Using Telerehabilitation to Support Assistive Technology

Burns, Richard B.; Crislip, Deb; Daviou, Pat; Temkin, Ann; Vesmarovich, Susan; Anshutz, John; Furbish, Cathy; Jones, Michael L.

doi:10.1080/10400435.1998.10131970

Cited by 90 publications

(50 citation statements)

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“…used outside of working with a therapist) as a means to improve functioning after brain injury [6,7]. It was therefore not the intention to investigate the ability of persons with acquired brain injury to use computer technology for cognitive retraining, but rather to use the Internet as a communication tool to allow persons with brain injury to receive interactive therapy from an expert in cognitive rehabilitation at some distance [9]. Given the published findings that a sizable proportion of individuals with brain injuries report that they require assistance from others to use a computer [11] and suggestion by authors knowledgeable of this field that computer technology may not be a feasible approach to deliver therapy [12], it seemed logical to conduct a feasibility study before determining if cognitive rehabilitation offered via a telemedicine paradigm results in any improvement comparable to clinic-based therapy.…”

Section: Introductionmentioning

confidence: 99%

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Internet-based cognitive rehabilitation in individuals with acquired brain injury: A pilot feasibility study

et al. 2008

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Section: Introductionmentioning

confidence: 99%

“…Telerehabilitation has been defined as the application of telecommunication technology to provide support, assessment and intervention at a distance to persons with disabilities [9]. Telerehabilitation may potentially address the difficulty of individuals who live at some distance from specialized rehabilitation centres.…”

Section: Introductionmentioning

confidence: 99%

Internet-based cognitive rehabilitation in individuals with acquired brain injury: A pilot feasibility study

et al. 2008

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“…The technology used varied from low tech systems such as 'video-phones' posted out to participants [30], 'software as service' systems such as Microsoft Netmeeting [34] and more recently, bespoke systems, purpose designed specifically for remote wheelchair assessment which included on-screen measurement, high data storage capacity and electronic clinical record functionality [28,29]. In common, all systems that were described included synchronous video and audio facilities for communication between a specialist assessor and a remotely located wheelchair user.…”

Section: How Tele-ws Assessment Is Describedmentioning

confidence: 99%

“…Publication dates were from 1998 to 2010 with 5/13 (39%) of publications occurring in 2010. Research methods employed in the 9 studies were largely exploratory, and some studies used more than one method, including quasi experimental designs (n=8), [21][22][23][24][25][26][27][28][29], case reports (n=2), [30,31] or studies wholly or partly inclusive of qualitative methods exploring stakeholder views about remote wheelchair assessment (n=2) [28,32]. Of those studies comparing tele-and IP-WS assessment, only one study included randomisation [27].…”

Section: Study Characteristicsmentioning

confidence: 99%

Telehealth delivery of remote assessment of wheelchair and seating needs for adults and children: A scoping review (Preprint)

