首页 > 最新文献

International Journal of Telerehabilitation最新文献

英文 中文
The Effectiveness of Telerehabilitation on Balance and Functional Mobility in Patients with Stroke: A Systematic Review and Meta-Analysis. 远程康复对脑卒中患者平衡和功能活动性的影响:系统综述和荟萃分析
IF 3.3 Q1 Medicine Pub Date : 2022-12-13 eCollection Date: 2022-01-01 DOI: 10.5195/ijt.2022.6532
Mohamed Salaheldien Alayat, Nahla Ahmad Almatrafi, Abdulqader Abdulrazaq Almutairi, Amir Abdel Raouf El Fiky, Ahmed Mohamed Elsodany

Objective: The aim of this systematic review and meta-analysis was to investigate the effectiveness of telerehabilitation on improving balance and functional mobility in stroke survivors.

Methods: Comprehensive searching was conducted from inception to May 2022. The inclusion criteria were studies evaluating the effectiveness of telerehabilitation in stroke survivors. Data regarding participants, intervention, outcome measures, and main results were extracted. PEDro scale and the Grading of Recommendations Assessment Development and Evaluation (GRADE) were used to assess the methodological quality and quality of evidence, respectively.

Data analysis: A total of fourteen articles) 594 patients) were included. A meta-analysis using a random-effect model was performed on thirteen studies )530 patients). Standardized mean difference (SMD) with 95% confidence interval (CI) was calculated for balance and functional mobility. Results: PEDro scale revealed ten good-quality studies, three fair-quality studies, and one poor-quality study. According to the available evidence, telerehabilitation has a small effect size in improving both balance (SMD 0.33 [95% CI 0.03 to 0.63]; P =0.03; low quality of evidence) and functional mobility (SMD 0.27 [95% CI 0.02 to 0.52]; P =0.03; low quality of evidence).

Conclusion: Telerehabilitation may improve balance and functional mobility in stroke survivors. However, it is evident that more high-quality research is required due to the existence of low to very low-quality evidence with limited confidence in the effect estimate.

Registration: PROSPERO registration number (CRD42022306410).

目的:本系统综述和荟萃分析的目的是研究远程康复对改善脑卒中幸存者平衡和功能活动能力的有效性。方法:从成立至2022年5月进行综合检索。纳入标准是评估中风幸存者远程康复效果的研究。提取有关参与者、干预措施、结局测量和主要结果的数据。采用PEDro量表和建议评估分级(GRADE)分别评估方法学质量和证据质量。资料分析:共纳入14篇文献(594例患者)。采用随机效应模型对13项研究(530例患者)进行了荟萃分析。计算平衡和功能活动能力的标准化平均差(SMD)和95%置信区间(CI)。结果:PEDro量表显示10项高质量研究,3项中等质量研究,1项低质量研究。根据现有证据,远程康复在改善两种平衡方面的效应较小(SMD = 0.33 [95% CI = 0.03 ~ 0.63];P = 0.03;证据质量低)和功能流动性(SMD = 0.27 [95% CI = 0.02 ~ 0.52];P = 0.03;证据质量低)。结论:远程康复可以改善脑卒中幸存者的平衡和功能活动能力。然而,很明显,由于存在低质量或极低质量的证据,对效果估计的置信度有限,因此需要更多的高质量研究。报名:普洛斯彼罗注册号(CRD42022306410)。
{"title":"The Effectiveness of Telerehabilitation on Balance and Functional Mobility in Patients with Stroke: A Systematic Review and Meta-Analysis.","authors":"Mohamed Salaheldien Alayat, Nahla Ahmad Almatrafi, Abdulqader Abdulrazaq Almutairi, Amir Abdel Raouf El Fiky, Ahmed Mohamed Elsodany","doi":"10.5195/ijt.2022.6532","DOIUrl":"10.5195/ijt.2022.6532","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this systematic review and meta-analysis was to investigate the effectiveness of telerehabilitation on improving balance and functional mobility in stroke survivors.</p><p><strong>Methods: </strong>Comprehensive searching was conducted from inception to May 2022. The inclusion criteria were studies evaluating the effectiveness of telerehabilitation in stroke survivors. Data regarding participants, intervention, outcome measures, and main results were extracted. PEDro scale and the Grading of Recommendations Assessment Development and Evaluation (GRADE) were used to assess the methodological quality and quality of evidence, respectively.</p><p><strong>Data analysis: </strong>A total of fourteen articles) 594 patients) were included. A meta-analysis using a random-effect model was performed on thirteen studies )530 patients). Standardized mean difference (SMD) with 95% confidence interval (CI) was calculated for balance and functional mobility. Results: PEDro scale revealed ten good-quality studies, three fair-quality studies, and one poor-quality study. According to the available evidence, telerehabilitation has a small effect size in improving both balance (SMD 0.33 [95% CI 0.03 to 0.63]; P =0.03; low quality of evidence) and functional mobility (SMD 0.27 [95% CI 0.02 to 0.52]; P =0.03; low quality of evidence).</p><p><strong>Conclusion: </strong>Telerehabilitation may improve balance and functional mobility in stroke survivors. However, it is evident that more high-quality research is required due to the existence of low to very low-quality evidence with limited confidence in the effect estimate.</p><p><strong>Registration: </strong>PROSPERO registration number (CRD42022306410).</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2022-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10681061/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48170396","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: 0
Improving Functional Communication Outcomes in Post-Stroke Aphasia via Telepractice: An Alternative Service Delivery Model for Underserved Populations. 通过远程治疗改善中风后失语症的功能性沟通结果:为服务不足人群提供的一种替代服务模式
IF 3.3 Q1 Medicine Pub Date : 2022-12-13 eCollection Date: 2022-01-01 DOI: 10.5195/ijt.2022.6531
Portia Carr, Dana Moser, Shana Williamson, Greg Robinson, Stephen Kintz

