Telerehabilitation Technologies: Accessibility and Usability

Pramuka, Michael; Roosmalen, Linda van

doi:10.5195/ijt.2009.6016

Cited by 67 publications

(37 citation statements)

References 12 publications

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“…Some common examples include email exchange and cell phone-messaging to transmit language-based information such as professional education and therapeutic communication. An example of non-language text-based communication is the transmission of acceleration data from a wheelchair that can be remotely emailed to a clinician evaluating the patient's overall fitness and activity level over time [ 18 ].…”

Section: Reviewmentioning

confidence: 99%

“…One exciting new domain in the telerehab field is virtual reality (VR). VR enables the patient to be presented with a multitude of visual, auditory, tactile/haptic, or even olfactory sensations as a representation of physical experience [ 18 ]. Additionally, there has been the development of haptic systems that include tactile information, referred to as force feedback in applications.…”

Section: Reviewmentioning

confidence: 99%

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Telerehabilitation: Development, Application, and Need for Increased Usage in the COVID-19 Era for Patients with Spinal Pathology

Fiani¹,

Siddiqi²,

Lee³

et al. 2020

Cureus

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The coronavirus disease 2019 (COVID-19) pandemic has triggered governments worldwide to implement severe restrictions on physical therapy protocols in order to better control the spread of the virus. One of the mechanisms of providing physical therapy patient care during this era is via telemedicine. Telerehabilitation or telerehab is a technological visual-audio system that serves patients, including those with a spine injury, ailment, or postoperatively, with neurological deficits. In this scoping review, we discuss the development of telerehab, the technological advances in the field, and the usage of telerehab specifically pertaining to spine patients, and comment on the advancement of telerehab in the time of COVID-19. There is preliminary evidence that suggests that the adoption of telerehab in lieu of face-to-face interventions is beneficial for reducing pain and improving physical function in patients afflicted with chronic nonmalignant musculoskeletal pain from low back pain, lumbar stenosis, neck pain, and osteoarthritis. Availability is important, as the necessary technology should be accessible to all participants. Safety and security should be addressed, as the passage of patient data over the Internet requires secure confidentiality. Ease-of-use is crucial to promote practicality, user-friendly operation, and adherence to therapy. The combination of evidence-based methodologies with cost-effective services will serve as a basis for the further expansion of vital telerehab services and increases reimbursement by health insurance providers.

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Section: Reviewmentioning

confidence: 99%

Section: Reviewmentioning

confidence: 99%

Telerehabilitation: Development, Application, and Need for Increased Usage in the COVID-19 Era for Patients with Spinal Pathology

Fiani¹,

Siddiqi²,

Lee³

et al. 2020

Cureus

View full text Add to dashboard Cite

show abstract

“…Users must understand a technology or software and be able to independently adjust settings and maintain the technology. Therefore, technology abandonment may occur (even in the face of unmet clinical needs), when users decide that a telerehabilitation technology is too difficult to learn or requires high levels of maintenance and operation [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

Awareness, Attitude and Expectations of Physiotherapy Students on Telerehabilitation

et al. 2021

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Background and Objective Explosion in information technology knowledge and utilization among young people, referred to as digital natives, seems less explored in the health sector and training. This study was aimed to assess awareness, attitude and expectations of physiotherapy students on telerehabilitation. Methods This cross-sectional survey employed systematic probability sampling technique to recruit 200 physiotherapy students. A self-developed questionnaire which was tested for its face and content validity was used to obtain data. Data was analysed using descriptive and inferential statistics. Alpha level was set at p < 0.05. Results The mean age of the respondents was 21.2 ± 2.04 years. There was higher prevalence of moderate awareness (43%) and positive attitude towards telerehabilitation (39%). Majority of the respondents (62%) had high expectation towards future telerehabilitation products and services. There was significant association between level of awareness of telerehabilitation and age ( X 2 = 7.119; p = 0.001). Discussion The responding students in this study are by age in the class of digital natives, who should be conversant with technology. This could account for the higher moderate level of awareness of telerehabilitation. However, the higher rates of negative attitude towards telerehabilitation could be attributed to prevailing barriers to its utilization in Nigeria. Nonetheless, a large percentage of the students had high expectations for the future of telerehabilitation. Conclusion Nigerian physiotherapy students have moderate awareness and high expectation for future telerehabilitation applications. However, a larger number of them hold negative attitude towards it use.

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“…These concerns are important since technological difficulties in the various stages of installation and operation can negatively affect the effectiveness of telerehabililation. 39 The participant in this case study embraced both the technology of the robotic device, and the distant monitoring component of this stroke rehabilitation model. Furthermore, although costs are minimal for direct therapy care, the cost of robotic devices has not traditionally been covered by third party payors.…”

Section: Discussionmentioning

confidence: 99%

Incorporating Robotic-Assisted Telerehabilitation in a Home Program to Improve Arm Function Following Stroke

Linder

Reiss

Buchanan

et al. 2013

Journal of Neurologic Physical Therapy

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Background and Purpose After stroke, many individuals lack resources to receive the intensive rehabilitation thought to improve upper extremity motor function. This case study describes the application of a telerehabilitation intervention using a portable robotic device combined with a home exercise program (HEP) designed to improve upper extremity function. Case Description The participant was a 54 year-old male, 22 weeks following right medullary pyramidal ischemic infarct. At baseline, he exhibited residual paresis of the left upper extremity resulting in impaired motor control consistent with a flexion synergistic pattern, scoring 22/66 on the Fugl-Meyer Motor Assessment (FMA). Intervention The participant completed 85 total hours of training (38 hours of robotic device and 47 hours of HEP) over the 8-week intervention period. Outcomes The participant demonstrated an improvement of 26 points on the Action Research Arm Test, 5 points on the Functional Ability Scale portion of the Wolf Motor Function Test (WMFT), and 20 points on the FMA, all of which surpassed the minimal clinically important difference (MCID). Of the 17 tasks of the WMFT, he demonstrated improvement on 11 of the 15 time-based tasks and both strength measures. The participant reported an overall improvement in his stroke recovery on the Stroke Impact Scale quality of life questionnaire from 40/100 to 65/100. His score on the Center for Epidemiologic Studies Depression Scale improved by 19 points. Discussion This case demonstrates that robotic-assisted therapy paired with a HEP can be successfully delivered within a home environment to a person with stroke. Robotic assisted therapy may be a feasible and efficacious adjunct to a HEP program to elicit substantial improvements in upper extremity motor function especially in those persons with stroke who lack access to stroke rehabilitation centers. Video Abstract available (See Video, Supplemental Digital Content 1.) for more insights from the authors.

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Telerehabilitation Technologies: Accessibility and Usability

Cited by 67 publications

References 12 publications

Telerehabilitation: Development, Application, and Need for Increased Usage in the COVID-19 Era for Patients with Spinal Pathology

Telerehabilitation: Development, Application, and Need for Increased Usage in the COVID-19 Era for Patients with Spinal Pathology

Awareness, Attitude and Expectations of Physiotherapy Students on Telerehabilitation

Incorporating Robotic-Assisted Telerehabilitation in a Home Program to Improve Arm Function Following Stroke

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