Telerehabilitation - historical perspectives and conceptual framework in reference to neurological disorders: A narrative review.

IF 1.7 4区 医学 Q3 CLINICAL NEUROLOGY NeuroRehabilitation Pub Date : 2024-07-10 DOI:10.3233/NRE-240079
Paul Olowoyo, Rajinder K Dhamija, Mayowa O Owolabi
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Abstract

Background: Telerehabilitation as a new subdiscipline of telehealth is the application of information technology to support and deliver rehabilitation services via two-way or multipoint interactive online telecommunication technology. This enables the therapist to optimize the timing, intensity, and duration of therapy which is often not possible within the constraints of face-to-face treatment protocols in current health systems.

Objective: To review the historical perspective and conceptual framework of telerehabilitation in neurological disorders.

Methods: A narrative review of the literature was performed for the historical perspective and a systematic review of the conceptual framework was performed using the PRISMA guidelines on chronic neurological disorders; multiple sclerosis, spinal cord injury, stroke, Parkinson's disease, cognitive impairment, and headaches. The search included articles from the past 20 years (2004 to 2024).

Results: Telerehabilitation dates back to the 1960s and early 1970s. Documented effective interventions were mostly on therapies for speech disorders. The conceptual framework consisted of three major components of telerehabilitation programmes including development, implementation, and evaluation. The COVID-19 pandemic suddenly made telerehabilitation come to the limelight because physical distancing became necessary. Out of the 110,000 articles downloaded, 43 met the inclusion criteria for review on the conceptual framework of telerehabilitation in relation to neurological disorders. The articles discussed multiple sclerosis (2), spinal cord disorders (1), stroke (17), Parkinson's disease (15), headaches (3), and cognitive disorders (5). All articles reviewed assessed the effectiveness of telemedicine except for the articles on multiple sclerosis and spinal cord disorders which examined the interphase between the technology and the end users.

Conclusion: The future of telerehabilitation looks promising with the subsequent integration of innovative tools and applications. This will require the adaption of technology, continuous capacity building, education, and training of healthcare professionals to ensure that they are adequately equipped with the necessary skills to provide quality virtual reality rehabilitation care.

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远程康复--有关神经系统疾病的历史观点和概念框架:叙述性综述。
背景:远程康复作为远程保健的一个新的分支学科,是应用信息技术,通过双向或多点交互式在线远程通信技术来支持和提供康复服务。这使治疗师能够优化治疗的时间、强度和持续时间,而在目前的医疗系统中,面对面的治疗方案往往无法做到这一点:回顾神经系统疾病远程康复的历史背景和概念框架:方法:对历史视角的文献进行了叙述性回顾,并采用 PRISMA 指南对概念框架进行了系统性回顾,涉及慢性神经系统疾病、多发性硬化症、脊髓损伤、中风、帕金森病、认知障碍和头痛。搜索包括过去 20 年(2004 年至 2024 年)的文章:远程康复可追溯到 20 世纪 60 年代和 70 年代初。有文献记载的有效干预措施主要是针对语言障碍的疗法。概念框架包括远程康复计划的三个主要组成部分,包括开发、实施和评估。COVID-19大流行突然让远程康复成为人们关注的焦点,因为物理距离变得很有必要。在下载的 110,000 篇文章中,有 43 篇符合有关神经系统疾病远程康复概念框架的审查纳入标准。这些文章讨论了多发性硬化症(2 篇)、脊髓疾病(1 篇)、中风(17 篇)、帕金森病(15 篇)、头痛(3 篇)和认知障碍(5 篇)。除有关多发性硬化症和脊髓疾病的文章对技术和最终用户之间的相互关系进行了研究外,其他所有文章都对远程医疗的有效性进行了评估:结论:随着创新工具和应用的不断整合,远程康复的未来前景看好。这将需要对技术进行调整、持续的能力建设、教育以及对医疗保健专业人员的培训,以确保他们充分掌握必要的技能,提供高质量的虚拟现实康复护理。
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来源期刊
NeuroRehabilitation
NeuroRehabilitation CLINICAL NEUROLOGY-REHABILITATION
CiteScore
3.20
自引率
0.00%
发文量
178
审稿时长
6-12 weeks
期刊介绍: NeuroRehabilitation, an international, interdisciplinary, peer-reviewed journal, publishes manuscripts focused on scientifically based, practical information relevant to all aspects of neurologic rehabilitation. We publish unsolicited papers detailing original work/research that covers the full life span and range of neurological disabilities including stroke, spinal cord injury, traumatic brain injury, neuromuscular disease and other neurological disorders. We also publish thematically organized issues that focus on specific clinical disorders, types of therapy and age groups. Proposals for thematic issues and suggestions for issue editors are welcomed.
期刊最新文献
Effect of chest expansion resistance exercise and respiratory muscle stretching on respiratory function and gait endurance in patients with stroke. Spontaneous eye blinking as a diagnostic and prognostic marker in disorders of consciousness: Protocol of an international multicentre longitudinal study. Evaluation of YouTube videos as a source of information on facial paralysis exercises. Research, education and practice of tele-neurorehabilitation in low and middle-income countries: A Scoping Review. The role of nutrition in mild traumatic brain injury rehabilitation for service members and veterans.
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