Pub Date : 2023-10-01DOI: 10.1097/tgr.0000000000000410
Michelle R. Rauzi, Maegan E. Olivos, Deborah L. Currier, Lauren M. Abbate, Hillary D. Lum, Jennifer E. Stevens-Lapsley
The COVID-19 pandemic rapidly expanded telehealth utilization, spurring interest in patient safety and emergency procedures during treatment. The purpose of this report was to present safety procedures within a Veterans Affairs (VA)-affiliated telehealth physical therapy program treating medically complex older adults. Staff completed organizational and clinic-specific training for emergency procedures; these procedures were iteratively adapted through safety event debriefings and weekly meetings. Twenty-one individuals participated in the program. Clinicians completed 317 and 122 individual and group sessions, respectively, and reported 17 safety events. Four case examples highlight how safety procedures were adapted to mitigate risk and respond to emergencies.
{"title":"Emergency Management During Telehealth","authors":"Michelle R. Rauzi, Maegan E. Olivos, Deborah L. Currier, Lauren M. Abbate, Hillary D. Lum, Jennifer E. Stevens-Lapsley","doi":"10.1097/tgr.0000000000000410","DOIUrl":"https://doi.org/10.1097/tgr.0000000000000410","url":null,"abstract":"The COVID-19 pandemic rapidly expanded telehealth utilization, spurring interest in patient safety and emergency procedures during treatment. The purpose of this report was to present safety procedures within a Veterans Affairs (VA)-affiliated telehealth physical therapy program treating medically complex older adults. Staff completed organizational and clinic-specific training for emergency procedures; these procedures were iteratively adapted through safety event debriefings and weekly meetings. Twenty-one individuals participated in the program. Clinicians completed 317 and 122 individual and group sessions, respectively, and reported 17 safety events. Four case examples highlight how safety procedures were adapted to mitigate risk and respond to emergencies.","PeriodicalId":45972,"journal":{"name":"Topics in Geriatric Rehabilitation","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136007952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-01DOI: 10.1097/tgr.0000000000000415
Dustin Jones
1 Rep Max (1RM) Living occurs when the demands of life are near or exceeding one's capacity. This situation can be troublesome and relatively urgent for many. Telerehabilitation offers some barriers but also opportunities to helping people in this common situation. This article discusses the importance of 1RM Living, how to identify, and how we can destroy 1RM Living to change our patients' lives for the better.
{"title":"1RM Living","authors":"Dustin Jones","doi":"10.1097/tgr.0000000000000415","DOIUrl":"https://doi.org/10.1097/tgr.0000000000000415","url":null,"abstract":"1 Rep Max (1RM) Living occurs when the demands of life are near or exceeding one's capacity. This situation can be troublesome and relatively urgent for many. Telerehabilitation offers some barriers but also opportunities to helping people in this common situation. This article discusses the importance of 1RM Living, how to identify, and how we can destroy 1RM Living to change our patients' lives for the better.","PeriodicalId":45972,"journal":{"name":"Topics in Geriatric Rehabilitation","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136007954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-01DOI: 10.1097/tgr.0000000000000411
Evelyn Abrahante Terrell, Jose Rafols
This article aims to provide virtual care solutions to address social determinants of health and expand access to care for underserved populations. The article highlights virtual care enhancements and strategies to extend the geographic reach of clinicians into home and community settings for greater health equity. It supports the use of telehealth in meeting the health care needs of underserved communities facing barriers to access, as well as provides integrated and coordinated high-quality care. Finally, this article describes an organization's telehealth journey and offers practical guidance for clinicians on how to successfully implement and scale telehealth services.
{"title":"Telehealth Adoption Among Rehabilitation Specialists","authors":"Evelyn Abrahante Terrell, Jose Rafols","doi":"10.1097/tgr.0000000000000411","DOIUrl":"https://doi.org/10.1097/tgr.0000000000000411","url":null,"abstract":"This article aims to provide virtual care solutions to address social determinants of health and expand access to care for underserved populations. The article highlights virtual care enhancements and strategies to extend the geographic reach of clinicians into home and community settings for greater health equity. It supports the use of telehealth in meeting the health care needs of underserved communities facing barriers to access, as well as provides integrated and coordinated high-quality care. Finally, this article describes an organization's telehealth journey and offers practical guidance for clinicians on how to successfully implement and scale telehealth services.","PeriodicalId":45972,"journal":{"name":"Topics in Geriatric Rehabilitation","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136007961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-01DOI: 10.1097/tgr.0000000000000406
Rania Karim, Amie Jasper, Samuel John Montecalvo Uy, Eleazar Tayag, Arvie C. Vitente, Rolando Lazaro
Introduction: This study aimed to explore the feasibility of telehealth-obtained Timed Up and Go (TUG). Methods: The TUG was administered twice during 1 visit. The TUG distance as set up by the participant was compared with the TUG set up by a rater. A second rater scored the TUG virtually, and a third rater scored session recordings twice, 30 days apart. Results: There was a strong and significant correlation between the face-to-face and virtually obtained TUG scores using the patient-identified distances ( r = 0.994; 95% confidence interval, 0.957-0.999). Discussion: Virtual TUG measurements are comparable with those measured face-to-face.
