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Telepractice in School-Age Children Who Stutter: A Controlled Before and After Study to Evaluate the Efficacy Of MIDA-SP. 远距练习在学龄口吃儿童中的应用:对MIDA-SP治疗前后效果的对照研究。
IF 3.3 Q1 REHABILITATION Pub Date : 2021-06-22 eCollection Date: 2021-01-01 DOI: 10.5195/ijt.2021.6380
Donatella Tomaiuoli, Francesca Del Gado, Sara Marchetti, Lisa Scordino, Diletta Vedovelli

The COVID-19 pandemic necessitated a general reorganization of rehabilitation services in Italy. The lockdown in Italy led to the use of telepractice for the delivery of speech therapy, including stuttering. The aim of the present work was to evaluate the effectiveness of the Multidimensional, Integrated, Differentiated, Art-Mediated Stuttering Program (MIDA-SP; Tomaiuoli et al., 2012), delivered online for school-age children who stutter. A non-randomized controlled pre- and post-treatment study included an experimental group (11 children) receiving a telepractice adaptation of MIDA-SP and a historical control group (11 children) receiving in-person MIDA-SP. Both groups had been assessed with the Stuttering Severity Instrument - Fourth Edition (SSI-4) and Overall Assessment of the Speaker's Experience of Stuttering (OASES-S) pre- and post-treatment. No statistically significant differences were found between the two modes of delivery. These findings suggest that MIDA-SP treatment delivered via telepractice is effective for school-age children who stutter.

2019冠状病毒病大流行迫使意大利对康复服务进行全面重组。意大利的封锁导致使用远程练习来提供语言治疗,包括口吃。本研究的目的是评估多维、综合、差异化、艺术介导的口吃项目(MIDA-SP;Tomaiuoli et al., 2012),在线提供给口吃的学龄儿童。一项非随机对照治疗前和治疗后研究包括实验组(11名儿童)接受远程实践适应的MIDA-SP和历史对照组(11名儿童)接受现场MIDA-SP。两组均采用口吃严重程度量表第四版(SSI-4)和说话者口吃体验综合评估量表(oasis - s)进行治疗前后评估。两种分娩方式间无统计学差异。这些发现表明,通过远程实践提供的MIDA-SP治疗对学龄口吃儿童有效。
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引用次数: 7
The Implementation of Teleconsultations in a Physiotherapy Service During Covid-19 Pandemic in Brazil: a Case Report. 巴西 Covid-19 大流行期间物理治疗服务中远程会诊的实施:病例报告。
IF 2.5 Q1 REHABILITATION Pub Date : 2021-06-22 eCollection Date: 2021-01-01 DOI: 10.5195/ijt.2021.6368
Thaiana B F Pacheco, Dayse A Bezerra, João Pedro de S Silva, Ênio W A Cacho, Clécio G de Souza, Roberta O Cacho

Introduction: The Brazilian Council of Physiotherapy and Occupational Therapy regulated the use of teleconsultation during the COVID-19 pandemic, creating uncertainty about its use in Brazil.

Objective: To describe the experience of teleconsultations during the COVID-19 pandemic.

Methods: Four patients participated in the study with the following diagnoses: Parkinson's disease, stroke, peripheral facial paralysis, and tibial plateau fracture. Patients underwent up to 10 physiotherapy sessions via digital tools. The 5-A self-management tool (Assess, Advise, Agree, Assist, Arrange) guided the sessions.

Results: The teleconsultation type varied between synchronous (n = 1; 25%); asynchronous (n = 2; 50%) and synchronous/asynchronous (n = 1; 25%). There was 75% (n = 3) adherence and one withdrawal (25%). As the benefits of teleconsultations, the patients pointed out the convenience, maintenance of the exercises, and contact with the professional. The reported limitations were the lack of the use of physiotherapeutic devices.

Conclusion: Teleconsultations contribute to the continuity of physiotherapy treatment during social isolation. Adherence to treatment was facilitated by access to the technology and by offering patients the choice of teleconsultation type.

