Telerehabilitation in Acquired Brain Injury

Subbarao, Bruno S.; Stokke, Jesse; Martin, S. J.

doi:10.1016/j.pmr.2021.01.001

Cited by 16 publications

(17 citation statements)

References 65 publications

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“…Another growing issue concerns the use of telemedicine and ehealth in the rehabilitation field [ 63 , 64 ], although, in our review, we found only a few articles dealing with TR in the TBI population. Despite the poor available data, it is suggested that TR could be of help by overcoming the displacement of therapists or patients and reduction of patient hospitalisation times and costs for both patients and healthcare providers [ 65 ].…”

Section: Discussionmentioning

confidence: 99%

Innovative Technologies in the Neurorehabilitation of Traumatic Brain Injury: A Systematic Review

Bonanno

Luca

Nunzio³

et al. 2022

Brain Sciences

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Motor and cognitive rehabilitation in individuals with traumatic brain injury (TBI) is a growing field of clinical and research interest. In fact, novel rehabilitative approaches allow a very early verticalization and gait training through robotic devices and other innovative tools boosting neuroplasticity, thanks to the high-intensity, repetitive and task-oriented training. In the same way, cognitive rehabilitation is also evolving towards advanced interventions using virtual reality (VR), computer-based approaches, telerehabilitation and neuromodulation devices. This review aimed to systematically investigate the existing evidence concerning the role of innovative technologies in the motor and cognitive neurorehabilitation of TBI patients. We searched and reviewed the studies published in the Cochrane Library, PEDro, PubMed and Scopus between January 2012 and September 2022. After an accurate screening, only 29 papers were included in this review. This systematic review has demonstrated the beneficial role of innovative technologies when applied to cognitive rehabilitation in patients with TBI, while evidence of their effect on motor rehabilitation in this patient population is poor and still controversial.

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Section: Discussionmentioning

confidence: 99%

Innovative Technologies in the Neurorehabilitation of Traumatic Brain Injury: A Systematic Review

Bonanno

Luca

Nunzio³

et al. 2022

Brain Sciences

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“… 91 There have also been reports of success with telerehabilitation in amputee care and patients with acquired brain injury. 92 , 93 Recommended practice patterns surrounding virtual physical therapy have also been published. 94 Low-quality evidence have demonstrated that physical therapy and occupational therapy can be used successfully for the following needs: modified evaluations, home exercise programs, group visits, assistive device training, self-care training, home environment assessments, and wheelchair assessments.…”

Section: Telehealth Modalitiesmentioning

confidence: 99%

Virtual Access to Subspecialty Care

Mackwood

Nagpal²,

Yuen³

et al. 2022

Primary Care: Clinics in Office Practice

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“…Telerehabilitation offers the advantage of enabling people to receive therapeutic services at home without having a therapist on site, thus increasing accessibility in rural areas and for those with limited access to transportation due to health conditions or socioeconomic factors. Another major advantage of this approach is that it allows us to observe how people perform their daily activities in their own environment and identify any barriers in the natural context [ 5 , 6 ]. Recently published systematic reviews concluded that telerehabilitation for adults after ABI may have equal or even better outcomes than face-to-face interventions [ 1 , 2 ].…”

Section: Introductionmentioning

confidence: 99%

“…However, other systematic reviews and meta-analyses concluded that the evidence available is inconclusive and insufficient [ 3 , 4 ]. The application of telerehabilitation has intensified with the rapid shift to telemedicine brought on by the COVID-19 pandemic, requiring healthcare professionals to adapt to caring for individuals remotely [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

A Performance-Based Teleintervention for Adults in the Chronic Stage after Acquired Brain Injury: An Exploratory Pilot Randomized Controlled Crossover Study

et al. 2022

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This pilot study aimed to investigate the initial effect of a remotely delivered performance-based client-centered intervention on activity performance and participation among adults in the chronic phase after acquired brain injury (ABI). Sixteen participants living at home with little to no assistance in basic daily activities were allocated into intervention or waitlist control groups. Assessments were conducted at the baseline, after the 3-month intervention/wait period, and at a 3-month follow-up. The primary outcomes were activity performance using the Canadian Occupational Performance Measure (COPM) and the Performance Quality Rating Scale (PQRS) and participation using the Mayo-Portland Adaptability Inventory-4 (MPAI-4). The intervention included weekly videoconferencing sessions using the Cognitive Orientation to Daily Occupational Performance approach (tele-CO-OP). The participants identified five functional goals, of which three were directly addressed. Wilcoxon signed-ranks test results showed no significant improvements in the control group at the end of the 3-month wait period. Pooled data from both groups showed significant improvements in COPM scores for trained and untrained goals following the intervention. Significant improvements were also found in the PQRS and MPAI-4 scores. Improvements were partially maintained at follow-up. Our preliminary results suggest that tele-CO-OP may positively impact the lives of adults after ABI who are coping with long-term disability.

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Telerehabilitation in Acquired Brain Injury

Cited by 16 publications

References 65 publications

Innovative Technologies in the Neurorehabilitation of Traumatic Brain Injury: A Systematic Review

Innovative Technologies in the Neurorehabilitation of Traumatic Brain Injury: A Systematic Review

Virtual Access to Subspecialty Care

A Performance-Based Teleintervention for Adults in the Chronic Stage after Acquired Brain Injury: An Exploratory Pilot Randomized Controlled Crossover Study

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