Home-based telerehabilitation software systems for remote supervising: a systematic review

Hosseiniravandi, Mohammad; Kahlaee, Amir Hossein; Karim, Hossein; Ghamkhar, Leila; Safdari, Reza

doi:10.1017/s0266462320000021

Cited by 42 publications

(31 citation statements)

References 56 publications

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“…There is also growing evidence that telePT for patients with neurological disorders can provide similar outcomes compared to in-person PT [ 13 , 14 ]. The clinical use of technology is not only improving accessibility of PT services, but also transforming how patients engage in therapeutic exercise [ 15 ]. The use of exercise gaming (exergaming) and virtual reality in the clinic and home setting has been shown to provide physical benefits for neurological patients [ 16 – 19 ].…”

Section: Introductionmentioning

confidence: 99%

Acceptability and outcomes of an individualized exergaming telePT program for veterans with multiple sclerosis: a pilot study

et al. 2020

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Background Physical rehabilitation services are an important component of treatment for persons with multiple sclerosis (PwMS) to improve and maintain physical mobility. However, PwMS often have significant barriers to outpatient physical therapy (PT) services including mobility deficits and lack of transportation. The integration of exercise gaming (exergaming) and telehealth into clinical PT practices may overcome these barriers. The overarching purpose of this pilot study was to evaluate the acceptability and effects of an individualized telePT intervention using exergaming. Methods Ten individuals with multiple sclerosis (MS) completed a 12-week exergaming (Jintronix®) telerehabilitation intervention. In order to measure the acceptability of the telerehabilitation intervention, adherence was measured through the tablet-based rehabilitation software and each participant completed a satisfaction questionnaire. Clinical outcome measures were assessed at baseline and post-intervention. To evaluate the efficacy of this intervention, the following measures of physical function and fatigue were included; the Short Physical Performance Battery (SPPB), 25-Foot Walk (25FW), Modified Fatigue Impact Scale (MFIS), Multiple Sclerosis Walking Scale-12 (MSWS), and the 2-Minute Walk Test (2MWT). Clinical outcomes were analyzed using the Sign test and Wilcoxon signed rank test. All other data were evaluated using descriptive statistics. Results After the intervention, participants demonstrated significant improvements in ambulation speed during the 25FW (p = 0.04) and ambulation distance during the 2MWT (p = 0.002). Statistically significant increases of SPPB total score (p = .04) and sub-scores were also found. Participants did not demonstrate significant changes in the MFIS (p = 0.31) or MSWS-12 (p = 0.06) after the intervention. Participants had a 58.3% adherence rate during the intervention and performed their exercise program an average of 2.5 times per week. All participants reported that they were either ‘satisfied or ‘very satisfied’ with their telerehabilitation experience, would use telerehabilitation again, and would recommend telerehabilitation to others. Conclusion This individualized telerehabilitation intervention which integrates exergaming and clinical video teleconferencing is acceptable to patients and may offer a viable alternative to traditional PT for PwMS. Trial registration NCT03655431, retrospectively registered on August 31st, 2018.

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Section: Introductionmentioning

confidence: 99%

Acceptability and outcomes of an individualized exergaming telePT program for veterans with multiple sclerosis: a pilot study

et al. 2020

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“…27 Guidance and practical tips are published, as well as technical and feasibility issues, ethical and data safety issues, practical issues, clinical trials, and trial protocols. [10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][30][31][32][33][34][35] Collectively, telemedicine encompasses various conditions, populations, and applications and seems to be similar to in-person care. 14,[17][18][19]21,22,30 Participants and caregivers feel comfortable and are satis ed in the short term, even if they have no experience in virtual participation.…”

Section: Discussionmentioning

confidence: 99%

Addressing COVID-19 Challenges in a Randomized Controlled Trial on Exercise Interventions in a High-Risk Population