简介:巴西物理治疗和职业治疗委员会在 COVID-19 大流行期间对远程会诊的使用做出了规定:在 COVID-19 大流行期间,巴西物理治疗和职业治疗委员会对远程会诊的使用做出了规定,这给远程会诊在巴西的使用带来了不确定性:描述 COVID-19 大流行期间远程会诊的经验:参与研究的四名患者的诊断如下方法: 四名患者参与了研究,他们的诊断如下:帕金森病、中风、周围性面瘫和胫骨平台骨折。患者通过数字工具接受了最多 10 次物理治疗。5-A自我管理工具(评估、建议、同意、协助、安排)为疗程提供指导:远程会诊的类型有同步(1 人;25%)、异步(2 人;50%)和同步/异步(1 人;25%)之分。75%(n = 3)的人坚持使用,1 人退出(25%)。患者指出,远程会诊的好处是方便、能保持锻炼和与专业人员联系。结论:远程会诊有助于保持治疗的连续性:结论:远程会诊有助于在社会隔离期间保持物理治疗的连续性。远程会诊技术的使用以及为患者提供远程会诊类型的选择有利于患者坚持治疗。
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引用次数: 0
Perceptions of School-Based Telehealth in a Rural State: Moving Forward After COVID-19. 一个农村州对校本远程医疗的看法:在 COVID-19 之后继续前进。
IF 2.5 Q1 REHABILITATION Pub Date : 2021-06-22 eCollection Date: 2021-01-01 DOI: 10.5195/ijt.2021.6370
Susan Skees Hermes, Jade Rauen, Shirley O'Brien

The purpose of this study was to discern the barriers faced by school-based clinicians, chiefly occupational therapists (OTs) and speech-language pathologists (SLPs) who provided telehealth in a primarily rural state during an unexpected declaration of a state of emergency in response to the COVID-19 pandemic. Survey results found the major barriers to implementation of telehealth services to be lack of practitioner training, a lack of access to technology for students, and concerns that the quality of intervention might not be equivalent to in-person service delivery. This article discusses both the benefits and barriers to providing telehealth services in school-based practice and offers considerations for future studies on this topic.

本研究的目的是了解学校临床医生(主要是职业治疗师 (OT) 和言语病理学家 (SLP))所面临的障碍,他们在一个以农村为主的州提供远程保健服务,当时该州意外宣布进入紧急状态以应对 COVID-19 大流行。调查结果显示,实施远程保健服务的主要障碍是缺乏从业人员培训、学生无法获得技术,以及担心干预质量可能无法与亲自提供服务相提并论。本文讨论了在校本实践中提供远程保健服务的益处和障碍,并为今后有关该主题的研究提供了参考。
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引用次数: 0
The Canadian Occupational Performance Measure: a Feasible Multidisciplinary Outcome Measure for Pediatric Telerehabilitation. 加拿大职业表现测量:儿科远程康复可行的多学科结果测量。
IF 3.3 Q1 REHABILITATION Pub Date : 2021-06-22 eCollection Date: 2021-01-01 DOI: 10.5195/ijt.2021.6372
Lynn R Tanner, Kathy Grinde, Cristin McCormick

This study describes the feasibility of using the Canadian Occupational Performance Measure (COPM) as a multidisciplinary outcome measure for pediatric telerehabilitation (TR). The COPM was administered at monthly time points over four months. A follow-up survey was conducted with the therapists to assess clinical utility of the COPM. Seventy-three percent of the children seen in TR > one month had at least two administrations of the COPM. Eighty percent of therapists agreed or strongly agreed that the COPM was easy to use in a reasonable amount of time, helped identify functional goals, could be used with various children with varied diagnoses, and measured functional change. In 37 children, the median clinical change in performance and satisfaction was two points or greater on the COPM over the episode of TR. The COPM is a feasible measure perceived positively by pediatric therapists for TR use.

本研究描述了使用加拿大职业绩效测量(COPM)作为儿科远程康复(TR)的多学科结果测量的可行性。COPM在四个月内按月给药。对治疗师进行了随访调查,以评估COPM的临床应用。在TR >一个月的儿童中,73%的儿童至少服用过两次COPM。80%的治疗师同意或强烈同意COPM在合理的时间内易于使用,有助于确定功能目标,可以用于不同诊断的各种儿童,并测量功能变化。在37名儿童中,COPM的表现和满意度的临床变化中位数在TR发作期间为2分或更高。COPM是一种可行的测量方法,儿科治疗师对TR的使用持积极态度。
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引用次数: 3
Telerehabilitation in Italy During the COVID-19 Lockdown: A Feasibility and Acceptability Study. COVID-19封锁期间意大利远程康复:可行性和可接受性研究
IF 3.3 Q1 REHABILITATION Pub Date : 2021-06-22 eCollection Date: 2021-01-01 DOI: 10.5195/ijt.2021.6334
Giada Milani, Giulia Demattè, Matilde Ferioli, Giulia Dallagà, Susanna Lavezzi, Nino Basaglia, Sofia Straudi