Many persons with aphasia (PWA) have limited access to speech-language treatment (SLT) due to limited funding, speech-language pathologist shortages, geographical barriers, physical disabilities, transportation barriers, and the COVID-19 pandemic. The purpose of this study was to determine if telepractice is an effective and feasible service delivery model for PWA. Ten PWA completed 8 hours of remote treatment over 4 weeks. Synchronous telepractice sessions employed Oral Reading for Language in Aphasia (ORLA) and Conversational Script Training (CST). Pre- and post-assessment outcome measures included the Communication Activities of Daily Living-3 (CADL-3) and the Communication Confidence Rating Scale for Aphasia (CCRSA). Participants completed a telepractice satisfaction survey following post-assessment. All participants demonstrated improvements in CCRSA scores, total words produced correctly on trained CST stimuli, and total words produced correctly on trained ORLA stimuli. No differences were noted in CADL-3 scores. All participants were highly satisfied with telepractice as a service delivery model.

由于资金有限、语言病理学家短缺、地理障碍、身体残疾、交通障碍和COVID-19大流行,许多失语症患者获得语言治疗(SLT)的机会有限。本研究的目的是确定远程医疗是否是一种有效和可行的PWA服务交付模式。10例PWA在4周内完成了8小时的远程治疗。同步远程练习课程采用口语阅读(ORLA)和会话脚本训练(CST)。评估前后的结果测量包括日常生活沟通活动-3 (CADL-3)和失语沟通信心评定量表(CCRSA)。参与者在评估后完成了远程医疗满意度调查。所有参与者在CCRSA得分、训练后的CST刺激正确生成的总字数和训练后的ORLA刺激正确生成的总字数上都有改善。CADL-3评分无差异。所有参与者都对远程诊疗作为一种服务模式表示高度满意。
{"title":"Improving Functional Communication Outcomes in Post-Stroke Aphasia via Telepractice: An Alternative Service Delivery Model for Underserved Populations.","authors":"Portia Carr, Dana Moser, Shana Williamson, Greg Robinson, Stephen Kintz","doi":"10.5195/ijt.2022.6531","DOIUrl":"10.5195/ijt.2022.6531","url":null,"abstract":"<p><p>Many persons with aphasia (PWA) have limited access to speech-language treatment (SLT) due to limited funding, speech-language pathologist shortages, geographical barriers, physical disabilities, transportation barriers, and the COVID-19 pandemic. The purpose of this study was to determine if telepractice is an effective and feasible service delivery model for PWA. Ten PWA completed 8 hours of remote treatment over 4 weeks. Synchronous telepractice sessions employed Oral Reading for Language in Aphasia (ORLA) and Conversational Script Training (CST). Pre- and post-assessment outcome measures included the Communication Activities of Daily Living-3 (CADL-3) and the Communication Confidence Rating Scale for Aphasia (CCRSA). Participants completed a telepractice satisfaction survey following post-assessment. All participants demonstrated improvements in CCRSA scores, total words produced correctly on trained CST stimuli, and total words produced correctly on trained ORLA stimuli. No differences were noted in CADL-3 scores. All participants were highly satisfied with telepractice as a service delivery model.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2022-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10681046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47444967","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: 0
Development of an Innovative Telerehabilitation System to Improve Handgrip Strength. 一个创新的远程康复系统的发展,以提高握力
IF 3.3 Q1 Medicine Pub Date : 2022-12-13 eCollection Date: 2022-01-01 DOI: 10.5195/ijt.2022.6497
Sam James, Megan Conrad, Sankar Sengupta

