Cardiac Telerehabilitation - Current State and Clinical Perspectives

Mikołajewska, Emilia; Mikołajewski, Dariusz

doi:10.17140/hroj-1-102

Cited by 6 publications

(3 citation statements)

References 16 publications

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“…12 It has been reported in the literature that TR-based interventions are technically feasible and effective for the management of neurological, 13,14 speech and swallowing, 15 musculoskeletal 16–18 and cardio-pulmonary disorders. 19–21 An effective TR-based intervention is partly dependent on concurrent validity and reliability of the outcome measures. Establishing the concurrent validity and reliability of outcome measures via TR prior to adoption in the regular clinical practice has been considered imperative.…”

Section: Introductionmentioning

confidence: 99%

Concurrent validity and reliability of telerehabilitation-based physiotherapy assessment of cervical spine in adults with non-specific neck pain

Mani

Singh

2019

J Telemed Telecare

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Introduction The aim of this study was to determine the concurrent validity and reliability of telerehabilitation (TR)-based evaluation of the cervical spine among adults with non-specific neck pain (NS-NP). Methods A total of 11 participants with NS-NP were recruited. Pain intensity, active range of motion (AROM), posture, deep neck flexor (DNF) endurance, combined neck movements and disability were measured using face-to-face and TR methods, with a one-hour break in between. TelePTsys, an image-based TR system, was used for TR assessment. Results A high degree of concurrent validity for pain (bias = 0.90), posture (bias = 0.96°), endurance (bias = –2.3 seconds), disability (bias = 0.10), AROM (extension bias = –0.60 cm, flexion bias = 1.2 cm, side flexion bias = –1.00, rotation bias = –0.30 cm) was found. Standard error of measurement and coefficient of variation (CV) values were within the acceptable level for concurrent validity, except the CV for cervical flexion and endurance. There was a high degree of reliability demonstrated for pain, posture, AROM, endurance and disability measurements. The average-measure interclass correlation coefficient (ICC(3,1)) ranged from 0.96 to 0.99 for inter-rater, and 0.93 to 0.99 for intra-rater reliabilities. There was moderate agreement for combination movement for validity (78.5%, p < 0.05), inter- (78.5%, p < 0.05) and intra-rater (76.4%, p < 0.05) reliabilities. Discussion TR-based physiotherapy assessment of cervical spine is a valid and reliable tool for measuring pain intensity, AROM, DNF muscle endurance, sagittal neck posture and disability among adults with NS-NP via telePTsys.

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Section: Introductionmentioning

confidence: 99%

Concurrent validity and reliability of telerehabilitation-based physiotherapy assessment of cervical spine in adults with non-specific neck pain

Mani

Singh

2019

J Telemed Telecare

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“…A review of alternative models of CR points out that there is no need to rely only on hospital-based strategies. Community and home-based programs can be used to design a more individualized rehabilitation that can be tailored to the patient’s specific needs and abilities [18-20].…”

Section: Introductionmentioning

confidence: 99%

The Use of Telerehabilitation Technologies for Cardiac Patients to Improve Rehabilitation Activities and Unify Organizations: Qualitative Study

