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Acceptance of Tele-Rehabilitation by Stroke Patients: Perceived Barriers and Facilitators / Shilpa Tyagi in Archives of Physical Medicine and Rehabilitation, Vol. 99, n° 12 (2018)
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Titre : Acceptance of Tele-Rehabilitation by Stroke Patients: Perceived Barriers and Facilitators Type de document : Article Auteurs : Shilpa Tyagi ; Daniel S.Y. Lim ; Wilbert H.H. Ho Année de publication : 2018 Article en page(s) : p. 2472-2477 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Aidants ; Patients ; Recherche qualitative ; Rééducation et réadaptation ; TéléréadaptationMots-clés : Caregivers Qualitative research Stroke Telerehabilitation Résumé : Objective
To explore the perceived barriers and facilitators of tele-rehabilitation (TR) by stroke patients, caregivers and rehabilitation therapists in an Asian setting.
Design
Qualitative study involving semi-structured in-depth interviews and focus group discussions.
Setting
General community.
Participants
Participants (N=37) including stroke patients, their caregivers, and tele-therapists selected by purposive sampling.
Interventions
Singapore Tele-technology Aided Rehabilitation in Stroke trial.
Main Outcome Measures
Perceived barriers and facilitators for TR uptake, as reported by patients, their caregivers, and tele-therapists.
Results
Thematic analysis was used to inductively identify the following themes: facilitators identified by patients were affordability and accessibility; by tele-therapists, was filling a service gap and common to both was unexpected benefits such as detection of uncontrolled hypertension. Barriers identified by patients were equipment setuprelated difficulties and limited scope of exercises; barriers identified by tele-therapists were patient assessments, interface problems and limited scope of exercises; and common to both were connectivity barriers. Patient characteristics like age, stroke severity, caregiver support, and cultural influence modified patient perceptions and choice of rehabilitation.
Conclusions
Patient attributes and context are significant determinants in adoption and compliance of stroke patients to technology driven interventions like TR. Policy recommendations from our work are inclusion of introductory videos in TR programs, provision of technical support to older patients, longer FaceTime sessions as re-enforcement for severely disabled stroke patients, and training of tele-therapists in assessment methods suitable for virtual platforms.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=119105
in Archives of Physical Medicine and Rehabilitation > Vol. 99, n° 12 (2018) . - p. 2472-2477[article]Consideration-of-concept of EvolvRehab-Body for upper limb virtual rehabilitation at home for people late after stroke / F. Ellis ; N. Hancock ; N. Kennedy ; A. Clark ; J. Wells ; E. Chandler ; D. Payne ; VM Pomeroy in Physiotherapy, Vol. 116 (2022)
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Titre : Consideration-of-concept of EvolvRehab-Body for upper limb virtual rehabilitation at home for people late after stroke Type de document : Article Auteurs : F. Ellis ; N. Hancock ; N. Kennedy ; A. Clark ; J. Wells ; E. Chandler ; D. Payne ; VM Pomeroy Année de publication : 2022 Article en page(s) : p. 97-107 Note générale : https://doi.org/10.1016/j.physio.2022.03.004 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Membre supérieur ; Réalité de synthèse ; TéléréadaptationRésumé : Objective : EvolvRehab-Body is a non-immersive virtual rehabilitation system that could provide high-dose, exercise-based upper limb therapy after stroke. This consideration-of-concept study investigated: adherence rate to prescribed repetitions; viability of repeated measures in preparation for a dose-articulation study; and preliminary signal of potential benefit.
Methods : Pre-post and repeated measures with people at least six months after stroke. Twelve-week intervention: exercise-based therapy via EvolvRehab-Body. Pre-post-intervention measures: Wolf Motor Function Test (WMFT); hand grip force. Repeated-during-intervention measures: Motricity Index (MI) and Action Research Arm Test (ARAT). Analysis: adherence rate (%) to set repetitions; percentage of total possible measures collected; pre-to-post-intervention change estimated in relation to published minimally detectable changes of WMFT and hand grip force; and slope of plotted data for MI and ARAT (linear regression).
Results : Eight of twelve participants completed the 12-week intervention phase. Adherence: 88% (17109377 repetitions performed). Viability repeated measures: 88 of 96 (92%) ARAT and MI scores collected. Preliminary signal of potential benefit was observed in five participants but not always for the same measures. Three participants improved WMFT-time (−7.9 to −27.2 s/item), four improved WMFT-function (0.21.1 points/item), and nobody changed grip force. Slope of plotted data over the 12-week intervention ranged from: − 1.42 (p = 0.26) to 1.36 (p = 0.24) points-per-week for MI and − 0.30 (p = 0.40) to 1.71 (p Conclusion : Findings of good adherence rate in home settings and preliminary signal of benefit for some participants gives support to proceed to a dose-articulation study. These findings cannot inform clinical practice.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=298757
in Physiotherapy > Vol. 116 (2022) . - p. 97-107[article]Effect of an mHealth Wheelchair Skills Training Program for Older Adults: A Feasibility Randomized Controlled Trial / Edward M. Giesbrecht in Archives of Physical Medicine and Rehabilitation, Vol. 100, n° 11 (2019)
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Titre : Effect of an mHealth Wheelchair Skills Training Program for Older Adults: A Feasibility Randomized Controlled Trial Type de document : Article Auteurs : Edward M. Giesbrecht ; William C. Miller Année de publication : 2019 Article en page(s) : p. 2159-2166 Langues : Anglais (eng) Descripteurs : HE Vinci
Fauteuils roulants ; Réadaptation ; Sujet âgé ; Télémédecine ; TéléréadaptationRésumé : Objective
To evaluate the effect of an mHealth wheelchair skills training program on clinical outcomes among older adult manual wheelchair users.