Handgrip strength is an essential function of the hand to perform day-to-day tasks. People lose grip strength due to various factors such as aging, diseases, and other medical conditions. According to neuroplastic and physiological principles, grip strength can be improved using goal-oriented tasks or exercises repeatedly and consistently. People often fail to adhere to repeated movements, including grip strength exercises. Studies have shown that game-based rehabilitation has improved exercise compliance and functional outcomes. This article explains the design and development of an affordable smartphone-based telerehabilitation system that includes an innovatively designed grip strength device (eGripper) and a phone application to play games.

握力是手执行日常任务的基本功能。由于各种因素,如衰老、疾病和其他医疗条件,人们会失去握力。根据神经可塑性原理,可以通过重复和持续的目标导向任务或锻炼来提高握力。人们经常无法坚持无意义的重复动作,包括握力练习。研究表明,基于游戏的康复改善了运动依从性和功能结果。本文介绍了一种价格合理的基于智能手机的远程康复系统的设计和开发,该系统包括一个创新设计的握力装置(eGripper)和一个玩游戏的手机应用程序。
{"title":"Development of an Innovative Telerehabilitation System to Improve Handgrip Strength.","authors":"Sam James, Megan Conrad, Sankar Sengupta","doi":"10.5195/ijt.2022.6497","DOIUrl":"10.5195/ijt.2022.6497","url":null,"abstract":"<p><p>Handgrip strength is an essential function of the hand to perform day-to-day tasks. People lose grip strength due to various factors such as aging, diseases, and other medical conditions. According to neuroplastic and physiological principles, grip strength can be improved using goal-oriented tasks or exercises repeatedly and consistently. People often fail to adhere to repeated movements, including grip strength exercises. Studies have shown that game-based rehabilitation has improved exercise compliance and functional outcomes. This article explains the design and development of an affordable smartphone-based telerehabilitation system that includes an innovatively designed grip strength device (eGripper) and a phone application to play games.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2022-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10681058/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48619482","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: 1
Reliability of the Frontal Plane Knee Alignment Measurement Based on a Remote Protocol. 基于远程协议的正面平面膝关节定位测量的可靠性
IF 3.3 Q1 Medicine Pub Date : 2022-12-13 eCollection Date: 2022-01-01 DOI: 10.5195/ijt.2022.6506
Karina Rodrigues Mauro, Laura de Menezes Cantusio, Karina Guimarães de Brito Menezes, Karine Jacon Sarro

Introduction: The analysis of movement quality is important for better exercise prescription. This study tested the reproducibility of a protocol for remote assessment of dynamic knee alignment using images taken by patients.

Methods: Thirteen women filmed themselves performing single-leg squats on two days at a 15-day interval. Three raters measured the knee frontal plane projection angle using the resultant images.

Results: Two participants (15.4%) were excluded for not performing the protocol correctly. The intraclass correlation coefficient was between 0.880 and 0.999 for the intra-rater comparison, and between 0.817 and 0.987 for the inter-rater comparison.

Discussion: The success of the protocol in 84.6% of participants and the excellent reproducibility suggest that the methodology of analyzing patient-captured cell phone images might be a plausible alternative for remote evaluation of dynamic knee alignment.

