Telerehabilitation for people with low vision

Bittner, Ava K; Yoshinaga, Patrick D; Rittiphairoj, Thanitsara; Li, Tianjing

doi:10.1002/14651858.cd011019.pub4

Cited by 5 publications

(4 citation statements)

References 40 publications

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“…A potential way to offer assessment and additional training is via telerehabilitation using a video visit encounter, but there is limited evidence available to support the efficacy of a remote training modality. 18 Preliminary data support that additional training via telerehabilitation can improve self-reported magnifier use, 19 near reading acuity with magnifiers, and near reading speed at the reading acuity level. 20 It is important for future research to gain a better understanding of real-world reading challenges in the home environment that can be observed during telerehabilitation, which affect extended reading.…”

Section: Discussionmentioning

confidence: 86%

“…Future studies will need to assess whether additional handheld optical magnifier training can improve reading speed among those who did not improve in our study. A potential way to offer assessment and additional training is via telerehabilitation using a video visit encounter, but there is limited evidence available to support the efficacy of a remote training modality 18 . Preliminary data support that additional training via telerehabilitation can improve self-reported magnifier use, 19 near reading acuity with magnifiers, and near reading speed at the reading acuity level 20 .…”

Section: Discussionmentioning

confidence: 99%

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Value of Handheld Optical Illuminated Magnifiers for Sustained Silent Reading by Visually Impaired Adults

Kaminski

Yoshinaga²,

Chun³

et al. 2023

Optom Vis Sci

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SIGNIFICANCE Vision rehabilitation providers tend to recommend handheld, illuminated optical magnifiers for short-duration spot reading tasks, but this study indicates that they are also a viable option to improve sustained, continuous text reading (e.g., books or magazines), especially for visually impaired adults who read slowly with only spectacle-based near correction. PURPOSE The utility of handheld optical magnifiers for sustained silent reading tasks involving normal-sized continuous text could be a valuable indication that is not recognized by vision rehabilitation providers and patients. METHODS Handheld, illuminated optical magnifiers were dispensed to 29 visually impaired adults who completed the sustained silent reading test by phone at baseline without the new magnifier and 1 month after using the magnifier. Reading speed in words per minute (wpm) was calculated from the time to read each page and then averaged across up to 10 pages or determined for the fastest read page (maximum). RESULTS From baseline without the magnifier to 1 month with the magnifier, there was a significant improvement in mean reading speed by 14 wpm (95% confidence interval [CI], 2.6 to 24; P = .02) and for maximum reading speed by 18 wpm (95% CI, 5.4 to 30; P = .005) on average across participants. Participants who had slower baseline reading speeds without the magnifier demonstrated significantly greater improvements in mean and maximum reading speeds on average with the magnifier (95% CI, 8 to 32 [P = .003]; 95% CI, 4 to 36 [P = .02]). A significantly greater number of pages were read with the new magnifier than without it (Wilcoxon z = −2.5; P = .01). A significantly greater number of pages were read with the magnifier by participants who read fewer pages at baseline (95% CI, 0.57 to 5.6; P = .02) or had greater improvements in mean reading speed (95% CI, 0.57 to 5.6; P = .007). CONCLUSIONS Many visually impaired adults read more quickly and/or read a greater number of pages after using a new magnifier for a month than compared to without it. The largest gains occurred among those with more difficulty at baseline, indicating the potential to improve reading rates with magnifiers for those with greater deficits.

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Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Value of Handheld Optical Illuminated Magnifiers for Sustained Silent Reading by Visually Impaired Adults

Kaminski

Yoshinaga²,

Chun³

et al. 2023

Optom Vis Sci

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“…This is especially true for elderly patients who may also have visual impairments and for patients with significant disabilities who may have associated cognitive impairments. While research in this area has shown promise, it is essential to continue evaluating and refining these technologies to ensure their clinical quality and effectiveness compared to traditional face-to-face rehabilitation [ 62 , 63 ].…”

Section: Discussionmentioning

confidence: 99%

Assessing the Effectiveness of Rehabilitation Interventions through the World Health Organization Disability Assessment Schedule 2.0 on Disability—A Systematic Review

