Telehealth application on the rehabilitation of children and adolescents

Santos, Maria Tereza N. dos; Moura, Sarah; Gomes, Ludmila Mourão Xavier; Lima, Ana Henriques; Moreira, Rafaela Silva; Silva, Caroline Duarte; Guimarães, Eliane Marina Palhares

doi:10.1590/s0103-05822014000100020

Cited by 29 publications

(28 citation statements)

References 17 publications

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“…Indeed, the future of telerehabilitation seems to be bright due to its flexibility, remote availability, and cost effectiveness. The use of telemedicine provides patients and their practitioners with opportunities to consult with the most experienced and expert practitioners world-wide ( dos Santos et al, 2014 ). Telerehabilitation can be used to improve Community Based Rehabilitation (CBR) systems, particularly in developing countries where rehabilitation services are very expensive and not available at the community level ( Kairy, Lehoux, Vincent, & Visintin, 2009 ).…”

Section: Benefits Of Telerehabilitationmentioning

confidence: 99%

A Commentary on Telerehabilitation Services in Pakistan: Current Trends and Future Possibilities

et al. 2017

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A 2014 World Health Organization (WHO) study reported that almost 27 million people with disability live in Pakistan with fewer than one allied rehabilitation professional per 10,000 people. The current study sought to determine the attitudes toward telerehabilitation via a survey administered to 329 Pakistani rehabilitation professionals. Study results indicate that rehabilitation professionals in Pakistan are knowledgeable about telerehabilitation and Information and Communication Technology (ICT), and are receptive to employing telerehabilitation programs and applications. Therefore, we can infer that the future of telerehabilitation can be bright in Pakistan but requires the attention of policy makers and non-government organizations to launch an appropriate program nationwide. The authors suggest that a range of telerehabilitation services (e.g., consultation, assessment, and therapy) could alleviate the shortage of rehabilitation personnel in Pakistan.

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Section: Benefits Of Telerehabilitationmentioning

confidence: 99%

A Commentary on Telerehabilitation Services in Pakistan: Current Trends and Future Possibilities

et al. 2017

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“…Telerehabilitation allows inclusion of youths from across Canada, regardless of proximity to a specialized health care center. Although telerehabilitation has previously been used in studies on children with asthma and autism spectrum disorders [ 26 , 27 ], the only musculoskeletal disorder in which a telerehabilitation intervention was used is with children with cerebral palsy [ 18 ]. However, the results were variable among those studies which justify studies with other populations such as AMC [ 28 , 29 ].…”

Section: Discussionmentioning

confidence: 99%

“…However, the results were variable among those studies which justify studies with other populations such as AMC [ 28 , 29 ]. In addition, little is known about the cost efficiency of this type of intervention [ 26 , 30 ].…”

Section: Discussionmentioning

confidence: 99%

A Telerehabilitation Intervention for Youths With Arthrogryposis Multiplex Congenita: Protocol for a Pilot Study

