Using telemedicine to provide post-discharge support for patients with spinal cord injuries

Soopramanien, Anba; Pain, Helen; Stainthorpe, Andrew; Menarini, Mauro; Ventura, Manfredi

doi:10.1258/1357633054461633

Cited by 18 publications

(12 citation statements)

References 4 publications

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“…In addition, telehealth may be effective for patient populations with neurologic diseases that include dynamic aspects such as community reintegration that require long‐term guidance from an expert rehabilitation team, such as patients with SCI [43]. Moreover, neurodegenerative conditions have an increasingly negative impact on multiple functional domains with disease progression, thus requiring continued adjustments to the rehabilitation plan.…”

Section: Outpatient Neurorehabilitationmentioning

confidence: 99%

Telehealth in Physical Medicine and Rehabilitation: A Narrative Review

Tenforde

Hefner

Kodish-Wachs

et al. 2017

PM&R

167

127

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Telehealth refers to health care interactions that leverage telecommunication devices to provide medical care outside the traditional face-to-face, in-person medical encounter. Technology advances and research have expanded use of telehealth in health care delivery. Physical medicine and rehabilitation providers may use telehealth to deliver care to populations with neurologic and musculoskeletal conditions, commonly treated in both acute care and outpatient settings. Patients with impaired mobility and those living in locations with reduced access to care may particularly benefit. Video-teleconferencing has been shown to be effective for management of burn patients during acute rehabilitation, including reduced health care use expenses and less disruptions to care. Telehealth can facilitate developing interprofessional care plans. Patients with neurologic conditions including stroke, spinal cord injury, traumatic brain injury, and amyotrophic lateral sclerosis may use telehealth to monitor symptoms and response to treatment. Telehealth also may facilitate occupational and physical therapy programs as well as improve weight management and skin care in patients with chronic conditions. Other applications include imaging review in sports medicine, symptom management and counseling in concussion, traumatic brain injury, and pain management programs. Limitations of telehealth include barriers in establishing relationship between medical provider and patient, ability to perform limited physical examination, and differences in payment models and liability coverage. The expansion of telehealth services is expected to grow and has potential to improve patient satisfaction by delivering high quality and value of care.

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Section: Outpatient Neurorehabilitationmentioning

confidence: 99%

Telehealth in Physical Medicine and Rehabilitation: A Narrative Review

Tenforde

Hefner

Kodish-Wachs

et al. 2017

PM&R

167

127

View full text Add to dashboard Cite

show abstract

“…2 In the early 1970s, the National Institute SCI Model Systems centers in the USA. To qualify for designation as a Model System and to receive funding from NIDRR, rehabilitation programs must provide continuity of care to include emergency medical services, expertise in treating trauma, a comprehensive rehabilitation program, vocational and psychological counseling services, and community reintegration services.…”

Section: Introductionmentioning

confidence: 99%

What's happening now! Telehealth management of spinal cord injury/disorders

Woo

Guihan

Frick³

et al. 2011

The Journal of Spinal Cord Medicine

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5Louis Stokes Cleveland VAMC, OH Context: Spinal cord injury and/or disorders (SCI/D) is a costly chronic condition. Impaired mobility, and lengthy travel distances to access specialty providers are barriers that can have adverse impact on expenses and quality of care. Although ample opportunities for use of telehealth technologies exist between medical facilities, and from clinical to home settings, field experience has largely been focused on home telehealth services to promote better patient self-management skills and improve clinical outcomes. Findings: This paper provides an overview of published literature on use of telehealth technologies with the SCI/D population. Presentation of case studies describe telehealth as a potential strategy for addressing disparities in providing quality care, and explore comprehensive management of multiple health issues in individuals with SCI/D. Experiences of providers in both private sector health-care systems and VHA medical facilities are described. Development of telehealth clinical protocols and adaptive devices that can be integrated with equipment to accommodate for the functional limitations in the SCI/D population are discussed as necessary for expansion of use of telehealth services. Rigorous research studies are lacking. As use of this technology spreads and issues surrounding implementation are addressed, we look forward to increased research to assess and evaluate its efficacy in the SCI/D population. Conclusion/clinical relevance: Telehealth in the home setting appears to be able to help persons with SCI/D remain in the community. As the use of telehealth increases, research will be necessary in both clinical and home settings to assess its efficacy in improving outcomes in the SCI/D population.

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“…7,8 An Italian spinal unit found it beneficial in evaluating the status of halo brace pin sites, and initiating appropriate management when indicated. 9 Telemedicine is technically easy. The simplest model involves taking clinical images with a digital camera 10 or mobile phone, 11 attaching these as files to an email message, and sending it to the email address of a suitable specialist.…”

Section: Discussionmentioning

confidence: 99%

Telesurveillance of circular frame pin sites: one year's experience at a specialist unit

Khan

Abraham

2011

J Telemed Telecare

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Circular frame treatment for limb reconstruction involves repeated follow-up visits, and a substantial number of these appointments are for pin site review only. We have encouraged our frame patients to take photographs of their pin sites when they carry out their weekly dressing changes. The photographs are taken with mobile phones or digital cameras by the patients themselves, and the images sent to us by email. We reply within 24 hours, with either reassurance or appropriate instructions as indicated. In the past 12 months, five patients have had their pin sites reviewed remotely using this method, and have expressed a high level of satisfaction. These early results are encouraging.

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Using telemedicine to provide post-discharge support for patients with spinal cord injuries

Cited by 18 publications

References 4 publications

Telehealth in Physical Medicine and Rehabilitation: A Narrative Review

Telehealth in Physical Medicine and Rehabilitation: A Narrative Review

What's happening now! Telehealth management of spinal cord injury/disorders

Telesurveillance of circular frame pin sites: one year's experience at a specialist unit

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