation patients has been established, and the corresponding regulatory and legal framework has been developed [1,2]. However, one of the problems is the loss of the results achieved at different stages of MR due to the patients' discontinuation of home-based activities after discharge from the treatment facility [3]. This problem is associated with a significant burden on the rehabilitation care system due to the large number of people in need of MR in Russia (more than 6 million people) and staff shortages [1,2].…”

Section: Introductionmentioning

confidence: 99%

Efficacy and Safety of Remote Physical Rehabilitation in Patients with Hip or Knee Replacement: a Prospective Randomized Comparative Study

Sheiko,

Karyakin,

Belova

et al. 2023

Bulletin of Rehabilitation Medicine

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INTRODUCTION. An urgent problem of medical rehabilitation is the loss of results that were achieved at various stages due to the interruption of the recovery process and the absence of patients' classes at home after discharge from a medical institution. In this regard, at the third stage of medical rehabilitation, the remote (telemedicine) form of rehabilitation assistance is of particular importance, which has broad prospects for development due to the emergence of new information technologies that allow for active communication between a medical professional and a patient. Nevertheless, the issues of the effectiveness and safety of remote physical rehabilitation remain insufficiently studied, and therefore it is necessary to conduct randomized comparative trials with the analysis of long-term results. AIM. Evaluation of the effectiveness and safety of the remote physical rehabilitation (RPR) model for a group of patients who have undergone hip (HR) or knee (KR) replacement, the study of patient adherence, as well as the selection of the most informative evaluation tools. MATERIALS AND METHODS. The study included 30 patients aged 30 to 75 years who underwent HR or KR. The study participants were distributed by the envelope method into groups for remote rehabilitation in addition to routine clinical practice of providing medical rehabilitation (RPR group) or conducting only routine medical rehabilitation (comparison group), including daily independent physical exercises at home, mastered during inpatient medical rehabilitation, lifestyle modification, taking nonsteroidal anti-inflammatory drugs with the development of pain syndrome. An assessment of the effectiveness and safety of rehabilitation measures was carried out, including an analysis of physical examination data, vital signs, as well as data from various scales, tests and questionnaires (the 10-point visual-analog scale (VAS), the Timed 25-Foot Walk (T25-FW), the "Timed Up and Go Test", the Berg Balance Scale (BBS), the Western Ontario and McMaster University Osteoarthritis Index (WOMAC)). RESULTS AND DISCUSSION. 14 patients were randomized to the remote physical rehabilitation group (49.6 ± 12.4 years) and 16 to the comparison group (57.8 ± 11.2 years). Participation in the study was completed by 10 patients from the RPR group and all 16 patients in the comparison group. Comparing the results of rehabilitation between the groups 1 month after the inclusion of participants in the study revealed a more pronounced statistically significant improvement in the functional profile of the patient on the T25-FW (p 0.0001), the "Timed Up and Go Test" (p = 0.0064), the Berg Balance Scale (p = 0.0008) and WOMAC (p 0.0001) in group of RPR. The "Timed Up and Go Test", the visual analog scale and the WOMAC were selected based on the results obtained for further practical work. The most significant predictors of premature termination of RPR were older age (χ2 16.75, p 0.0001), pensioner status (χ2 11.75, p = 0.0006) and residence in the region (χ2 11.75, p = 0.0006). The analysis of adverse events showed that 4 patients in the RPR group and 6 in the comparison group had a periodic increase in pain syndrome in the operated limb. CONCLUSION. The results obtained demonstrate that of patients who have undergone hip or knee replacement is safe and effective in restoring functional mobility, reducing the risk of falls and the severity of pain syndrome, and increases adherence to physical exercises. The main limitations in the practical use of remote physical rehabilitation are related to the availability of high-speed Internet and the skills of using Internet portals.

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Section: Introductionmentioning

confidence: 99%

Efficacy and Safety of Remote Physical Rehabilitation in Patients with Hip or Knee Replacement: a Prospective Randomized Comparative Study

Sheiko,

Karyakin,

Belova

et al. 2023

Bulletin of Rehabilitation Medicine

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Modern information technology in cardiac rehabilitation. Applications for mobile devices (review)

Argunova,

Lyapina,

Zvereva

et al. 2024

Fundamentalʹnaâ i kliničeskaâ medicina

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Using information technologies at all stages of patient care is necessary at the current state of medical development. It is particularly important to implement innovative information technologies in the management of patients with cardiovascular diseases in the outpatient setting, in secondary prevention and rehabilitation that continues throughout life. Various wearable devices for hemodynamic monitoring, electrocardiographic and physical activity assessment, that help the patient`s condition during rehabilitation, have been widely used in clinical practice all over the world. However, considering the outpatient setting, a cardiologist or rehabilitologist should to be able to monitor the data obtained using a single source, and to communicate with the patient in order to adjust treatment. Applications for mobile devices providing feedback can be a convenient tool in this regard. To date, many applications have been developed for smartphones, including those that synchronize with wearable devices, to record patient parameters, including the level of physical activity. Most of them are limited by self-control. Both in Russia and in other countries, a number of problems and limitations associated with the use of these technologies are related to the patient, the imperfection of the health care system, and problems with the devices themselves. The present article is devoted to an overview of existing remote rehabilitation technologies focusing on the applications for mobile devices. The authors present a short summary on domestic and international development in information technologies, identify the problems and future development of this area in health care.

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Organization of Remote Rehabilitation in the Russian Federation: a Literature Review

Sheiko,

Belova,

Karyakin

et al. 2023

Bulletin of Rehabilitation Medicine

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INTRODUCTION. The interruption of the recovery process and the absence of patients’ activities at home after discharge from a medical institution leads to the loss of results achieved at various stages of medical rehabilitation. In this regard, the remote (telemedicine) form of rehabilitation assistance is of particular importance. AIM. To present up-to-date data on the legal and regulatory framework for telemedicine in the Russian Federation, as well as an overview of domestic Internet platforms in the field of remote medical rehabilitation. MATERIALS AND METHODS. The search for normative legal acts was carried out on the “The official Internet portal of Legal Information” (www.pravo.gov.ru). The literature review was performed using the databases eLibrary, Cyberleninka, PubMed, Scopus, Web of Science (Core Collection) and Google Scholar by July 31, 2023 for the following keywords: telemedicine, remote physical rehabilitation, medical rehabilitation, functional recovery. RESULTS. The article elaborates on the legal and regulatory framework of telemedicine in the Russian Federation, provides a list of domestic Internet portals that are now being employed to provide remote medical care. CONCLUSION. The remote form of arranging rehabilitation is supported by the regulatory and legal framework and has promising outlooks for development due to the advent of new information technologies that allow for active communication between a medical worker and a patient. Nevertheless, the issues of effectiveness and safety of remote physical rehabilitation remain insufficiently studied, therefore, it is necessary to conduct randomized comparative studies analyzing long-term results.

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Projects of distant rehabilitation in neurology. The website of in-home rehabilitation in the territory of Krasnoyarsk Region

Cited by 4 publications

References 16 publications

Efficacy and Safety of Remote Physical Rehabilitation in Patients with Hip or Knee Replacement: a Prospective Randomized Comparative Study

Efficacy and Safety of Remote Physical Rehabilitation in Patients with Hip or Knee Replacement: a Prospective Randomized Comparative Study

Modern information technology in cardiac rehabilitation. Applications for mobile devices (review)

Organization of Remote Rehabilitation in the Russian Federation: a Literature Review

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