Remote Medical Consultation for Vestibular Disorders: Technological Solutions and Case Report

Viirre, Erik; Warner, David; Balch, David; Nelson, James R.

doi:10.1089/tmj.1.1997.3.53

Cited by 24 publications

(18 citation statements)

References 6 publications

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“…Only one report was sourced in regard to balance assessment through telemedicine. 31 This single case study demonstrated the feasibility and success of a remote consultation using a two-way digital video and audio network for assessing a patient with benign positional vertigo. The use of cameras allowed for viewing the patient's eye movements, which were essential to the diagnosis.…”

mentioning

confidence: 79%

A Systematic Review of Telehealth Applications in Audiology

Swanepoel

Hall

2010

Telemedicine and e-Health

178

151

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Hearing loss is a pervasive global healthcare concern with an estimated 10% of the global population affected to a mild or greater degree. In the absence of appropriate diagnosis and intervention it can become a lifelong disability with serious consequences on the quality of life and societal integration and participation of the affected persons. Unfortunately, there is a major dearth of hearing healthcare services globally, which highlights the possible role of telehealth in penetrating the underserved communities. This study systematically reviews peer-reviewed publications on audiologyrelated telehealth services and patient=clinician perceptions regarding their use. Several databases were sourced (Medline, SCOPUS, and CHINAL) using different search strategies for optimal coverage. Though the number of studies in this field are limited available reports span audiological services such as screening, diagnosis, and intervention. Several screening applications for populations consisting of infants, children, and adults have demonstrated the feasibility and reliability of telehealth using both synchronous and asynchronous models. The diagnostic procedures reported, including audiometry, video-otoscopy, oto-acoustic emissions, and auditory brainstem response, confirm clinically equivalent results for remote telehealth-enabled tests and conventional face-to-face versions. Intervention studies, including hearing aid verification, counseling, and Internet-based treatment for tinnitus, demonstrate reliability and effectiveness of telehealth applications compared to conventional methods. The limited information on patient perceptions reveal mixed findings and require more specific investigations, especially post facto surveys of patient experiences. Tele-audiology holds significant promise in extending services to the underserved communities but require considerable empirical research to inform future implementation.

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confidence: 79%

A Systematic Review of Telehealth Applications in Audiology

Swanepoel

Hall

2010

Telemedicine and e-Health

178

151

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“…The same has not been shown for examinations that are as complex as a neurological examination. However, two reports have documented that physicians are able to interpret some components of the neurological examination using telemedicine 11,12 .…”

mentioning

confidence: 99%

Neurological examination is possible using telemedicine

Craig¹,

McConville²,

Patterson³

et al. 1999

J Telemed Telecare

118

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To compare the reliability of neurological examination performed by telemedicine and face to face, a junior doctor examined 23 patients face to face, these examinations being witnessed either by one or by two telemedicine observers using a telemedicine video-link at 384 kbit/s. The gold standard was a face-to-face examination from a panel of six consultant neurologists. Power, deep tendon reflexes, plantar responses, coordination, sensation, eye movements, facial strength, tongue movements, sitting balance and gait were studied. Seventeen patients satisfied the inclusion criteria, and a total of 1,084 matched pairs of observations were made. The reliability of the telemedicine examination ranged from fair to moderate for deep tendon reflexes, coordination and eye movement, to near perfect for plantar responses. Overall, examination by telemedicine compared favourably with face-to-face examination. Telemedicine examination was more sensitive in detecting abnormalities than face-to-face examination for all the neurological tests studied and more specific for all but one (plantar responses). The study showed that neurological examination using telemedicine is at least as good as face-to-face examination performed by a junior doctor.

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“…As a result of this paradigm shift, these tools enhance remote health care. Work by Padeken, et al [3] and Viirre, et al [4] has further demonstrated this. Integration of these tools permits the exchange of great amounts of information in real-time.…”

Section: Introductionmentioning

confidence: 73%

Experience in the application of Java Technologies in telemedicine

Fedyukin¹,

Reviakin²,

Oi³

et al. 2002

eHealth Int

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Java language has been demonstrated to be an effective tool in supporting medical image viewing in Russia. This evaluation was completed by obtaining a maximum of 20 images, depending on the client's computer workstation from one patient using a commercially available computer tomography (CT) scanner. The images were compared against standard CT images that were viewed at the site of capture. There was no appreciable difference. The client side is a lightweight component that provides an intuitive interface for end users. Each image is loaded in its own thread and the user can begin work after the first image has been loaded. This feature is especially useful on slow connection speed, 9.6 Kbps for example. The server side, which is implemented by the Java Servlet Engine works more effective than common gateway interface (CGI) programs do. Advantages of the Java Technology place this program on the next level of application development. This paper presents a unique application of Java in telemedicine.

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Remote Medical Consultation for Vestibular Disorders: Technological Solutions and Case Report

Cited by 24 publications

References 6 publications

A Systematic Review of Telehealth Applications in Audiology

A Systematic Review of Telehealth Applications in Audiology

Neurological examination is possible using telemedicine

Experience in the application of Java Technologies in telemedicine

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