Kienle

Werthmann

Grotejohann

et al. 2020

Preprint

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Background: The coronavirus disease 2019 (COVID-19) pandemic is a threat to ongoing clinical trials necessitating regular face-to-face, in-person meetings, particularly in participants with a high risk of complications. Guidance on how to handle and safely continue such trials is lacking. Chronically ill elderly individuals require—in addition to protection from infection—regular physical exercise and social contacts to remain healthy. Solutions for these conflicting necessities are needed.Methods: The ENTAIER trial is investigating the influence of mindful movements on fall risk, fear of falling, mobility, balance, quality of life, and other outcomes. The study population consists of 550 chronically ill elderly individuals with a high risk of falling. The movements are regularly performed in coached groups over 6 months. After the trial began, COVID-19 lock-downs stopped all in-person meetings, and it was expected that the limitations of this pandemic would continue long term. Therefore, the exercise program, which involve complex movements and is typically conducted face-to-face in groups, had to be substituted by a telemedicine program within a short timeframe. The objectives, therefore, were to identify challenges and tasks that need to be resolved and steps that need to be taken to achieve high-quality, efficacy, safety, and enable human encounter and motivation. We proceeded with four steps: 1) A literature review on quality and feasibility issues of telemedicine in general and specifically in exercise training in elderly individuals. 2) Participation in two international telemedicine task forces on integrative medicine, particularly mind-body medicine for cancer patients. 3) A broad discussion and interviews with study therapists,[1] personnel, and international experts on providing mindful movement exercises and other physiotherapies via live telecommunication technology, and with scientists and patient representatives. 4) A review and final evaluation of the core trial team and subsequent planning and implementation of changes. Results and Conclusions: A variety of tasks and challenges were identified for the technical equipment for therapists and patients, ability of therapists and trial participants to adequately manage the technology and telemedicine intervention, reservations and concerns about the technology among therapists and participants, safety and data protection in using the technology, and study design. Steps and possible solutions led to solutions for both a complete switch to telemedicine and a partial switch in the form of risk management pertaining to the former design and implementation. These steps and possible solutions may also inform other researchers or health care providers confronted with similar challenges in the current situation or similar future scenarios. [1] For practical purposes, eurythmy therapists and Tai Chi teachers are summarized here as therapists.

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“…The development of telerehabilitation requires a reliable communication network and tailored software systems to deliver rehabilitation support effectively. In this regard, Hosseiniravandi et al ( 2020 ) provide a scoping review of different software systems designed to address the delivery problems of home-based telerehabilitation. The review included systems with various functional features, such as exercise plan management, report generation, and task scheduling.…”

Section: Assistance Deliverymentioning

confidence: 99%

Upper Limb Home-Based Robotic Rehabilitation During COVID-19 Outbreak

et al. 2021

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The coronavirus disease (COVID-19) outbreak requires rapid reshaping of rehabilitation services to include patients recovering from severe COVID-19 with post-intensive care syndromes, which results in physical deconditioning and cognitive impairments, patients with comorbid conditions, and other patients requiring physical therapy during the outbreak with no or limited access to hospital and rehabilitation centers. Considering the access barriers to quality rehabilitation settings and services imposed by social distancing and stay-at-home orders, these patients can be benefited from providing access to affordable and good quality care through home-based rehabilitation. The success of such treatment will depend highly on the intensity of the therapy and effort invested by the patient. Monitoring patients' compliance and designing a home-based rehabilitation that can mentally engage them are the critical elements in home-based therapy's success. Hence, we study the state-of-the-art telerehabilitation frameworks and robotic devices, and comment about a hybrid model that can use existing telerehabilitation framework and home-based robotic devices for treatment and simultaneously assess patient's progress remotely. Second, we comment on the patients' social support and engagement, which is critical for the success of telerehabilitation service. As the therapists are not physically present to guide the patients, we also discuss the adaptability requirement of home-based telerehabilitation. Finally, we suggest that the reformed rehabilitation services should consider both home-based solutions for enhancing the activities of daily living and an on-demand ambulatory rehabilitation unit for extensive training where we can monitor both cognitive and motor performance of the patients remotely.

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Home-based telerehabilitation software systems for remote supervising: a systematic review

Cited by 42 publications

References 56 publications

Acceptability and outcomes of an individualized exergaming telePT program for veterans with multiple sclerosis: a pilot study

Acceptability and outcomes of an individualized exergaming telePT program for veterans with multiple sclerosis: a pilot study

Addressing COVID-19 Challenges in a Randomized Controlled Trial on Exercise Interventions in a High-Risk Population

Upper Limb Home-Based Robotic Rehabilitation During COVID-19 Outbreak

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