This study examined the feasibility and acceptability of a telerehabilitation program during the COVID-19 pandemic in a sample of adult patients with physical disabilities. Of the twenty-three patients enrolled, 11 agreed to participate in a video-based telerehabilitation program. Barriers and facilitators to the adoption of telerehabilitation were identified and clinical, demographic, and psychological variables were analysed as predictors of success. Age, cognitive reserve, and resilience were significant predictors of satisfaction with telerehabilitation (p<0.05). The telerehabilitation program was perceived as feasible and was well accepted by patients, despite some technology challenges. However, patients who took advantage of telerehabilitation perceived differences in the quality of service and preferred traditional in-person treatment to service delivery via telerehabilitation.

本研究以成年身体残疾患者为样本,考察了2019冠状病毒病大流行期间远程康复计划的可行性和可接受性。在登记的23名患者中,有11人同意参加一个基于视频的远程康复计划。确定了采用远程康复的障碍和促进因素,并分析了临床、人口统计学和心理变量作为成功的预测因素。年龄、认知储备和恢复力是远程康复满意度的显著预测因子(p
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引用次数: 12
Keeping Pace With 21st Century Healthcare: A Framework for Telehealth Research, Practice, and Program Evaluation in Occupational Therapy. 与21世纪的医疗保健保持同步:远程医疗研究框架,实践,和项目评估在职业治疗。
IF 3.3 Q1 REHABILITATION Pub Date : 2021-06-22 eCollection Date: 2021-01-01 DOI: 10.5195/ijt.2021.6379
Lauren M Little, Kristen A Pickett, Rachel Proffitt, Jana Cason

The use of telehealth to deliver occupational therapy services rapidly expanded during the COVID-19 pandemic. There are frameworks to evaluate services delivered through telehealth; however, none are specific to occupational therapy. Therefore, occupational therapy would benefit from a framework to systematically evaluate components of telehealth service delivery and build evidence to demonstrate the distinct value of occupational therapy. The PACE Framework outlines four priority domains to address areas of need: (1) Population and Health Outcomes; (2) Access for All Clients; (3) Costs and Cost Effectiveness; and (4) Experiences of Clients and Occupational Therapy Practitioners. This article describes the development and expert reviewer evaluation of the PACE Framework. In addition, the PACE Framework's domains, subdomains, and outcome measure examples are described along with future directions for implementation in occupational therapy research, practice, and program evaluation.

在新冠肺炎大流行期间,使用远程医疗提供职业治疗服务的情况迅速扩大。有评估通过远程医疗提供服务的框架;然而,没有一种是职业治疗特有的。因此,职业治疗将受益于一个系统评估远程医疗服务提供组成部分的框架,并建立证据来证明职业治疗的独特价值。PACE框架概述了解决需求领域的四个优先领域:(1)人口与健康成果;(2) 所有客户的访问权限;(3) 成本和成本效益;以及(4)客户和职业治疗从业者的经验。本文描述了PACE框架的开发和专家评审评估。此外,还描述了PACE框架的领域、子域和结果测量示例,以及在职业治疗研究、实践和项目评估中的未来实施方向。
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引用次数: 15
Telerehabilitation for Post-Hospitalized COVID-19 Patients: A Proof-of-Concept Study During a Pandemic. COVID-19住院后患者的远程康复:大流行期间的概念验证研究
IF 3.3 Q1 REHABILITATION Pub Date : 2021-06-22 eCollection Date: 2021-01-01 DOI: 10.5195/ijt.2021.6383
Pamela Tanguay, Nicole Marquis, Isabelle Gaboury, Dahlia Kairy, Matthieu Touchette, Michel Tousignant, Simon Décary

Purpose: Telerehabilitation could prevent sequelae from COVID-19. We aimed to assess the feasibility of telerehabilitation; describe pulmonary and functional profiles of COVID-19 patients; and explore the effect of telerehabilitation on improving pulmonary symptoms and quality of life.

Methods: We conducted a pre-experimental, pre-post pilot study. We recruited COVID-19 patients who had returned home following hospitalization. The intervention included eight weeks of supervised physiotherapy sessions. We documented technological issues, success of recruitment strategies, and participants' attendance to supervised sessions. We measured the impact of pulmonary symptoms on quality of life and functional health.

Results: We scheduled 64 supervised sessions with seven participants with few technological issues. Initial scores showed that pulmonary symptoms moderately to highly impacted quality of life. At eight weeks, all patients had improved from 10 to 45 points on the EuroQol-Visual Analog Scale (EQ-VAS) instrument, indicating clinical significance.