引言:运动质量的分析对于制定更好的运动处方具有重要意义。这项研究使用患者拍摄的图像测试了远程评估动态膝关节对齐方案的再现性。方法:13名女性拍摄了自己在两天内进行的单腿深蹲,间隔15天。三位评分者使用合成图像测量了膝盖正面投影角度。结果:两名参与者(15.4%)因未正确执行方案而被排除在外。评分者内部比较的组内相关系数在0.880和0.999之间,评分者之间比较的组间相关系数在0.8 17和0.987之间。讨论:该方案在84.6%的参与者中取得了成功,并且具有良好的再现性,这表明分析患者拍摄的手机图像的方法可能是远程评估动态膝盖对齐的可行替代方案。
{"title":"Reliability of the Frontal Plane Knee Alignment Measurement Based on a Remote Protocol.","authors":"Karina Rodrigues Mauro, Laura de Menezes Cantusio, Karina Guimarães de Brito Menezes, Karine Jacon Sarro","doi":"10.5195/ijt.2022.6506","DOIUrl":"10.5195/ijt.2022.6506","url":null,"abstract":"<p><strong>Introduction: </strong>The analysis of movement quality is important for better exercise prescription. This study tested the reproducibility of a protocol for remote assessment of dynamic knee alignment using images taken by patients.</p><p><strong>Methods: </strong>Thirteen women filmed themselves performing single-leg squats on two days at a 15-day interval. Three raters measured the knee frontal plane projection angle using the resultant images.</p><p><strong>Results: </strong>Two participants (15.4%) were excluded for not performing the protocol correctly. The intraclass correlation coefficient was between 0.880 and 0.999 for the intra-rater comparison, and between 0.817 and 0.987 for the inter-rater comparison.</p><p><strong>Discussion: </strong>The success of the protocol in 84.6% of participants and the excellent reproducibility suggest that the methodology of analyzing patient-captured cell phone images might be a plausible alternative for remote evaluation of dynamic knee alignment.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2022-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10681043/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45438745","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: 0
The Health Economic Impact of Musculoskeletal Physiotherapy Delivered by Telehealth: A Systematic Review 远程医疗提供的肌肉骨骼物理治疗的健康经济影响:系统综述
IF 3.3 Q1 Medicine Pub Date : 2022-12-13 DOI: 10.5195/ijt.2022.6524
Darryn Marks, Sarah Kitcher, Elodie Attrazic, W. Hing, M. Cottrell
Introduction: While the efficacy of telehealth in musculoskeletal physiotherapy has been supported, its cost effectiveness has not been established. Therefore, the objective of this review was to ascertain the health economic impact of outpatient musculoskeletal physiotherapy delivered by telehealth and describe methodology utilized to date. Methods: Electronic searching of PubMed, CINHAL, PEDro, and Web of Science databases was undertaken alongside handsearching for publications comprising: population: adults with musculoskeletal disorders managed in any type of outpatient ambulatory setting; intervention: physiotherapy delivered by telehealth comparison: traditional in-person physiotherapy; and, outcomes: economic analyses reporting costs and consequences. Appraisal was undertaken with the Downs and Black Questionnaire and the Consolidated Health Economic Evaluation Reporting Standards Checklist. Results: Eleven studies of mixed methodological quality were included. Most were conducted in the public sector, from the economic perspective of the health service funder. Telehealth consistently produced health outcomes akin to in-person care. In all but one, telehealth was less costly, with savings achieved by reducing in-person consultations and travel costs. Conclusion: Telehealth is as effective and cheaper than in-person physiotherapy for musculoskeletal disorders in public hospital outpatients. Further health economic research is needed to clarify the economic impact of telehealth upon non-government providers of musculoskeletal physiotherapy.