前言:本研究旨在探讨远程医疗获得的time Up and Go (TUG)的可行性。方法:1次就诊，两次使用TUG。将参与者设定的TUG距离与评价者设定的TUG距离进行比较。第二名参与者对TUG进行了虚拟评分，第三名参与者对会话录音进行了两次评分，间隔30天。结果:面对面与虚拟获得的患者识别距离的TUG得分之间存在强而显著的相关性(r = 0.994;95%置信区间为0.957-0.999)。讨论:虚拟TUG测量可以与面对面测量相比较。
{"title":"Feasibility of Timed Up and Go Administered via Telerehabilitation in Older Adults","authors":"Rania Karim, Amie Jasper, Samuel John Montecalvo Uy, Eleazar Tayag, Arvie C. Vitente, Rolando Lazaro","doi":"10.1097/tgr.0000000000000406","DOIUrl":"https://doi.org/10.1097/tgr.0000000000000406","url":null,"abstract":"Introduction: This study aimed to explore the feasibility of telehealth-obtained Timed Up and Go (TUG). Methods: The TUG was administered twice during 1 visit. The TUG distance as set up by the participant was compared with the TUG set up by a rater. A second rater scored the TUG virtually, and a third rater scored session recordings twice, 30 days apart. Results: There was a strong and significant correlation between the face-to-face and virtually obtained TUG scores using the patient-identified distances ( r = 0.994; 95% confidence interval, 0.957-0.999). Discussion: Virtual TUG measurements are comparable with those measured face-to-face.","PeriodicalId":45972,"journal":{"name":"Topics in Geriatric Rehabilitation","volume":"130 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136007956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-01DOI: 10.1097/tgr.0000000000000413
Andrea De Vitis, Andrea Battaglino, Pierluigi Sinatti, Eluterio A. Sánchez Romero, Luciano Bissolotti, Diego Cotella, Jorge Hugo Villafañe
Background: The purpose of this study is to examine the evidence of the effectiveness of telemedicine in postural stability treatment in independent patients affected by Parkinson's disease (PD). Methods: This is a literature review of studies investigating the effect of telemedicine in postural stability treatment in independent patients affected by PD. PRISMA guidelines were followed during the design, search, and reporting stages of this review. The search was carried out in the MEDLINE databases. Results: A total of 1854 studies were detected and analyzed by performing the proposed searches in the detailed databases. After removing duplicates and analyzing the titles and abstracts of the remaining articles, 6 studies were ultimately selected for this review. At least 50% of the studies included in this review showed positive results in improving postural stability in patients with PD after a home-based intervention. Conclusions: The home-based intervention based upon technologically assisted telerehabilitation may support the aspects of an effective and efficient physical therapy allowing the physiotherapists to deliver functional rehabilitation in the home setting outside the hospital and supervise more than one patient simultaneously during rehabilitation sessions.
{"title":"Effects of Telemedicine for Postural Instability in Independent Patients With Parkinson's Disease","authors":"Andrea De Vitis, Andrea Battaglino, Pierluigi Sinatti, Eluterio A. Sánchez Romero, Luciano Bissolotti, Diego Cotella, Jorge Hugo Villafañe","doi":"10.1097/tgr.0000000000000413","DOIUrl":"https://doi.org/10.1097/tgr.0000000000000413","url":null,"abstract":"Background: The purpose of this study is to examine the evidence of the effectiveness of telemedicine in postural stability treatment in independent patients affected by Parkinson's disease (PD). Methods: This is a literature review of studies investigating the effect of telemedicine in postural stability treatment in independent patients affected by PD. PRISMA guidelines were followed during the design, search, and reporting stages of this review. The search was carried out in the MEDLINE databases. Results: A total of 1854 studies were detected and analyzed by performing the proposed searches in the detailed databases. After removing duplicates and analyzing the titles and abstracts of the remaining articles, 6 studies were ultimately selected for this review. At least 50% of the studies included in this review showed positive results in improving postural stability in patients with PD after a home-based intervention. Conclusions: The home-based intervention based upon technologically assisted telerehabilitation may support the aspects of an effective and efficient physical therapy allowing the physiotherapists to deliver functional rehabilitation in the home setting outside the hospital and supervise more than one patient simultaneously during rehabilitation sessions.","PeriodicalId":45972,"journal":{"name":"Topics in Geriatric Rehabilitation","volume":"66 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136007960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-01DOI: 10.1097/TGR.0000000000000409
Megan E Gately, Emily E Metcalf, Dylan E Waller, Jaye E McLaren, Elizabeth S Chamberlin, Chelsea E Hawley, Maria Venegas, Eileen M Dryden, Maureen K O'Connor, Lauren R Moo
Caregiver involvement may facilitate patient participation in occupational therapy (OT) video telehealth. However, little is known about the extent to which caregivers participate and what they do. This scoping review aims to, 1) describe the caregiver role supporting patient participation in OT video telehealth, and, 2) identify barriers and facilitators to caregiver involvement. Findings reveal caregiver involvement in a range of OT evaluation and intervention processes, with details on what caregivers did overall lacking. Barriers and facilitators are also described. This study underscores the need for clear and robust descriptions of caregiver participation to increase best practices in video telehealth.
