Ten years of telerehabilitation: A literature overview of technologies and clinical applications

Rogante, Marco; Grigioni, Mauro; Cordella, Daniele; Giacomozzi, Claudia

doi:10.3233/nre-2010-0612

Cited by 174 publications

(137 citation statements)

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“…Telerehabilitation research is generally not very good and there are many reviews that criticize this [2,26,27,33,35]. In our review, 60% of the included studies are of poor methodological quality with weak evidence.…”

Section: Discussionmentioning

confidence: 86%

“…As with most of the recent systematic reviews on the topic [2,26,27,33,35], the following literature searches were performed to identify all possible studies that could help answer the research question. MEDLINE, Physiotherapy Evidence Database (PEDro), Scopus, PsycINFO, Web of Knowledge, CINAHL, SPORTDiscus, Directory of Open Access Journals (DOAJ), Cochrane, Embase, Academic Search Complete, Fuente Académica, and Consejo Superior de Investigaciones Científicas (CSIC) were searched.…”

Section: Methodsmentioning

confidence: 99%

“…With the general ageing of the population—at least in industrialized countries—and the limited resources devoted to public health, the development of new rehabilitation models and practices seems mandatory in order to cope with the change in population needs [2,3]. Telerehabilitation, one of the emerging fields of telemedicine, is defined as a set of tools, procedures, and protocols to deliver the rehabilitation process remotely [4].…”

Section: Introductionmentioning

confidence: 99%

“…Early systematic reviews have pointed out that, despite the growing number of telerehabilitation experiences worldwide, evidence of clinical and economic effectiveness is still lacking [2,25]. In addition, these reviews have commented on the lack of methodological rigor and variability of approaches used in telerehabilitation studies [4].…”

Section: Introductionmentioning

confidence: 99%

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Evidence of Benefit of Telerehabitation After Orthopedic Surgery: A Systematic Review

et al. 2017

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BackgroundIn addition to traditional physiotherapy, studies based on telerehabilitation programs have published the results of effectiveness, validity, noninferiority, and important advantages in some neurological, cognitive, and musculoskeletal disorders, providing an opportunity to define new social policies and interventions.ObjectivesThe aim of this systematic review is to investigate the effects of telerehabilitation after surgical procedures on orthopedic conditions as well as to describe how interventions are designed and to determine whether telerehabilitation is comparable with conventional methods of delivery. This systematic review summarizes the levels of evidence and grades of recommendation regarding telerehabilitation intervention (synchronous or asynchronous provided via the telerehabilitation medium, either in conjunction with, or in isolation of, other treatment interventions) after surgical procedures on orthopedic conditions.MethodsStudy quality was assessed using the Physiotherapy Evidence Database (PEDro) scores and grade of recommendation following the recommendation of the Oxford Centre for Evidence-Based Medicine.ResultsWe found 3 studies with PEDro scores between 6 and 8, which is considered as level 1 evidence (good; 20% [3/15]), 4 studies with a score of 5, which is considered as level 2 evidence (acceptable; 27% [4/15]), and the remaining 8 studies had scores of 4 or less, which is considered (poor; 53% [8/15]). A total of 1316 participants received telerehabilitation intervention in the selected studies, where knee and hip replacement were 75% of all the studies. Strong and moderate grades of evidence (grade of recommendation A–B) were found in knee and hip replacement interventions. Studies on the upper limb were 25% of the studies, but only 1 study presented a moderate grade of evidence (grade of recommendation B) and the rest were of poor methodological quality with weak evidence (grade of recommendation C).ConclusionsConclusive evidence on the efficacy of telerehabilitation for treatment after an orthopedic surgery, regardless of pathology, was not obtained. We found strong evidence in favor of telerehabilitation in patients following total knee and hip arthroplasty and limited evidence in the upper limb interventions (moderate and weak evidence). Future research needs to be more extensive and conclusive. To the best of the authors’ knowledge, this is the first attempt at evaluating the quality of telerehabilitation intervention research after surgical procedures on orthopedic conditions in a systematic review. Clinical messages and future research recommendations are included in the review.

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Section: Discussionmentioning

confidence: 86%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Evidence of Benefit of Telerehabitation After Orthopedic Surgery: A Systematic Review

et al. 2017

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“…These programs enable a trained professional to remotely verify that tasks are executed with the necessary intensity, level of precision, and posture, while supervising multiple robots and patients simultaneously and remotely [62, 63]. A comprehensive review of this area from its inception up to 2010 has been conducted in [64]. …”

Section: Robot-assisted Telerehabilitationmentioning

confidence: 99%

The Present and Future of Robotic Technology in Rehabilitation

Laut

Porfiri

Raghavan

2016

Curr Phys Med Rehabil Rep

108

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Robotic technology designed to assist rehabilitation can potentially increase the efficiency of and accessibility to therapy by assisting therapists to provide consistent training for extended periods of time, and collecting data to assess progress. Automatization of therapy may enable many patients to be treated simultaneously and possibly even remotely, in the comfort of their own homes, through telerehabilitation. The data collected can be used to objectively assess performance and document compliance as well as progress. All of these characteristics can make therapists more efficient in treating larger numbers of patients. Most importantly for the patient, it can increase access to therapy which is often in high demand and rationed severely in today’s fiscal climate. In recent years, many consumer grade low-cost and off-the-shelf devices have been adopted for use in therapy sessions and methods for increasing motivation and engagement have been integrated with them. This review paper outlines the effort devoted to the development and integration of robotic technology for rehabilitation.

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