Potcovaru,

Salmen,

Bîgu

et al. 2024

JCM

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(1) Background: The World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) is a tool designed to measure disability in accordance with the International Classification of Functioning, Disability and Health. Measuring disability is becoming increasingly important due to its high prevalence, which continues to rise. Rehabilitation interventions can reduce disability and enhance functioning. (2) Objective: The present study aims to assess the impact of rehabilitation interventions on reducing disability, as measured by the WHODAS 2.0 questionnaire. It also seeks to identify which specific rehabilitation interventions are more effective and to explore other disability assessment questionnaires. (3) Methods: Following the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) methodology, we conducted a systematic review, with the protocol registered with the identifier CRD42023495309, focused on “WHODAS” and “rehabilitation” using PubMed and Web of Science electronic databases. (4) Results: We identified 18 articles from various regions encompassing patients with various health conditions, related to stroke, the cardiovascular system (cardiovascular disease, chronic heart failure), the pulmonary system (chronic obstructive pulmonary disease), the neurologic system (Parkinson’s disease, cerebral palsy, neurodegenerative disease), the musculoskeletal system (orthopaedic surgery), cancer, and chronic pain, and among frail elderly. These patients have received a wide range of rehabilitation interventions: from conventional therapy to virtual reality, robot-assisted arm training, exergaming, and telerehabilitation. (5) Discussion and Conclusions: A wide range of rehabilitation techniques can effectively improve disability with various comorbidities, offering numerous benefits. The WHODAS 2.0 questionnaire proves to be an efficient and reliable tool for measuring disability, and scores have a tendency to decrease after rehabilitation.

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“…There is a lack of a rigorous evidence basis for telerehabilitation involving magnification device training for low vision; randomized controlled trials have not yet been conducted. 7 , 8 Skills taught by providers in office may not carry over when patients use magnifiers at home if the lighting, working distance, viewing angle, and/or ergonomics are not ideal. Additionally, patients may not retain the specific instructions that are essential to improve reading ability with magnifiers.…”

Section: Introductionmentioning

confidence: 99%

Outcomes of Telerehabilitation Versus In-Office Training With Magnification Devices for Low Vision: A Randomized Controlled Trial

Bittner,

Kaminski,

Yoshinaga

et al. 2024

Trans. Vis. Sci. Tech.

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Purpose An evidence basis is lacking but needed to compare reading ability outcomes after magnification device training remotely via telerehabilitation versus in office. Methods A multicenter randomized controlled trial at academic centers and vision rehabilitation private practices randomized 61 visually impaired adults to telerehabilitation or in-office training 1 to 4 months after dispensing new portable electronic, hand-held, or stand optical magnifiers. Telerehabilitation included loaner equipment for Zoom videoconferencing with remote control access software. Using a multilevel regression model, changes in Activity Inventory responses using Rasch analysis estimated reading ability in dimensionless log odds units (logits) (0.14-logit change corresponds with ability change expected from a one-line change in visual acuity). Results Across 47 participants who completed the trial, reading ability with new magnifiers improved significantly by 0.61 logits on average (95% confidence interval [CI], 0.36–0.86; P < 0.001) from baseline to 1 month, and by an additional 0.44 logits on average (95% CI, 0.19–0.69; P < 0.001) from 1 to 4months (i.e., after magnifier training), with very similar significant findings for both telerehabilitation ( n = 29; mean improvement = 0.44 logits; 95% CI, 0.08–0.80; P = 0.018) and in-office training ( n = 18; mean improvement = 0.43 logits; 95% CI, 0.15–0.71; P = .003), and no significant difference between randomized groups across both follow-ups (95% CI, −0.43 to 0.61; P = .73). Vision, demographics, and health factors were nonsignificantly related to reading ability changes from 1 to 4 months. Conclusions Reading ability improved after the provision of newly dispensed magnifiers, with further improvements following additional magnifier training via either telerehabilitation or in-office usual care. Translational Relevance These findings provide support for the use of telerehabilitation to enhance reading ability with newly prescribed magnifiers as an alternative modality of care delivery.

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Telerehabilitation for people with low vision

Abstract: Trusted evidence. Informed decisions. Better health.

Cited by 5 publications

References 40 publications

Value of Handheld Optical Illuminated Magnifiers for Sustained Silent Reading by Visually Impaired Adults

Value of Handheld Optical Illuminated Magnifiers for Sustained Silent Reading by Visually Impaired Adults

Assessing the Effectiveness of Rehabilitation Interventions through the World Health Organization Disability Assessment Schedule 2.0 on Disability—A Systematic Review

Outcomes of Telerehabilitation Versus In-Office Training With Magnification Devices for Low Vision: A Randomized Controlled Trial

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