Telerehabilitation: An Overview

Ganapathy, Krishnan

doi:10.30953/tmt.v6.285

Cited by 8 publications

(3 citation statements)

References 69 publications

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“…Telerehabilitation should be considered as an additional tool that has come to stay and should be implemented as routine therapy [ 35 ]. Since muscular dystrophy is a progressive disease, other types of interventions that manage the maintenance of motor functions instead of their improvement should be considered for future long-term studies.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of a 5-Week Virtual Reality Telerehabilitation Program for Children With Duchenne and Becker Muscular Dystrophy: Prospective Quasi-Experimental Study

Baeza-Barragán,

Labajos Manzanares,

Amaya-Álvarez

et al. 2023

JMIR Serious Games

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Background Duchenne muscular dystrophy (DMD) and Becker muscular dystrophy (BMD) are neuromuscular diseases. DMD is the most prevalent in children. It affects dystrophin production, reducing the patient’s mobility and quality of life. New technologies have become a part of physical therapy in DMD and BMD. During the COVID-19 pandemic, conducting telerehabilitation through virtual reality–based games could help these children maintain their physical abilities. Objective This study examined if the use of a virtual platform in a multimodal intervention program changes the results of the 6-minute walk test (6MWT) in children with DMD and BMD. The main objective was to test whether children with DMD and BMD obtain different results on the 6MWT after completing 10 telerehabilitation treatment sessions. The secondary objective was to measure whether other specific motor scales also produce different results after the 10 defined sessions. Methods This was a descriptive, open, and quasi-experimental study with a prospective A-B (control-intervention) design. A sample of 12 participants who fulfilled the inclusion criteria followed the program for 5 weeks with 10 telerehabilitation sessions. During the sessions, the participants used virtual reality glasses to train for the treatment goals. All participants were assessed in person before and after the intervention. Analysis was performed using R software according to the different functional assessments performed for each test. Results The participants showed a 19.55-meter increase in the 6MWT. Motor function also remained stable according to other scales used to assess it. The North Start Ambulatory Assessment scores were stable in both treatment conditions (P=.20). Furthermore, the timed up and go test results were 0.1 seconds faster in the telerehabilitation condition, and the Motor Function Measure in all of the 3 dimensions showed no significant differences (P=.08). Finally, the Effort Perception Infant scale showed that during the training, fatigue increased in the middle and decreased by the end of the sessions, but the perception throughout the sessions was lower even as the exercise intensity increased. Conclusions There were no differences between conventional and telerehabilitation treatments, so the telerehabilitation tool could be used without harming children with DMD and BMD, facilitating their access to therapies and stimulating learning to maintain their functional capacity. Therefore, telerehabilitation in general may be helpful in maintaining motor function in children with DMD and BMD. The learning effect helped reduce the feeling of fatigue in the children during the program.

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Section: Discussionmentioning

confidence: 99%

Effectiveness of a 5-Week Virtual Reality Telerehabilitation Program for Children With Duchenne and Becker Muscular Dystrophy: Prospective Quasi-Experimental Study

Baeza-Barragán,

Labajos Manzanares,

Amaya-Álvarez

et al. 2023

JMIR Serious Games

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“…The major purpose of ICTs is to provide a platform for patients to receive rehabilitation services as if in clinical settings. The platform should be safe, user friendly and feasible to apply stroke interventions to all users with high tolerance for error ( 18 ). When possible, the platform should be easily modified to deliver personalized service.…”

Section: Information and Communication Technologies In Telerehabilita...mentioning

confidence: 99%

ICTs and interventions in telerehabilitation and their effects on stroke recovery

et al. 2023

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Telerehabilitation (TR) is a new model to provide rehabilitation services to stroke survivors. It is a promising approach to deliver mainstream interventions for movement, cognitive, speech and language, and other disorders. TR has two major components: information and communication technologies (ICTs) and stroke interventions. ICTs provide a platform on which interventions are delivered and subsequently result in stroke recovery. In this mini-review, we went over features of ICTs that facilitate TR, as well as stroke interventions that can be delivered via TR platforms. Then, we reviewed the effects of TR on various stroke disorders. In most studies, TR is a feasible and effective solution in delivering interventions to patients. It is not inferior to usual care and in-clinic therapy with matching dose and intensity. With new technologies, TR may result in better outcomes than usual care for some disorders. One the other hand, TR also have many limitations that could lead to worse outcomes than traditional rehabilitation. In the end, we discussed major concerns and possible solutions related to TR, and also discussed potential directions for TR development.

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“…In accordance with the WHO (World Health Organization) [ 1 ], telemedicine is the administration of care services using technologies, to generate a beneficial effect on the health of the citizens [ 2 ]. Technologies, used daily by many people worldwide (such as computers, tablets, or smartphones), are becoming an important component in the field of digital health [ 3 ] in different disciplines and with different ages [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Telerehabilitation Pathways in Specific Learning Disorders: Improving Reading and Writing

et al. 2023

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Telerehabilitation has proved to be a useful tool for neurodevelopmental disorders in allowing timely and intensive intervention and preventing relapses; it is also widely used for specific learning disabilities (SLD), showing significant effects on reading abilities, but variables linked to its effectiveness have not been studied yet. The present study was aimed at testing the effectiveness of telerehabilitation on reading and writing in SLD children, comparing different treatment pathways, and considering the impact of training intensity and executive functions. Seventy-three children were enrolled (telerehabilitation group: 48 children, waiting list group: 25 children). The results showed significant improvements in reading fluency, text dictation, and executive functions in the training group. Children attending a combined training including reading tasks and rapid automatized naming processes improved in word reading fluency and text dictation. The number of training sessions and the change in executive functions significantly correlated with changes in reading accuracy. Here we show a new contribution to telerehabilitation research in SLD: telerehabilitation significantly enhanced learning abilities and executive functions. Training based on the learning task and the underlying processes significantly increased not only reading speed, according to previous studies, but also writing accuracy. The findings’ implications in clinical research and practice are discussed.

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Telerehabilitation: An Overview

Cited by 8 publications

References 69 publications

Effectiveness of a 5-Week Virtual Reality Telerehabilitation Program for Children With Duchenne and Becker Muscular Dystrophy: Prospective Quasi-Experimental Study

Effectiveness of a 5-Week Virtual Reality Telerehabilitation Program for Children With Duchenne and Becker Muscular Dystrophy: Prospective Quasi-Experimental Study

ICTs and interventions in telerehabilitation and their effects on stroke recovery

Telerehabilitation Pathways in Specific Learning Disorders: Improving Reading and Writing

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