引言:虽然远程医疗在肌肉骨骼理疗中的疗效得到了支持,但其成本效益尚未确定。因此,本综述的目的是确定远程医疗提供的门诊肌肉骨骼理疗对健康经济的影响,并描述迄今为止使用的方法。方法:在对PubMed、CINHAL、PEDro和Web of Science数据库进行电子搜索的同时,对包括以下内容的出版物进行手查:人群:在任何类型的门诊环境中管理的患有肌肉骨骼疾病的成年人;干预:远程医疗提供的物理治疗比较:传统的面对面物理治疗;以及成果:报告成本和后果的经济分析。使用Downs and Black问卷和综合健康经济评估报告标准检查表进行评估。结果:纳入了11项混合方法学质量的研究。从医疗服务资助者的经济角度来看,大多数都是在公共部门进行的。远程医疗始终产生类似于亲自护理的健康结果。除一项外,远程医疗的成本较低,通过减少当面咨询和差旅成本节省了费用。结论:对于公立医院门诊的肌肉骨骼疾病,远程医疗与亲自理疗一样有效且便宜。需要进一步的健康经济研究,以阐明远程医疗对非政府肌肉骨骼理疗提供者的经济影响。
{"title":"The Health Economic Impact of Musculoskeletal Physiotherapy Delivered by Telehealth: A Systematic Review","authors":"Darryn Marks, Sarah Kitcher, Elodie Attrazic, W. Hing, M. Cottrell","doi":"10.5195/ijt.2022.6524","DOIUrl":"https://doi.org/10.5195/ijt.2022.6524","url":null,"abstract":"Introduction: While the efficacy of telehealth in musculoskeletal physiotherapy has been supported, its cost effectiveness has not been established. Therefore, the objective of this review was to ascertain the health economic impact of outpatient musculoskeletal physiotherapy delivered by telehealth and describe methodology utilized to date. Methods: Electronic searching of PubMed, CINHAL, PEDro, and Web of Science databases was undertaken alongside handsearching for publications comprising: population: adults with musculoskeletal disorders managed in any type of outpatient ambulatory setting; intervention: physiotherapy delivered by telehealth comparison: traditional in-person physiotherapy; and, outcomes: economic analyses reporting costs and consequences. Appraisal was undertaken with the Downs and Black Questionnaire and the Consolidated Health Economic Evaluation Reporting Standards Checklist. Results: Eleven studies of mixed methodological quality were included. Most were conducted in the public sector, from the economic perspective of the health service funder. Telehealth consistently produced health outcomes akin to in-person care. In all but one, telehealth was less costly, with savings achieved by reducing in-person consultations and travel costs. Conclusion: Telehealth is as effective and cheaper than in-person physiotherapy for musculoskeletal disorders in public hospital outpatients. Further health economic research is needed to clarify the economic impact of telehealth upon non-government providers of musculoskeletal physiotherapy.","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2022-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46706771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bridging the Access Gap: The Telepractice Experience of Speech Therapists and Audiologists at a Public Health Care Facility in South Africa. 弥合获取差距:南非公共医疗机构言语治疗师和听力学家的远程实践经验
IF 3.3 Q1 Medicine Pub Date : 2022-12-13 eCollection Date: 2022-01-01 DOI: 10.5195/ijt.2022.6517
Shelissa Govender, Annika L Vallabhjee, Chenay R Charles, Darike Roesch, Sadna Balton