Conclusion: We developed and administered a telerehabilitation intervention during a global pandemic that targets key symptoms of the relevant disease.

目的:远程康复可预防新冠肺炎后遗症。我们的目的是评估远程康复的可行性;描述COVID-19患者的肺部和功能特征;探讨远程康复对改善肺部症状和生活质量的影响。方法:我们进行了实验前、实验后的试点研究。我们招募了住院后回家的COVID-19患者。干预包括8周的有监督的物理治疗。我们记录了技术问题、招聘策略的成功以及参与者出席监督会议的情况。我们测量了肺部症状对生活质量和功能健康的影响。结果:我们安排了64次有监督的会议,7名参与者几乎没有技术问题。初始评分显示,肺部症状对生活质量有中度到高度的影响。8周时,所有患者的EuroQol-Visual analogue Scale (EQ-VAS)评分从10分提高到45分,具有临床意义。结论:在全球大流行期间,我们开发并实施了一种针对相关疾病关键症状的远程康复干预措施。
{"title":"Telerehabilitation for Post-Hospitalized COVID-19 Patients: A Proof-of-Concept Study During a Pandemic.","authors":"Pamela Tanguay,&nbsp;Nicole Marquis,&nbsp;Isabelle Gaboury,&nbsp;Dahlia Kairy,&nbsp;Matthieu Touchette,&nbsp;Michel Tousignant,&nbsp;Simon Décary","doi":"10.5195/ijt.2021.6383","DOIUrl":"https://doi.org/10.5195/ijt.2021.6383","url":null,"abstract":"<p><strong>Purpose: </strong>Telerehabilitation could prevent sequelae from COVID-19. We aimed to assess the feasibility of telerehabilitation; describe pulmonary and functional profiles of COVID-19 patients; and explore the effect of telerehabilitation on improving pulmonary symptoms and quality of life.</p><p><strong>Methods: </strong>We conducted a pre-experimental, pre-post pilot study. We recruited COVID-19 patients who had returned home following hospitalization. The intervention included eight weeks of supervised physiotherapy sessions. We documented technological issues, success of recruitment strategies, and participants' attendance to supervised sessions. We measured the impact of pulmonary symptoms on quality of life and functional health.</p><p><strong>Results: </strong>We scheduled 64 supervised sessions with seven participants with few technological issues. Initial scores showed that pulmonary symptoms moderately to highly impacted quality of life. At eight weeks, all patients had improved from 10 to 45 points on the EuroQol-Visual Analog Scale (EQ-VAS) instrument, indicating clinical significance.</p><p><strong>Conclusion: </strong>We developed and administered a telerehabilitation intervention during a global pandemic that targets key symptoms of the relevant disease.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"13 1","pages":"e6383"},"PeriodicalIF":3.3,"publicationDate":"2021-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8287730/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39272794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 12
Effects of Supervised Exercise-Based Telerehabilitation on Walk Test Performance and Quality of Life in Patients in India With Chronic Disease: Combatting Covid-19. 基于监督运动的远程康复对印度慢性病患者步行测试表现和生活质量的影响:抗击Covid-19
IF 3.3 Q1 REHABILITATION Pub Date : 2021-06-22 eCollection Date: 2021-01-01 DOI: 10.5195/ijt.2021.6349
Jaini Patel, Barry A Franklin, Disha Pujary, Gagandeep Kaur, Ankita Deodhar, Sakshi Kharbanda, Aashish Contractor

Background: The world is currently undergoing a pandemic, caused by the SARS-CoV-2 virus (COVID-19). According to the World Health Organization, patients with chronic illnesses appear to be at the highest risk for COVID-19 associated sequelae. Inability to participate in outpatient-based rehabilitation programs and being home-bound can increase the risk for and potential worsening of chronic health conditions. This study evaluated the short-term effects of telerehabilitation on patients' walk test performance and health related quality of life (HRQoL).

Methods: 47 patients (23 cardiovascular, 15 pulmonary, 9 oncology) participated in the telerehabilitation program. At baseline and following a 1-month intervention, patients had their 6-minute walk test distance (6MWTD) and HRQoL assessed. Average daily step counts were measured by the PACER App.

Conclusions: Our results indicate that a short-term, supervised virtual telerehabilitation program had significant positive effects on 6MWTD and HRQoL in cardiac, pulmonary and oncology patients during COVID-19.