{"title":"Caregiver Support Role in Occupational Therapy Video Telehealth: A Scoping Review.","authors":"Megan E Gately, Emily E Metcalf, Dylan E Waller, Jaye E McLaren, Elizabeth S Chamberlin, Chelsea E Hawley, Maria Venegas, Eileen M Dryden, Maureen K O'Connor, Lauren R Moo","doi":"10.1097/TGR.0000000000000409","DOIUrl":"10.1097/TGR.0000000000000409","url":null,"abstract":"<p><p>Caregiver involvement may facilitate patient participation in occupational therapy (OT) video telehealth. However, little is known about the extent to which caregivers participate and what they do. This scoping review aims to, 1) describe the caregiver role supporting patient participation in OT video telehealth, and, 2) identify barriers and facilitators to caregiver involvement. Findings reveal caregiver involvement in a range of OT evaluation and intervention processes, with details on what caregivers did overall lacking. Barriers and facilitators are also described. This study underscores the need for clear and robust descriptions of caregiver participation to increase best practices in video telehealth.</p>","PeriodicalId":45972,"journal":{"name":"Topics in Geriatric Rehabilitation","volume":"39 4","pages":"253-265"},"PeriodicalIF":0.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10601380/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71414662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-01DOI: 10.1097/tgr.0000000000000408
Nupur Hajela, Bryan Kwon, Katiria Alexandra Penson, Alan Lee
COVID-19 provided an opportunity to determine the effectiveness of telehealth physical therapy as part of a pro bono gait balance and mobility clinic. The aim of this case study is 2-folds—(1) to provide evidence for clinicians on telehealth physical therapy implementation while using mobile health platform and remote patient monitoring for a community-dwelling older adult with gait and balance disorder and (2) to provide evidence for clinical educators on telehealth-based teaching strategies to implement virtual clinical education for treating geriatric patient population. It is also important to note that this telehealth clinic model may be applicable outside of this patient population as well.
{"title":"Telehealth Implementation and Teaching Strategies During COVID-19 and Beyond in Gait, Balance, and Mobility Clinic for Community-Dwelling Older Adults","authors":"Nupur Hajela, Bryan Kwon, Katiria Alexandra Penson, Alan Lee","doi":"10.1097/tgr.0000000000000408","DOIUrl":"https://doi.org/10.1097/tgr.0000000000000408","url":null,"abstract":"COVID-19 provided an opportunity to determine the effectiveness of telehealth physical therapy as part of a pro bono gait balance and mobility clinic. The aim of this case study is 2-folds—(1) to provide evidence for clinicians on telehealth physical therapy implementation while using mobile health platform and remote patient monitoring for a community-dwelling older adult with gait and balance disorder and (2) to provide evidence for clinical educators on telehealth-based teaching strategies to implement virtual clinical education for treating geriatric patient population. It is also important to note that this telehealth clinic model may be applicable outside of this patient population as well.","PeriodicalId":45972,"journal":{"name":"Topics in Geriatric Rehabilitation","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136007955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-01DOI: 10.1097/tgr.0000000000000414
Julie Mulcahy, Lauren S. Beresford, Anna DeLaRosby
Poor technological proficiency is a barrier to engaging with digital health for older adults, preventing providers from recommending digital health tools to patients aged 60+years. Effect of age and gender on engagement with a digital physical therapy application was assessed over 5883 episodes. The 60+ age group had 78% increased odds of engagement compared with the 20-29 years age group. The 60+ age group performed 64% to 101% more workouts per week. Women aged 60+ years were significantly more engaged than other demographics. Patients using app-based physical therapy are highly engaged. Age and gender do not appear to preclude engagement with digital physical therapy.