South Africa is a low to middle income country (LMIC) with a population of 60 million people. The public health sector serves more than 80% of the population. Chris Hani Baragwanath Academic Hospital is a central level public health care facility situated in Gauteng. The Speech Therapy and Audiology Department provides insight into their telepractice services through a qualitative approach. The onset of the COVID-19 pandemic resulted in therapists exploring telepractice as a sustainable model of service delivery. Therapists and patients encountered many challenges to the implementation of telepractice, however, the commitment of therapists ensured that creative solutions were developed. A comprehensive needs analysis at public health institutions is required to ensure the sustainability of telepractice. A hybrid model (telepractice and in-person consults) holds the potential to reduce the financial burden on patients and increase access to quality patient-centered care.

南非是一个拥有6000万人口的中低收入国家。公共卫生部门为80%以上的人口提供服务。Chris Hani Baragwanath学术医院是位于豪登省的一家中央级公共医疗机构。言语治疗和听力学部通过定性的方法提供对其远程实践服务的深入了解。新冠肺炎大流行的爆发导致治疗师探索远程实践作为一种可持续的服务提供模式。治疗师和患者在实施远程实践方面遇到了许多挑战,然而,治疗师的承诺确保了创造性的解决方案的制定。公共卫生机构需要进行全面的需求分析,以确保远程实践的可持续性。混合模式(远程实践和面对面咨询)有可能减轻患者的经济负担,增加以患者为中心的优质护理。
{"title":"Bridging the Access Gap: The Telepractice Experience of Speech Therapists and Audiologists at a Public Health Care Facility in South Africa.","authors":"Shelissa Govender, Annika L Vallabhjee, Chenay R Charles, Darike Roesch, Sadna Balton","doi":"10.5195/ijt.2022.6517","DOIUrl":"10.5195/ijt.2022.6517","url":null,"abstract":"<p><p>South Africa is a low to middle income country (LMIC) with a population of 60 million people. The public health sector serves more than 80% of the population. Chris Hani Baragwanath Academic Hospital is a central level public health care facility situated in Gauteng. The Speech Therapy and Audiology Department provides insight into their telepractice services through a qualitative approach. The onset of the COVID-19 pandemic resulted in therapists exploring telepractice as a sustainable model of service delivery. Therapists and patients encountered many challenges to the implementation of telepractice, however, the commitment of therapists ensured that creative solutions were developed. A comprehensive needs analysis at public health institutions is required to ensure the sustainability of telepractice. A hybrid model (telepractice and in-person consults) holds the potential to reduce the financial burden on patients and increase access to quality patient-centered care.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2022-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10681049/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45467110","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: 0
Change in Daily Steps and Self-efficacy of Online Interactive Exercise Classes for Community-dwelling Older Adults in Japan: A Preliminary Study. 日本社区老年人在线互动锻炼课程的日常步数变化和自我效能感的初步研究
IF 3.3 Q1 Medicine Pub Date : 2022-12-13 eCollection Date: 2022-01-01 DOI: 10.5195/ijt.2022.6492
Mami Ishizuka-Inoue, Kanako Shimoura, Reika Yamashita, Miyu Onishi, Takanobu Saito, Momoko Nagai-Tanima, Tomoki Aoyama

Aims: This study aimed to (1) examine the feasibility of an online interactive exercise class for community-dwelling older adults and (2) preliminarily examine changes in physical activity and self-efficacy.

Methods: Participants were 25 community-dwelling older adults aged 65 years or older, but due to 5 dropouts, the final number of participants for analysis was 20 (mean age 76.9 ± 5.7 years). The intervention program was conducted for 40 minutes each session, twice a week for four consecutive weeks, using the LINE group call (LINE Corporation, Japan). An online questionnaire was used to assess participant characteristics, modified Fall Efficacy Scale score, modified Gait Efficacy Scale (m-GES) score, self-rated health, and daily steps, which were compared pre- and post-intervention using the Wilcoxon signed-rank sum and chi-square tests.

Results: The Wilcoxon signed-rank sum test showed significant improvement in the m-GES score and daily steps. The chi-square test showed that self-rated health was significantly greater in the maintenance/increase group.

Conclusions: Online interactive exercise classes are feasible for community-dwelling older individuals. These results also suggest the possibility of using telehealth to improve physical activity and self-efficacy.