Graham¹,

Boland²,

Grainger³

et al. 2018

Preprint

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Background: Assessment of the wheelchair and seating needs of people with complex disabilities requires health professionals to have advanced training and experience, creating difficulties in accessing such specialist services for wheelchair users living outside of metropolitan areas. Use of telehealth technologies to enable remote assessment has been suggested as one way to improve accessibility to specialist assessment and reduce the cost of services, however no synthesis of this research is currently available to guide practice or research development.Objective: This scoping review synthesizes research to date on the effects and processes of telehealth enabled wheelchair and seating assessment and the perceptions of wheelchair users and healthcare providers of this mode of service delivery. Methods:A systematic search and scoping review of peer-reviewed publications and theses was undertaken. Five databases were searched including CINAHL, Embase, Medline, Psychinfo and Scopus followed by hand searching of reference lists and forward citations.Data extraction and synthesis was organised around each research objective. Results:From an initial identification of 1801 publications, 9 studies published in 13 documents met the inclusion criteria. Study quality and study design varied considerably. The effect of telehealth compared to in-person assessment was insignificant in all studies that compared effectiveness (n=2) in relation to wheelchair-user and assessor rated variables.Telehealth assessment improved accessibility for some wheelchair users (n=1). However the process of telehealth that was applied to wheelchair assessment was inadequately described in all studies. Qualitative studies (n= 2) revealed that wheelchair-users appraised telehealth wheelchair assessment more positively than assessors. Non-specialist, assisting assessors appraised telehealth assessment more positively than specialist assessors. It appeared that each stakeholder group appraised telehealth based on different criteria including accessibility, professional supportiveness and technical accuracy. No studies examined funder views.Conclusions: Preliminary research suggests telehealth wheelchair assessment may be as effective as in-person assessment. Furthermore, this approach is viewed favorably by wheelchair users and non-specialist assessors, while expert assessors have some hesitations.The literature to date has not provided adequate descriptions of the process undertaken during 3 remote wheelchair assessment. The process of remote wheelchair assessment requires clarification to further understandings of how telehealth can be used for greatest effect in this area.

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“…These include: 1) consultation by clinical rehabilitation engineers or specialized clinicians for seating and positioning; 2) the provision of assistive technology using simple Plain-old Telephone Service (POTS) videophones; 3) physicians and nurses performing pressure sore management using either higher-quality camera images or lower-quality images from interactive systems; 4) remote therapy using tools such as EMGcontrolled games for stroke rehabilitation or remote interactive story retelling for brain injury rehabilitation; 5) remote rehabilitation management or teleconsultation by physiatrists; and, 6) specialized clinicians for clinics using group videoconferencing systems over established telemedicine networks (Winters, 2002). Burns et al (1998), from Shepherd Center in Atlanta, described the experiences of a specialty hospital serving people with disabilities in exploring telerehabilitation to support assistive technology in the home. The article described four specific case studies to illustrate how telerehabilitation was used in relation to seating evaluation, home accessibility, setup of computer access systems, and augmentative communication device training.…”

Section: Assistive Technology Applicationsmentioning

confidence: 99%

Telerehabilitation and Clinical Applications: Research, Opportunities, and Challenges

et al. 2015

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Abstr actRehabilitation service providers in rural or underserved areas are often challenged in meeting the needs of their complex patients due to limited resources in their geographical area. Recruitment and retention of the rural clinical workforce are beset by the ongoing problems associated with limited continuing education opportunities, professional isolation, and the challenges inherent to coordinating rural community healthcare. People with disabilities who live in rural communities also face challenges accessing healthcare. Traveling long distances to a specialty clinic for necessary expertise is troublesome due to inadequate or unavailable transportation, disability specific limitations, and financial limitations. Distance and lack of access are just two threats to quality of care that now being addressed by the use of videoconferencing, information exchange, and other telecommunication technologies that facilitate telerehabilitation.This white paper illustrates and summarizes clinical and vocational applications of telerehabilitation. We provide definitions related to the fields of telemedicine, telehealth, and telerehabilitation, and consider the impetus for telerehabilitation. We review the telerehabilitation literature for assistive technology applications; pressure ulcer prevention; virtual reality applications; speech-language pathology applications; seating and wheeled mobility applications; vocational rehabilitation applications; and cost-effectiveness. We then discuss external telerehabilitation influencers, such as the positions of professional organizations. Finally, we summarize clinical and policy issues in a limited context appropriate to the scope of this paper.

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Using Telerehabilitation to Support Assistive Technology

Cited by 90 publications

References 1 publication

Internet-based cognitive rehabilitation in individuals with acquired brain injury: A pilot feasibility study

Internet-based cognitive rehabilitation in individuals with acquired brain injury: A pilot feasibility study

Telehealth delivery of remote assessment of wheelchair and seating needs for adults and children: A scoping review (Preprint)

Telerehabilitation and Clinical Applications: Research, Opportunities, and Challenges

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