Effectiveness of telerehabilitation interventions in persons with multiple sclerosis: A systematic review

Amatya, Bhasker; Galea, Mary P.; Kesselring, Jürg; Khan, Farees

doi:10.1016/j.msard.2015.06.011

Cited by 103 publications

(88 citation statements)

References 35 publications

(72 reference statements)

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“…A second study, related to the use of interactive web-based applications and videoconferencing for the telerehabilitation of people with multiple sclerosis [42], highlighted the lack of methodologically robust trials. A third article showed the potential clinical benefits of dietary interventions based on smartphone applications for chronic renal patients, although there is a need for additional robust trials [43].…”

Section: Other Chronic Conditionsmentioning

confidence: 99%

Remote Care Technology: A Systematic Review of Reviews and Meta-Analyses

et al. 2018

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Objectives-To identify the technologies that are being used in the remote care of patients with chronic conditions, and their most relevant outcomes. Methods-A systematic review of reviews and meta-analyses. Results-Fifty-one systematic reviews and meta-analyses related to diabetes, congestive heart failure, chronic obstructive pulmonary disease, mental and behavioral diseases, cancer, hypertension, asthma, multiple sclerosis, chronic renal disease, and obesity were retrieved; these studies compared the use of remote care technology with usual care. Conclusion-Remote care technology has positive effects in various health-related outcomes, but further research is required to allow its use in clinical practice.

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Section: Other Chronic Conditionsmentioning

confidence: 99%

Remote Care Technology: A Systematic Review of Reviews and Meta-Analyses

et al. 2018

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“…The incorporation of this technology in addressing the needs of people with MS has the potential to greatly improve their access to exercise and rehabilitation, while eliminating the barriers of time, cost, and personnel (ie, driver or caregiver) associated with onsite rehabilitation [18]. …”

Section: Introductionmentioning

confidence: 99%

TEAMS (Tele-Exercise and Multiple Sclerosis), a Tailored Telerehabilitation mHealth App: Participant-Centered Development and Usability Study

Thirumalai¹,

Rimmer²,

Johnson³

et al. 2018

JMIR Mhealth Uhealth

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BackgroundPeople with multiple sclerosis face varying levels of disability and symptoms, thus requiring highly trained therapists and/or exercise trainers to design personalized exercise programs. However, for people living in geographically isolated communities, access to such trained professionals can be challenging due to a number of barriers associated with cost, access to transportation, and travel distance. Generic mobile health exercise apps often fall short of what people with multiple sclerosis need to become physically active (ie, exercise content that has been adapted to accommodate a wide range of functional limitations).ObjectiveThis usability study describes the development process of the TEAMS (Tele-Exercise and Multiple Sclerosis) app, which is being used by people with multiple sclerosis in a large randomized controlled trial to engage in home-based telerehabilitation.MethodsTwenty-one participants with disabilities (10 people with multiple sclerosis) were involved in the double iterative design, which included the simultaneous development of the app features and exercise content (exercise videos and articles). Framed within a user-centered design approach, the development process included 2 stages: ground-level creation (focus group followed by early stage evaluations and developments), and proof of concept through 2 usability tests. Usability (effectiveness, usefulness, and satisfaction) was evaluated using a mixed-methods approach.ResultsDuring testing of the app’s effectiveness, the second usability test resulted in an average of 1 problem per participant, a decrease of 53% compared to the initial usability test. Five themes were constructed from the qualitative data that related to app usefulness and satisfaction, namely: high perceived confidence for app usability, positive perceptions of exercise videos, viable exercise option at home, orientation and familiarity required for successful participation, and app issues. Participants acknowledged that the final app was ready to be delivered to the public after minor revisions. After including these revisions, the project team released the final app that is being used in the randomized controlled trial.ConclusionsA multi-level user-centered development process resulted in the development of an inclusive exercise program for people with multiple sclerosis operated through an easy-to-use app. The promotion of exercise through self-regulated mHealth programs requires a stakeholder-driven approach to app development. This ensures that app and content match the preferences and functional abilities of the end user (ie, people with varying levels of multiple sclerosis).

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“…The information and communication technology (ICT), such as telerehabilitation (TR), which is transmitted by phone or video, represent an alternative method to deliver therapy in a setting convenient to the patient, such as their home, by minimizing the barriers of distance, time, cost and health care system load [12][13][14]. However, In the aspect of rehabilitation method, the overall rehabilitation scheme does not integrated TR devices (such as audiovideo conference, use of the internet) and concrete rehabilitation exercises (for example, electrostimulation) together [15][16][17].…”

mentioning

confidence: 99%

“…However, In the aspect of rehabilitation method, the overall rehabilitation scheme does not integrated TR devices (such as audiovideo conference, use of the internet) and concrete rehabilitation exercises (for example, electrostimulation) together [15][16][17]. Moreover, in some reviews, the effects of TR were of low level of evidence [12,[15][16][17][18][19]. The lack of convenience is an important barrier to consumer use of interactive health ICT.…”

mentioning

confidence: 99%

Home-based physiotherapy programmes for individuals with neurological diseases: systematic review

et al. 2019

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Introduction: Home-based programmes have received increasing attention in rehabilitation, providing an opportunity to continue aspects of therapy, benefiting the retention of established intervention effects. Objective: To describe the available home-based physiotherapy programmes in neurorehabilitation for people with neurological diseases. Method: MEDLINE, EMBASE, Cochrane Library, OTseeker and PEDro were searched, no restrictions regarding the date of publication or language restrictions for randomized controlled clinical trial. The quality of the selected studies using the PEDro scale and the Cochrane Collaboration’s tool for assessing the risk of bias. Results: Fifteen articles met the eligibility criteria and quality assessment and were selected for the present systematic review. The findings supports the positive impact of home-based intervention, finding evidence in the changes in activity level, improvement in the control and muscle strength, balance and walking in patients with neurological conditions who perform rehabilitation program at home, with a good adherence of participants in total. Conclusion: Models of rehabilitative such as home-based programmes can be an alternative efficient method to deliver rehabilitation, showing to be beneficial in improving different aspects of activities, and participation.

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Effectiveness of telerehabilitation interventions in persons with multiple sclerosis: A systematic review

Cited by 103 publications

References 35 publications

Remote Care Technology: A Systematic Review of Reviews and Meta-Analyses

Remote Care Technology: A Systematic Review of Reviews and Meta-Analyses

TEAMS (Tele-Exercise and Multiple Sclerosis), a Tailored Telerehabilitation mHealth App: Participant-Centered Development and Usability Study

Home-based physiotherapy programmes for individuals with neurological diseases: systematic review

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