目的:本研究旨在(1)检验为居住在社区的老年人开设在线互动锻炼班的可行性;(2)初步检验体育活动和自我效能的变化。方法:参与者是25名65岁或以上的社区老年人,但由于有5名辍学者,最终分析的参与者人数为20人(平均年龄76.9±5.7岁)。干预计划每次40分钟,每周两次,连续四周,使用LINE团体电话(日本LINE公司)。使用在线问卷评估参与者特征、改良秋季疗效量表评分、改良步态疗效量表(m-GES)评分、自评健康状况和每日步数,并使用Wilcoxon符号秩和和和卡方检验对干预前后进行比较。结果:Wilcoxon符号秩和检验显示m-GES评分和日常步数有显著改善。卡方检验显示,维持/增加组的自评健康水平明显更高。结论:在线互动锻炼课程对居住在社区的老年人来说是可行的。这些结果也表明了使用远程医疗来提高身体活动和自我效能的可能性。
{"title":"Change in Daily Steps and Self-efficacy of Online Interactive Exercise Classes for Community-dwelling Older Adults in Japan: A Preliminary Study.","authors":"Mami Ishizuka-Inoue, Kanako Shimoura, Reika Yamashita, Miyu Onishi, Takanobu Saito, Momoko Nagai-Tanima, Tomoki Aoyama","doi":"10.5195/ijt.2022.6492","DOIUrl":"10.5195/ijt.2022.6492","url":null,"abstract":"<p><strong>Aims: </strong>This study aimed to (1) examine the feasibility of an online interactive exercise class for community-dwelling older adults and (2) preliminarily examine changes in physical activity and self-efficacy.</p><p><strong>Methods: </strong>Participants were 25 community-dwelling older adults aged 65 years or older, but due to 5 dropouts, the final number of participants for analysis was 20 (mean age 76.9 ± 5.7 years). The intervention program was conducted for 40 minutes each session, twice a week for four consecutive weeks, using the LINE group call (LINE Corporation, Japan). An online questionnaire was used to assess participant characteristics, modified Fall Efficacy Scale score, modified Gait Efficacy Scale (m-GES) score, self-rated health, and daily steps, which were compared pre- and post-intervention using the Wilcoxon signed-rank sum and chi-square tests.</p><p><strong>Results: </strong>The Wilcoxon signed-rank sum test showed significant improvement in the m-GES score and daily steps. The chi-square test showed that self-rated health was significantly greater in the maintenance/increase group.</p><p><strong>Conclusions: </strong>Online interactive exercise classes are feasible for community-dwelling older individuals. These results also suggest the possibility of using telehealth to improve physical activity and self-efficacy.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2022-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10681059/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45025263","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: 0
Editors' Note. 编者注。
IF 3.3 Q1 Medicine Pub Date : 2022-12-13 eCollection Date: 2022-01-01 DOI: 10.5195/ijt.2022.6533
Ellen R Cohn, Jana Cason
{"title":"Editors' Note.","authors":"Ellen R Cohn, Jana Cason","doi":"10.5195/ijt.2022.6533","DOIUrl":"https://doi.org/10.5195/ijt.2022.6533","url":null,"abstract":"","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2022-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10681048/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138463452","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: 0
Telepractice with Preschool Children: Speech-Language Pathologists' Perspectives in Turkey. 学龄前儿童的远程练习:土耳其语言病理学家的观点
IF 3.3 Q1 Medicine Pub Date : 2022-12-13 eCollection Date: 2022-01-01 DOI: 10.5195/ijt.2022.6465
Merve Dilbaz Gürsoy, Tuğçe Karahan Tığrak, Ayşen Köse

The purpose of this research was to investigate speech-language pathologists' (SLPs) perspectives, attitudes, and experiences of using telepractice for preschoolers in Turkey. A mixed-method online survey was used with SLPs who implemented telepractice with preschool children. Frequency distribution and theme analysis were used to examine the data. Therapy was the most offered online service (98%). Further, 67% of SLPs worked with speech sound disorders. More than half of SLPs felt confident offering telepractice to preschoolers. Most respondents thought that telepractice was an appropriate and easily accessible approach for preschool children, with the applicability of telepractice connected to a child's type of problem. The SLPs were motivated by the numerous advantages of telepractice. However, their opinions were divided when telepractice was compared to in-person treatment. The SLPs in Turkey must be better educated about telepractice, and clinical standards established. The findings point to areas of telepractice that might be improved for preschoolers, especially in Turkey.