Design
2×2 factorial randomized controlled trial.
Setting
Community setting in 2 Canadian cities.
Participants
Convenience sample of manual wheelchair users 50 years and older living in the community who were able to self-propel with both hands and communicate in English. Participants (N=18) were randomized into either a mHealth treatment (n=10) or tablet gaming control (n=8) group.
Interventions
All participants received 2 in-person sessions with their trainer and engaged in a 4-week monitored home training program with a computer tablet. The Enhancing Participation In the Community by improving Wheelchair Skills program provided wheelchair skills training; the control program included 9 dexterity and cognitive training games.
Main Outcome Measures
The primary outcome was wheelchair skill capacity. Secondary outcomes included safety, self-efficacy, activity participation, mobility, divided-attention, and health-related quality of life.
Results
Data collection was blinded to group allocation. Capacity improved by 2 skills but with no statistically significant between-group difference. The mHealth training program had a significant effect on participation (P=.03) and self-efficacy (P=.06) with large effect sizes (ηp2=0.22-0.29). Mobility, safety with skill performance, and divided attention measures demonstrated medium effect size changes, but only safety with skill performance was statistically significant. The program was more beneficial for participants with Conclusion
Enhancing Participation In the Community by improving Wheelchair Skills participants demonstrated good program adherence and clinical benefits were evident in community participation and wheelchair self-efficacy. Wheelchair safety and mobility were positively affected, while skill capacity showed a small, nonsignificant improvement. Future study should investigate benefit retention over time.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=242020
in Archives of Physical Medicine and Rehabilitation > Vol. 100, n° 11 (2019) . - p. 2159-2166[article]Effect of telerehabilitation on long-term adherence to yoga as an antihypertensive lifestyle intervention: Results of a randomized controlled trial / Wolfgang Mayer-Berger in Complementary Therapies in Clinical Practice, Vol. 35 (May 2019)
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Titre : Effect of telerehabilitation on long-term adherence to yoga as an antihypertensive lifestyle intervention: Results of a randomized controlled trial Type de document : Article Auteurs : Wolfgang Mayer-Berger ; Sarah Schröer ; Claudia Pieper Année de publication : 2019 Article en page(s) : p. 148-153 Note générale : https://doi.org/10.1016/j.ctcp.2019.02.001 Langues : Anglais (eng) Descripteurs : HE Vinci
Pression sanguine ; Prévention secondaire ; Téléréadaptation ; Thérapies complémentaires ; YogaRésumé : Background
and purpose: We aimed to investigate the adherence to yoga as an antihypertensive intervention through telerehabilitation.
Materials and methods
In a randomized controlled trial patients were consecutively enrolled and randomly assigned to intervention or control group. Both groups received standardized yoga training during three weeks of inpatient rehabilitation. The intervention group received telerehabilitation after discharge; the control group received the usual care. Data was collected at admission (t1), discharge (t2) and at follow up after six (t3) and 12 months (t4). The primary endpoint was follow-up adherence assessed in an intention-to-treat analysis.
Results
228 male rehabilitation patients (mean age 53.3 ± 5.8 years, mean blood pressure 139.5 ± 10.2/ 86.7 ± 8.0 mmHg) The intervention resulted in significantly increased adherence compared to control group (t3: 40.0% vs. 19.5%, p = 0.001; t4: 36.5% vs. 23.9%, p = 0.038); blood pressure and quality of life improved.
Conclusion
Telerehabilitation significantly improves yoga adherence maintaining achieved health benefits in the long term.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=105334
in Complementary Therapies in Clinical Practice > Vol. 35 (May 2019) . - p. 148-153[article]Exemplaires (1)
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Exclu du prêtEffectiveness of physiotherapy with telerehabilitation in surgical patients: a systematic review and meta-analysis / M.A. van Egmond in Physiotherapy, Vol. 104, n° 3 (2018)
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Titre : Effectiveness of physiotherapy with telerehabilitation in surgical patients: a systematic review and meta-analysis Type de document : Article Auteurs : M.A. van Egmond ; M. van der Schaaf ; T. Vredeveld Année de publication : 2018 Article en page(s) : p. 277-298 Langues : Anglais (eng) Descripteurs : HE Vinci
Exercice physique ; Télémédecine ; TéléréadaptationMots-clés : Telemedicine Telerehabilitation Exercise General Surgery Chirurgie générale Physical Therapy Modalities Techniques de physiothérapie Résumé : Background
Over the last few years, telerehabilitation services have developed rapidly, and patients value benefits such as reduced travelling barriers, flexible exercise hours, and the possibility to better integrate skills into daily life. However, the effects of physiotherapy with telerehabilitation on postoperative functional outcomes compared with usual care in surgical populations are still inconclusive.