Dinesen

Spindler

2018

JMIR Rehabil Assist Technol

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BackgroundCardiovascular disease is a leading cause of death globally causing 31% of all deaths worldwide. The Danish health care system is characterized by fragmented delivery of services and rehabilitation activities. The Teledialog Telerehabilitation Program for cardiac patients was developed and tested to rectify fragmentation and improve the quality of care. The Teledialog program was based on the assumption that a common communication platform shared by health care professionals, patients, and relatives could reduce or eliminate the fragmentation in the rehabilitation process and improve cooperation between the health professionals.ObjectiveThis study aimed to assess the interorganizational cooperation between health care professionals across sectors (hospitals, municipal health care centers) in a cardiac telerehabilitation program.MethodsTheories of networks between organizations, the sociology of professions, and the “community of practice” approach were used in a case study of a cardiac telerehabilitation program. A triangulation of data collection techniques were used including documents, participant observation (n=76 hours), and qualitative interviews with healthcare professionals (n=37). Data were analyzed using NVivo 11.0.ResultsThe case study of cooperation in an interorganizational context of cardiac telerehabilitation program is characterized by the following key themes and patterns: (1) integrated workflows via a shared digital rehabilitation plan that help integrate workflow between health care professions and organizations, (2) joint clinical practice showed as a community of practice in telerehabilitation developed across professions and organizations, and (3) unifying the organizations as cooperation has advanced via a joint telerehabilitation program across municipalities and hospitals.ConclusionsThe Teledialog Telerehabilitation Program was a new innovative cardiac program tested on a large scale across hospitals, health care centers, and municipalities. Assessments showed that the Teledialog program and its associated technologies helped improve interorganizational cooperation and reduce fragmentation. The program helped integrate the organizations and led to the creation of a community of practice. Further research is needed to explore long-term effects of implementation of telerehabilitation technologies and programs.Trial RegistrationClinicalTrials.gov NCT01752192; http://clinicaltrials.gov/ct2/show/NCT01752192 (Archived by WebCite at http://www.webcitation.org/6yR3tdEpb)

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“…A review of alternative models of cardiac rehabilitation points out that there is no need to rely only on hospital-based strategies. Community and home-based programs can be used to design a more individualized rehabilitation tailored to the patient's specific needs and abilities [16,17,18].…”

Section: Introductionmentioning

confidence: 99%

The Use of Telerehabilitation Technologies for Cardiac Patients to Improve Rehabilitation Activities and Unify Organizations: Qualitative Study (Preprint)

Dinesen¹,

Spindler²

2018

Preprint

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Background: Cardiovascular diseases are the leading cause of death globally, causing 31% of all deaths worldwide. The Danish healthcare system is characterized by fragmented delivery of healthcare services and rehabilitation activities. In order to rectify fragmentation and improve the quality of care, the Teledialog Telerehabilitation Program for cardiac patients was developed and tested. The Teledialog program was based on the assumption that a common communication platform shared by healthcare professionals, patients and relatives could reduce or eliminate the fragmentation in the rehabilitation process and improve co-operation between the healthcare professionals. Objective: The aim of this study was to assess the interorganizational co-operation between healthcare professionals across sectors (hospitals, healthcare centers in municipalities) in a cardiac telerehabilitation program. Methods: Theories of networks between organizations, the sociology of professions and the "community of practice" approach were used in a case study of a cardiac telerehabilitation program. A triangulation of data collection techniques was used, including documents, participant-observation (n=76 hours) and qualitative interviews with cardiac patients (n=37). Data was analyzed using NVivo 11.0. Results: The following key themes were identified: (1) shared e-rehabilitation plan integrates the workflow between the organizations and reduces fragmentation, (2) a community of practice in telerehabilitation was established, and (3) the telerehabilitation program became a joint program across hospitals, healthcare centers and municipalities. Conclusions: The Teledialog Telerehabilitation Program was a new innovative cardiac telerehabilitation program that was tested in large scale across hospitals, healthcare centers and municipalities. Assessments showed that the Teledialog program and its associated technologies helped improve interorganizational cooperation and reduce fragmentation. The program helped integrate the organizations and led to the creation of a community of practice. Further research is needed to explore long-term effects of implementation of telerehabilitation technologies and programs. Trial Registration: Clinicaltrials.gov NCT01752192; https://clinicaltrials.gov/ct2/show/NCT01752192? term=NCT01752192&cntry=DK&rank=1 (Archived by WebCite at http://www.webcitation.org/6yR3tdEpb)

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Cardiac Telerehabilitation - Current State and Clinical Perspectives

Cited by 6 publications

References 16 publications

Concurrent validity and reliability of telerehabilitation-based physiotherapy assessment of cervical spine in adults with non-specific neck pain

Concurrent validity and reliability of telerehabilitation-based physiotherapy assessment of cervical spine in adults with non-specific neck pain

The Use of Telerehabilitation Technologies for Cardiac Patients to Improve Rehabilitation Activities and Unify Organizations: Qualitative Study

The Use of Telerehabilitation Technologies for Cardiac Patients to Improve Rehabilitation Activities and Unify Organizations: Qualitative Study (Preprint)

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