本研究的目的是调查语音语言病理学家(slp)的观点,态度,并使用远程实践在土耳其学龄前儿童的经验。采用混合在线调查方法对实施远程教学的学前儿童进行调查。使用频率分布和主题分析对数据进行检验。治疗是提供最多的在线服务(98%)。此外,67%的slp治疗语音障碍。超过一半的小学教师有信心为学龄前儿童提供远程教学。大多数受访者认为远程实践是一种适合学龄前儿童的、容易获得的方法,远程实践的适用性与儿童的问题类型有关。slp的动机是远程医疗的众多优势。然而,当将远程治疗与现场治疗进行比较时,他们的意见出现了分歧。土耳其的slp必须接受更好的远程医疗教育,并建立临床标准。研究结果指出,对于学龄前儿童,特别是土耳其的儿童来说,远程教学可能需要改进。
{"title":"Telepractice with Preschool Children: Speech-Language Pathologists' Perspectives in Turkey.","authors":"Merve Dilbaz Gürsoy, Tuğçe Karahan Tığrak, Ayşen Köse","doi":"10.5195/ijt.2022.6465","DOIUrl":"10.5195/ijt.2022.6465","url":null,"abstract":"<p><p>The purpose of this research was to investigate speech-language pathologists' (SLPs) perspectives, attitudes, and experiences of using telepractice for preschoolers in Turkey. A mixed-method online survey was used with SLPs who implemented telepractice with preschool children. Frequency distribution and theme analysis were used to examine the data. Therapy was the most offered online service (98%). Further, 67% of SLPs worked with speech sound disorders. More than half of SLPs felt confident offering telepractice to preschoolers. Most respondents thought that telepractice was an appropriate and easily accessible approach for preschool children, with the applicability of telepractice connected to a child's type of problem. The SLPs were motivated by the numerous advantages of telepractice. However, their opinions were divided when telepractice was compared to in-person treatment. The SLPs in Turkey must be better educated about telepractice, and clinical standards established. The findings point to areas of telepractice that might be improved for preschoolers, especially in Turkey.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2022-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10681051/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45130273","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: 0
Does the Integration of Telehealth into Occupational Therapy Practice Impact Clinical Outcomes for Hand and Upper Limb Rehabilitation? A Matched Case Control Study. 将远程医疗整合到职业治疗实践中会影响手部和上肢康复的临床结果吗?配对病例对照研究
IF 3.3 Q1 Medicine Pub Date : 2022-12-13 eCollection Date: 2022-01-01 DOI: 10.5195/ijt.2022.6505
Kristie J Harper, Siân Fitzgerald, Png Xiyin, Jordan Kuzich, Soon Hui Leow, Jacques Angela, Courtenay Harris

Health services are capitalizing on the rise of telehealth and seeking to develop sustainable models incorporating telehealth into standard care. Further research is required to explore the service and clinical outcomes of telehealth in occupational therapy hand and upper limb practice. This research utilized a case-control study to explore the feasibility and clinical outcomes of case matched patients who received a telehealth hybrid model versus traditional in-person care. One hundred and two patients were recruited (n=51 in the controls and cases) with a mean age of 45 years. Telehealth was not inferior to standard care with no significant increase in therapy time (p=0.441) or length of referral (p=0.047). There was no difference in clinical adverse events (p=0.741). Patients who received telehealth had significantly less withdrawals from the service (p = 0.031). Patient and therapist satisfaction were high, supporting the ongoing use and continued implementation of telehealth in occupational therapy.

保健服务正在利用远程保健的兴起,并寻求发展将远程保健纳入标准保健的可持续模式。远程医疗在手部和上肢职业治疗实践中的服务和临床效果有待进一步研究。本研究利用病例对照研究来探讨病例匹配患者接受远程医疗混合模式与传统面对面护理的可行性和临床结果。共招募了102例患者(对照组和病例组共51例),平均年龄为45岁。远程保健并不逊于标准护理,治疗时间(p=0.441)或转诊时间(p=0.047)均无显著增加。两组临床不良事件差异无统计学意义(p=0.741)。接受远程医疗的患者退出服务的次数显著减少(p = 0.031)。患者和治疗师的满意度很高,支持在职业治疗中持续使用和继续实施远程保健。
{"title":"Does the Integration of Telehealth into Occupational Therapy Practice Impact Clinical Outcomes for Hand and Upper Limb Rehabilitation? A Matched Case Control Study.","authors":"Kristie J Harper, Siân Fitzgerald, Png Xiyin, Jordan Kuzich, Soon Hui Leow, Jacques Angela, Courtenay Harris","doi":"10.5195/ijt.2022.6505","DOIUrl":"10.5195/ijt.2022.6505","url":null,"abstract":"<p><p>Health services are capitalizing on the rise of telehealth and seeking to develop sustainable models incorporating telehealth into standard care. Further research is required to explore the service and clinical outcomes of telehealth in occupational therapy hand and upper limb practice. This research utilized a case-control study to explore the feasibility and clinical outcomes of case matched patients who received a telehealth hybrid model versus traditional in-person care. One hundred and two patients were recruited (n=51 in the controls and cases) with a mean age of 45 years. Telehealth was not inferior to standard care with no significant increase in therapy time (p=0.441) or length of referral (p=0.047). There was no difference in clinical adverse events (p=0.741). Patients who received telehealth had significantly less withdrawals from the service (p = 0.031). Patient and therapist satisfaction were high, supporting the ongoing use and continued implementation of telehealth in occupational therapy.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2022-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10681060/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42188395","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: 1
期刊
International Journal of Telerehabilitation
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1