背景:目前世界正在经历由SARS-CoV-2病毒(COVID-19)引起的大流行。根据世界卫生组织的数据,慢性疾病患者出现COVID-19相关后遗症的风险最高。不能参加以门诊为基础的康复计划和呆在家里会增加慢性健康状况的风险和潜在的恶化。本研究评估远程康复对患者步行测试表现和健康相关生活质量(HRQoL)的短期影响。方法:47例患者(心血管23例,肺15例,肿瘤9例)参加远程康复。在基线和干预1个月后,对患者进行6分钟步行测试距离(6MWTD)和HRQoL评估。结论:我们的研究结果表明,短期、有监督的虚拟远程康复计划对COVID-19期间心脏、肺部和肿瘤患者的6MWTD和HRQoL有显著的积极影响。
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引用次数: 3
Errata. 勘误表。
IF 3.3 Q1 REHABILITATION Pub Date : 2021-06-22 eCollection Date: 2021-01-01 DOI: 10.5195/ijt.2021.6386
Ellen R Cohn

[This corrects the article DOI: 10.5195/ijt.2021.6371.].

[这更正了文章DOI: 10.5195/ijt.2021.6371]。
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引用次数: 0
Speech-Language Pathology and Audiology in South Africa: Clinical Training and Service in the Era of COVID-19. 南非的语言病理学和听力学:COVID-19时代的临床培训和服务。
IF 3.3 Q1 REHABILITATION Pub Date : 2021-06-22 eCollection Date: 2021-01-01 DOI: 10.5195/ijt.2021.6376
Katijah Khoza-Shangase, Nomfundo Moroe, Joanne Neille

Introduction and purpose: The novel coronavirus (COVID-19) presented new and unanticipated challenges to the provision of clinical services, from student training to the care of patients with speech-language and hearing (SLH) disorders. Prompt changes in information and communication technologies (ICT), were required to ensure that clinical training continued to meet the Health Professions Council of South Africa's regulations and patients received effective clinical care. The purpose of this study was to investigate online clinical training and supervision to inform current and future training and clinical care provision in SLH professions.

Methodology: A scoping review was conducted using the Arksey and O'Malley (2005) framework. The electronic bibliographic databases Science Direct, PubMed, Scopus, MEDLINE, and ProQuest were searched to identify publications about online clinical training and supervision and their impact on clinical service during COVID-19. Selection and analysis were performed by three independent reviewers using pretested forms.

Results and conclusions: The findings revealed important benefits of teletraining and telepractice with potential application to South African clinical training and service provision. Five themes emerged: (1) practice produces favorable outcomes, (2) appreciation for hybrid models of training and service delivery, (3) cost effectiveness is a "big win" (4) internationalization of remote clinical training and service provision, and (5) comparable modality outcomes. These findings may have significant implications for teletraining and telepractice in low-and-middle income countries (LMICs) in the COVID-19 era and beyond, wherein demand versus capacity challenges (e.g., in human resources) persist. Current findings highlight the need for SLH training programmes to foster a hybrid clinical training model. Few studies were conducted in LMICs, indicating a gap in such research.

简介和目的:新型冠状病毒(新冠肺炎)对临床服务的提供提出了新的和意想不到的挑战,从学生培训到语言和听力障碍患者的护理。需要迅速改变信息和通信技术,以确保临床培训继续符合南非卫生专业委员会的规定,并确保患者获得有效的临床护理。本研究的目的是调查在线临床培训和监督,为SLH专业当前和未来的培训和临床护理提供信息。方法:使用Arksey和O'Malley(2005)框架进行范围界定审查。检索电子文献数据库Science Direct、PubMed、Scopus、MEDLINE和ProQuest,以确定有关新冠肺炎期间在线临床培训和监督及其对临床服务的影响的出版物。选择和分析由三名独立评审员使用预先测试的表格进行。结果和结论:研究结果揭示了远程培训和远程实践的重要好处,有可能应用于南非的临床培训和服务提供。出现了五个主题:(1)实践产生了有利的结果,(2)对培训和服务提供的混合模式的赞赏,(3)成本效益是一个“大胜利”(4)远程临床培训和服务的国际化,以及(5)可比的模式结果。这些发现可能对新冠肺炎时代及以后低收入国家(LMIC)的远程培训和远程实践具有重大影响,在这些国家,需求与能力的挑战(例如,人力资源)持续存在。目前的研究结果强调了SLH培训计划的必要性,以促进混合临床培训模式。在LMIC中进行的研究很少,这表明此类研究存在差距。
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引用次数: 17
期刊
International Journal of Telerehabilitation
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