Gagnon¹,

Collins²,

Elfassy³

et al. 2020

JMIR Res Protoc

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Background Arthrogryposis multiplex congenita (AMC) is characterized by joint contractures present in at least two body areas. In addition to these contractures, individuals with AMC can have decreased muscle mass, leading to limitations in activities of daily living. Exercise has the potential to maintain or improve the range of motion and muscle strength. However, this type of intervention necessitates frequent follow ups that are currently difficult to provide for youths with AMC because they often live far from a specialized hospital. To overcome this distance challenge, telecommunication technologies can be used to deliver rehabilitation remotely, which is called telerehabilitation. The study protocol for one such type of rehabilitation will be presented in this paper. Objective This pilot study aims to (1) evaluate the feasibility of using telerehabilitation to provide a home exercise program for youths with AMC, and (2) assess the effectiveness of a home exercise program. Methods A total of 10 youths aged 8-21 years with AMC will be recruited. The intervention consists of a 12-week individualized home-based exercise program delivered remotely using telerehabilitation. At baseline, youths will complete the Physical Activity Questionnaire for Adolescents and the Pediatrics Outcomes Data Collection Instrument to assess pain, function, and level of physical activity. During the first telerehabilitation meeting, the rehabilitation therapists will measure range of motion using a virtual goniometer and assess the youth’s functional level. The therapists will then use the Goal Attainment Scale to set objectives and develop the individualized intervention. Follow ups will occur every 3 weeks to make sure exercises are performed safely and to progress the exercises when needed. At the end of the 12-week intervention, rehabilitation therapists will re-evaluate the youth using the same outcome measures as the initial evaluation. The youths will be asked to complete the same questionnaires, with the addition of questions about their satisfaction regarding the intervention. Nonparametric and descriptive statistics will be used to evaluate the feasibility and effectiveness. Results Ethics approval was obtained in October 2018. Recruitment and data collection started in January 2019 and was completed in May 2020. Conclusions This pilot study will help us learn how a large-scale project may work in practice to improve outcomes in physical activity, pain, and function, and goal attainment among youths with AMC, thus informing a future clinical trial. International Registered Report Identifier (IRRID) DERR1-10.2196/18688

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“…No evidence is currently available for children with congenital damage, as studies are still ongoing or haven’t been published yet [ 31 – 32 ]. Furthermore, thus far the interest in telerehabilitation programs for the juvenile population has mainly focused on countries such as the United States, the Netherlands, Australia and Taiwan [ 33 ], while limited research has been conducted in other contexts.…”

Section: Introductionmentioning

confidence: 99%

Feasibility of a home-based computerized cognitive training for pediatric patients with congenital or acquired brain damage: An explorative study

et al. 2018

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ObjectivesPediatric brain damage is associated with various cognitive deficits. Cognitive rehabilitation may prevent and reduce cognitive impairment. In recent years, home-based computerized cognitive training (CCT) has been introduced in clinical practice to increase treatment opportunities for patients (telerehabilitation). However, limited research has been conducted thus far on investigating the effects of remote CCT for the juvenile population in contexts other than English-speaking countries. The aim of the present study was to investigate the feasibility of a home-based CCT in a group of Italian adolescents with brain damage. A commercially available CCT (Lumosity) developed in the English language was used due to the lack of telerehabilitation programs in the Italian language that allow stimulation of multiple cognitive domains and, at the same time, remote automatic collection of data. Thus, this investigation provides information on the possibility of introducing CCT programs available in foreign languages in countries with limited investment in the telerehabilitation field.Methods32 adolescents aged 11–16 with a diagnosis of congenital or acquired (either traumatic or non-traumatic) brain damage participated in the study. They received 40 training sessions (5 days/week for 8 weeks). Before starting the training program, they received face-to-face demonstration of training exercises and written instructions in their mother tongue. The feasibility of both training and study design and procedures was assessed through 9 criteria taken from extant literature.ResultsAll 9 feasibility criteria were met. 31 out of the 32 participants demonstrated adherence to the training program. 94.2% of training sessions were completed in the recommended timeframe. No significant technical issue was found.ConclusionsTelerehabilitation seems to be a feasible practice for adolescents with brain damage. A training program developed in a foreign language can be used to counter the unavailability of programs in patients’ mother tongue.Trial registrationThe trial is registered with the ISRCTN registry with study ID ISRCTN59250807

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Telehealth application on the rehabilitation of children and adolescents

Cited by 29 publications

References 17 publications

A Commentary on Telerehabilitation Services in Pakistan: Current Trends and Future Possibilities

A Commentary on Telerehabilitation Services in Pakistan: Current Trends and Future Possibilities

A Telerehabilitation Intervention for Youths With Arthrogryposis Multiplex Congenita: Protocol for a Pilot Study

Feasibility of a home-based computerized cognitive training for pediatric patients with congenital or acquired brain damage: An explorative study

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