Telerehabilitation assessment using the Functioning Everyday with a Wheelchair-Capacity instrument

Schein, Richard M.; Schmeler, Mark R.; Holm, Margo B.; Pramuka, Michael; Saptono, Andi; Brienza, David M.

doi:10.1682/jrrd.2010.03.0039

Cited by 21 publications

(16 citation statements)

References 11 publications

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“…Studies demonstrating the validity and reliability of this system have been performed to examine physical outcome measurements [6,10], observational kinematic gait analysis [11], upper-limb range of motion in stroke patients [12], lowerlimb range of motion in an orthopedic population [13], the effectiveness of rehabilitation following total knee replacement surgery [14][15][16], and diagnostic accuracy of ankle injuries [17]. Other studies using similar videoconferencing equipment have demonstrated that telerehabilitation assessments of Functional Reach, the European Stroke Scale, and the Functioning Everyday with a Wheelchair-Capacity can be performed accurately compared with face-to-face encounters [18][19].…”

Section: Introductionmentioning

confidence: 99%

Internet-based physical assessment of people with Parkinson disease is accurate and reliable: A pilot study

Russell

Hoffmann

Nelson

et al. 2013

JRRD

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Abstract-Telerehabilitation may be an alternative service delivery model for people with Parkinson disease (PD) who live in areas where traditional rehabilitation services are not readily accessible. The aim of this study was to determine the accuracy and reliability of performing remote physical assessments of people with PD via telerehabilitation when compared with traditional face-to-face assessments. Twelve subjects were simultaneously examined by a face-to-face investigator and a remote investigator via the eHAB telerehabilitation system. The outcome measures evaluated included the timed stance test, Timed "Up and Go" test, step test, steps in 360 degree turn, Berg Balance Scale, and lateral and functional reach tests. Limits of agreements intervals and weighted kappa statistics demonstrated the telerehabilitation assessments to be accurate within clinically acceptable limits. A high level of inter-and intrarater reliability was demonstrated across all telerehabilitation assessments. This study indicates that it is possible to assess the physical ability of people with PD via telerehabilitation systems and provides support for the further development of telerehabilitation applications for patients with neurological disorders.

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Section: Introductionmentioning

confidence: 99%

Internet-based physical assessment of people with Parkinson disease is accurate and reliable: A pilot study

Russell

Hoffmann

Nelson

et al. 2013

JRRD

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“…A study conducted by Schein et al on the interrater reliability between in-person and TR assessment of Functioning Everyday with a Wheelchair-Capacity demonstrated excellent results, with an interclass correlation coefficient of 0.91, although the system was tested under high-bandwidth conditions [14]. In a separate study, Schein et al again compared TR sessions on wheeled mobility and seating assessments with in-person assessment scenarios and the results indicated that the TR sessions were equally effective as the "gold standard" inperson assessments [2].…”

Section: Literature Reviewmentioning

confidence: 99%

Development of telerehabilitation application with designated consultation categories

Tan¹,

Narayanan²,

Koh³

et al. 2014

J Rehabil Res Dev

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Abstract-Telerehabilitation (TR) is getting ever more popular because it is effective in bringing rehabilitation services to rural populations by means of audiovisual systems and its initial implementation studies presented encouraging results. TR is proven to be helpful, with benefits in terms of reduced travel time, cost, and availability of specialists' support in local communities. However, TR systems that are usable under low-bandwidth network environments are rare. This article introduces the development of a TR system with customized consultation categories for users to choose from, depending on requirements. Each category, with its preset parameter values, is discussed in detail by demonstrating relevant rehabilitation exercises. A novel bandwidth adaptation algorithm is also presented for optimal utilization of the dynamic network conditions, which ensures the system functionality even under narrow-bandwidth environments. Experiment results show that the system is able to perform effectively in each consultation category while the rehabilitation exercises are being performed. The proposed algorithm is also verified for its ability to adapt the content quality and effectively utilize the network under constrained conditions. A survey conducted on the video quality of the system under low-bandwidth conditions shows encouraging results for a large-scale deployment of the application.

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“…The traditional telephone system continues to be a low-cost alternative for effectively conducting interview assessments by various health care professionals (Cooper et al, 2002;Dreyer, Dreyer, Shaw, & Wittman, 2001;Winters, 2002), and advanced communication technologies have broadened the possibilities for conducting evaluations. Studies have described the use of telehealth in areas that are of concern to occupational therapy, such as evaluation and consultative services for wheelchair prescription (Barlow, Liu, & Sekulic, 2009;Schein, Schmeler, Brienza, Saptono, & Parmanto, 2008;Schein, Schmeler, Holm, Saptono, & Brienza, 2010;Schein et al, 2011), neurological assessment (Savard, Borstad, Tkachuck, Lauderdale, & Conroy, 2003), adaptive equipment prescription and home modification (Sanford et al, 2007), and ergonomic assessment (Baker & Jacobs, 2013).…”

Section: Evaluation Using Telehealth Technologies: Tele-evaluationmentioning

confidence: 99%

Telehealth

2013

The American Journal of Occupational Therapy

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The purpose of this paper is to provide the current position of the American Occupational Therapy Association (AOTA) regarding the use of telehealth by occupational therapists and occupational therapy assistants 1 to provide occupational therapy services. This document describes the use of telehealth within occupational therapy practice areas, as described in the existing research. Additionally, occupational therapy practitioner 2 qualifications, ethics, and regulatory issues related to the use of telehealth as a service delivery model within occupational therapy are outlined. Occupational therapy practitioners are the intended audience for this document, although others involved in supervising, planning, delivering, regulating, and paying for occupational therapy services also may find it helpful. Telecommunication and information technologies have prompted the development of an emerging model of health care delivery called telehealth, which involves health care services, health information, and health education. AOTA defines telehealth as the application of evaluative, consultative, preventative, and therapeutic services delivered through telecommunication and information technologies. Occupational therapy services provided by means of a telehealth service delivery model can be synchronous, that is, delivered through interactive technologies in real time, or asynchronous, using store-and-forward technologies. Occupational therapy practitioners can use telehealth as a mechanism to provide services at a location that is physically distant from the client, thereby allowing for services to occur where the client lives, works, and plays, if that is needed or desired (AOTA, 2010d). An overview of telehealth technologies is included in Appendix A. Telerehabilitation within the larger realm of telehealth is the application of telecommunication and information technologies for the delivery of rehabilitation services. Key terms related to telehealth and telehealth technologies are defined in Appendix B. Use of Telehealth Within Occupational Therapy Occupational therapy practitioners use telehealth as a service delivery model to help clients develop skills; incorporate assistive technology and adaptive techniques; modify work, home, or school environments; and create health-promoting habits and routines. Benefits of a telehealth service delivery model include increased accessibility of services to clients who live in remote or underserved areas, improved access to providers and specialists otherwise unavailable to clients, prevention of unnecessary delays in receiving care, and workforce enhancement through consultation and research among others (Cason, 2012a, 2012b). By removing barriers to accessing care, including social stigma, travel, and socioeconomic and cultural barriers, the use of telehealth as a service delivery model within occupational therapy leads to improved access to care and ameliorates the impact of personnel shortages in underserved areas. Occupational therapy outcomes aligned with telehealth include t...

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Telerehabilitation assessment using the Functioning Everyday with a Wheelchair-Capacity instrument

Cited by 21 publications

References 11 publications

Internet-based physical assessment of people with Parkinson disease is accurate and reliable: A pilot study

Internet-based physical assessment of people with Parkinson disease is accurate and reliable: A pilot study

Development of telerehabilitation application with designated consultation categories

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