A Systematic Review of Usability and Accessibility in Tele-Rehabilitation Systems

Pérez-Medina, Jorge Luis; Acosta-Vargas, Patricia; Rybarczyk, Yves

doi:10.5772/intechopen.85869

Cited by 4 publications

(2 citation statements)

References 57 publications

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“…To date, the VRRS environment represents one of the several available home-based systems, the potential and the benefits of which had already been implemented before the pandemic (Luis Pérez Medina et al, 2019 ).…”

Section: Discussionmentioning

confidence: 99%

Tele-Rehabilitation for Postural Control by Means of Virtual Reality Rehabilitation System in an Adolescent With Motor Disorder: A Case Study

et al. 2021

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The coming of an unforeseen and hostile event such as the COVID-19 pandemic has brought about various changes in everyone's daily life. During the lockdown period, a huge number of restrictions were imposed, hence interrupting a wide range of activities previously proven to be necessary for some people. Due to the circumstances, rehabilitation treatments for children with neurodevelopmental disorders have been suspended, resulting in consequent distress for the children themselves and their parents. To overcome this problem, a tele-rehabilitation approach has proven to be an excellent solution to give continuity to children's rehabilitation. The tele-rehabilitation approach allows access to rehabilitation services directly from home. During lockdown due to the COVID-19 pandemic, the Virtual Reality Rehabilitation System (VRRS) HomeKit, developed by Khymeia, was employed as a rehabilitation system for the treatment of posture and balance of an adolescent with disabilities for the first time ever. Specifically, a 17-year-old female patient was enrolled and evaluated by the clinical staff before and after the home-training sessions. The system was delivered to the patient's home so that she could perform the tasks in a familiar environment, while under the supervision of the clinical staff. Through a specific platform, using different modules of the system, therapists could remotely check that the proposed exercises were properly performed and provide feedback and/or increase the difficulty according to the patient's needs and progress. Therefore, the treatment performed was carried out at home in a personalized, intensive, and playful way; characteristics do not present in a traditional treatment. Our results are promising and demonstrate both the efficacy of rehabilitation exercises carried out at home and the feasibility of home-based rehabilitation, when using the VRRS HomeKit even with adolescents. The VRRS HomeKit presents some limitations, such as the need to have the line connection and free space at home, the presence of technical issues, and the education of parents and patients to understand the instructions. Despite the limitations, this study provides the basis for continuing the experience of tele-rehabilitation on patients with a motor disorder also by customizing the exercises to their characteristics.

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Section: Discussionmentioning

confidence: 99%

Tele-Rehabilitation for Postural Control by Means of Virtual Reality Rehabilitation System in an Adolescent With Motor Disorder: A Case Study

et al. 2021

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“…As an increasingly digitalized working environment offers opportunities to reshape the traditional ways of providing health care [ 16 ], possible benefits and disadvantages for patients and HCPs merit further exploration [ 16 ], for example, addressing how digital tool use may influence HCPs’ working conditions [ 14 ]. Additional questions are raised regarding accessibility, as accessibility in telerehabilitation is associated with how digital tools are designed [ 17 ], for instance, with respect to patient inclusivity [ 18 ], which is one of the core concerns of habilitation services [ 3 ]. Thus, the objective of this study was to explore HCPs’ experiences of digital communication with patients and colleagues in a habilitation context.…”

Section: Introductionmentioning

confidence: 99%

Health Care Professionals’ Experiences in Telerehabilitation: Qualitative Content Analysis

Qvarfordt¹,

Nilsson²,

Nilsson³

2023

JMIR Hum Factors

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Background The use of digital communication in Swedish health care has increased in an effort to make health care more accessible. At the organizational level, trust in digitalization has stabilized, but a certain degree of skepticism regarding technology appears to exist among health care employees. Objective This study aimed to explore health care professionals’ (HCPs) experiences of digital communication with patients and colleagues in a habilitation context. Methods Qualitative content analysis was used to analyze data derived from individual interviews. Results The results revealed that there were mixed feelings regarding the digital format used at the habilitation center. Although some skepticism remained regarding the digital format, there seemed to be a parallel understanding of the motives and benefits of digitalization. Hence, positive aspects, such as increased health care accessibility, were identified. However, emphasis was placed on the considerations required to make digital consultations appropriate for each patient. Conclusions Managing a workday influenced by the balance between digital and physical demands forces HCPs to adjust to the digital format and new ways of working. This requires HCPs to consider whether digital means are appropriate for communication in individual patient-specific cases.

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User-centered design and spatially-distributed sequential electrical stimulation in cycling for individuals with paraplegia

Baptista

Moreira

Pinheiro

et al. 2022

J NeuroEngineering Rehabil

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Background In this work, we share the enhancements made in our system to take part in the CYBATHLON 2020 Global Edition Functional Electrical Stimulation (FES) Bike Race. Among the main improvements, firstly an overhaul, an overhaul of the system and user interface developed with User-centered design principles with remote access to enable telerehabilitation. Secondly, the implementation and experimental comparison between the traditional single electrode stimulation (SES) and spatially distributed sequential stimulation (SDSS) applied for FES Cycling. Methods We report on the main aspects of the developed system. To evaluate the user perception of the system, we applied a System Usability Scale (SUS) questionnaire. In comparing SDSS and SES, we collected data from one subject in four sessions, each simulating one race in the CYBATHLON format. Results User perception measured with SUS indicates a positive outcome in the developed system. The SDSS trials were superior in absolute and average values to SES regarding total distance covered and velocity. We successfully competed in the CYBATHLON 2020 Global Edition, finishing in 6th position in the FES Bike Race category. Conclusions The CYBATHLON format induced us to put the end-user in the center of our system design principle, which was well perceived. However, further improvements are required if the intention is to progress to a commercial product. FES Cycling performance in SDSS trials was superior when compared to SES trials, indicating that this technique may enable faster and possibly longer FES cycling sessions for individuals with paraplegia. More extensive studies are required to assess these aspects.

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A Systematic Review of Usability and Accessibility in Tele-Rehabilitation Systems

Cited by 4 publications

References 57 publications

Tele-Rehabilitation for Postural Control by Means of Virtual Reality Rehabilitation System in an Adolescent With Motor Disorder: A Case Study

Tele-Rehabilitation for Postural Control by Means of Virtual Reality Rehabilitation System in an Adolescent With Motor Disorder: A Case Study

Health Care Professionals’ Experiences in Telerehabilitation: Qualitative Content Analysis

User-centered design and spatially-distributed sequential electrical stimulation in cycling for individuals with paraplegia

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