{"title":"Defying Stereotypes","authors":"Julie Mulcahy, Lauren S. Beresford, Anna DeLaRosby","doi":"10.1097/tgr.0000000000000414","DOIUrl":"https://doi.org/10.1097/tgr.0000000000000414","url":null,"abstract":"Poor technological proficiency is a barrier to engaging with digital health for older adults, preventing providers from recommending digital health tools to patients aged 60+years. Effect of age and gender on engagement with a digital physical therapy application was assessed over 5883 episodes. The 60+ age group had 78% increased odds of engagement compared with the 20-29 years age group. The 60+ age group performed 64% to 101% more workouts per week. Women aged 60+ years were significantly more engaged than other demographics. Patients using app-based physical therapy are highly engaged. Age and gender do not appear to preclude engagement with digital physical therapy.","PeriodicalId":45972,"journal":{"name":"Topics in Geriatric Rehabilitation","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136007957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-01DOI: 10.1097/tgr.0000000000000412
Amie Jasper, Deborah Chamberlain, Rolando Lazaro
Introduction: This article systematically reviews the reliability and validity of balance and gait outcome measures obtained by teleassessment in older adults. Methods: Two reviewers searched electronic databases for articles published from 2010 to 2022. Included studies were appraised for quality. Results: Six articles were reviewed. Reliability was found to be low to good, and validity was acceptable, with some concerns with bias during testing. Discussion: There is evidence to support the use of certain balance and gait outcome measures in teleassessment of the older adult population if the individuals have appropriate electronic devices for telecommunication, good Internet connectivity, and adequate technological knowledge.
{"title":"Teleassessment of Balance and Gait Outcome Measures in Older Adults","authors":"Amie Jasper, Deborah Chamberlain, Rolando Lazaro","doi":"10.1097/tgr.0000000000000412","DOIUrl":"https://doi.org/10.1097/tgr.0000000000000412","url":null,"abstract":"Introduction: This article systematically reviews the reliability and validity of balance and gait outcome measures obtained by teleassessment in older adults. Methods: Two reviewers searched electronic databases for articles published from 2010 to 2022. Included studies were appraised for quality. Results: Six articles were reviewed. Reliability was found to be low to good, and validity was acceptable, with some concerns with bias during testing. Discussion: There is evidence to support the use of certain balance and gait outcome measures in teleassessment of the older adult population if the individuals have appropriate electronic devices for telecommunication, good Internet connectivity, and adequate technological knowledge.","PeriodicalId":45972,"journal":{"name":"Topics in Geriatric Rehabilitation","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136007951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-01DOI: 10.1097/tgr.0000000000000407
Amie Jasper, Rania Karim, Samuel John Montecalvo Uy, Eleazar Tayag, Arvie C. Vitente, Rodiel Kirby Baloy, Rolando Lazaro
Introduction: The validity and reliability of tests and measures conducted virtually without the in-person presence of a physical therapist is a challenge in telehealth. This study evaluated the validity and reliability of telehealth administration of outcome measures. Methods: Six participants were examined by 3 independent raters. The outcome measures used were the 2-minute step test, 30-second chair stand test, and Timed Up and Go. Results: There was a high level of validity and reliability between the in-person and virtually conducted tests. Discussion: The preliminary findings demonstrated that outcome measures can be conducted virtually with validity of scoring and results.
{"title":"Validity and Reliability of Virtually Obtained Functional Outcomes in Older Adults","authors":"Amie Jasper, Rania Karim, Samuel John Montecalvo Uy, Eleazar Tayag, Arvie C. Vitente, Rodiel Kirby Baloy, Rolando Lazaro","doi":"10.1097/tgr.0000000000000407","DOIUrl":"https://doi.org/10.1097/tgr.0000000000000407","url":null,"abstract":"Introduction: The validity and reliability of tests and measures conducted virtually without the in-person presence of a physical therapist is a challenge in telehealth. This study evaluated the validity and reliability of telehealth administration of outcome measures. Methods: Six participants were examined by 3 independent raters. The outcome measures used were the 2-minute step test, 30-second chair stand test, and Timed Up and Go. Results: There was a high level of validity and reliability between the in-person and virtually conducted tests. Discussion: The preliminary findings demonstrated that outcome measures can be conducted virtually with validity of scoring and results.","PeriodicalId":45972,"journal":{"name":"Topics in Geriatric Rehabilitation","volume":"130 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136007950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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