Objectives
To study the effectiveness of physiotherapy with telerehabilitation on postoperative functional outcomes and quality of life in surgical patients.
Data sources
Relevant studies were obtained from MEDLINE, EMBASE, CINAHL, the Cochrane Library, PEDro, Google Scholar and the World Health Organization International Clinical Trials Registry Platform.
Study selection
Randomised controlled trials, controlled clinical trials, quasi-randomised studies and quasi-experimental studies with comparative controls were included with no restrictions in terms of language or date of publication.
Data extraction and synthesis
Methodological quality was assessed using the Cochrane risk of bias tool. Twenty-three records were included for qualitative synthesis. Seven studies were eligible for quantitative synthesis on quality of life, and the overall pooled standardised mean difference was 1.01 (95% confidence interval 0.18 to 1.84), indicating an increase in favour of telerehabilitation in surgical patients.
Limitations
The variety in contents of intervention and outcome measures restricted the performance of a meta-analysis on all clinical outcome measures.
Conclusions
Physiotherapy with telerehabilitation has the potential to increase quality of life, is feasible, and is at least equally effective as usual care in surgical populations. This may be sufficient reason to choose physiotherapy with telerehabilitation for surgical populations, although the overall effectiveness on physical outcomes remains unclear.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=134406
in Physiotherapy > Vol. 104, n° 3 (2018) . - p. 277-298[article]Effectiveness of Technology-Based Distance Physical Rehabilitation Interventions for Improving Physical Functioning in Stroke: A Systematic Review and Meta-analysis of Randomized Controlled Trials / Aki Rintala in Archives of Physical Medicine and Rehabilitation, Vol. 100, n° 7 (2019)
PermalinkEffectiveness of a Telerehabilitation Evidence-Based Tablet App for Rehabilitation in Traumatic Bone and Soft Tissue Injuries of the Hand, Wrist, and Fingers / Alejandro Suero-Pineda ; Angel Oliva-Pascual-Vaca ; Manuel Rodríguez-Piñero Durán ; Pablo Rodríguez Sánchez-Laulhé ; María Ángeles García-Frasquet ; Jesús Blanquero in Archives of Physical Medicine and Rehabilitation, Vol. 104, n° 6 (2023)
PermalinkEffectiveness of a Web-Based Direct-to-User Transfer Training Program: A Randomized Controlled Trial / Stéphanie K. Rigot in Archives of Physical Medicine and Rehabilitation, Vol. 103, n° 4 (2022)
PermalinkErgothérapie et télésoin / Gaëlle Riou in Ergothérapies, 83 (Octobre 2021)
PermalinkEtude de faisabilité d'un parcours d'autorééducation de patients hémiplégiques / Bérengère Raoult in Kinesithérapie scientifique, 626 (Décembre 2020)
PermalinkHome-based Upper Extremity Stroke Therapy Using a Multiuser Virtual Reality Environment: A Randomized Trial / Kelly O. Thielbar in Archives of Physical Medicine and Rehabilitation, Vol. 101, n° 2 (2020)
PermalinkIn non-specific low back pain, is an exercise program carried out through telerehabilitation as effective as one carried out in a physiotherapy center / Francisco Jesús Villatoro-Luque ; Daniel Rodríguez-Almagro ; Agustín Aibar-Almazán ; Samuel Fernández-Carnero ; Daniel Pecos-Martín ; Alfonso Javier Ibáñez-Vera ; Alexander Achalandabaso-Ochoa in Musculoskeletal Science and Practice, Vol. 65 (June 2023)
PermalinkInternet of Things (IoT) Enables Robot-Assisted Therapy as a Home Program for Training Upper Limb Functions in Chronic Stroke: A Randomized Control Crossover Study / Li-Chieh Kuo ; Kang-Chin Yang ; Yu-Ching Lin ; Yu-Chen Lin ; Chien-Hsien Yeh ; Fong-Chin Su ; Hsiu-Yun Hsu in Archives of Physical Medicine and Rehabilitation, Vol. 104, n° 3 (2023)
PermalinkMesure de l'acceptabilité d'une application mobile par les patients / Marin Guy in Kinesithérapie scientifique, 584 (Février 2017)
PermalinkModèles alternatifs dans la pratique de la rééducation à lère de la pandémie de Covid-19 / Abdelghani Miliani in Kinésithérapie la revue, Vol. 21, n° 236-237 (Août 2021)
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