Résultat de la recherche
3 résultat(s) recherche sur le mot-clé 'Telerehabilitation' 




Effectiveness of physiotherapy with telerehabilitation in surgical patients: a systematic review and meta-analysis / M.A. van Egmond in Physiotherapy, Vol. 104, n° 3 (2018)
![]()
[article]
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]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)
![]()
[article]
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]Tele-Assessment of the Berg Balance Scale : Effects of Transmission Characteristics / Kavita Venkataraman in Archives of Physical Medicine and Rehabilitation, 2017/4 (2017)
![]()
[article]
Titre : Tele-Assessment of the Berg Balance Scale : Effects of Transmission Characteristics Type de document : Article Auteurs : Kavita Venkataraman ; Michelle Morgan ; Kristopher A. Amis Article en page(s) : pp. 659-664 Langues : Anglais (eng) Descripteurs : HE Vinci
Rééducation et réadaptation ; TéléréadaptationMots-clés : Postural balance Équilibre postural Telerehabilitation Résumé : Objective
To compare Berg Balance Scale (BBS) rating using videos with differing transmission characteristics with direct in-person rating.
Design
Repeated-measures study for the assessment of the BBS in 8 configurations: in person, high-definition video with slow motion review, standard-definition videos with varying bandwidths and frame rates (768 kilobytes per second [kbps] videos at 8, 15, and 30 frames per second [fps], 30 fps videos at 128, 384, and 768 kbps).
Setting
Medical center.
Participants
Patients with limitations (N=45) in ≥1 of 3 specific aspects of motor function: fine motor coordination, gross motor coordination, and gait and balance.
Interventions
Not applicable.
Main Outcomes Measures
Ability to rate the BBS in person and using videos with differing bandwidths and frame rates in frontal and lateral views.
Results
Compared with in-person rating (7%), 18% (P=.29) of high-definition videos and 37% (P=.03) of standard-definition videos could not be rated. Interrater reliability for the high-definition videos was .96 (95% confidence interval, .94.97). Rating failure proportions increased from 20% in videos with the highest bandwidth to 60% (P<.001 in videos with the lowest bandwidth no significant differences proportions across frame rate categories. both frontal and lateral views were critical for successful rating using to of unable be rated on a single view.> Conclusions
Although there is some loss of information when using videos to rate the BBS compared to in-person ratings, it is feasible to reliably rate the BBS remotely in standard clinical spaces. However, optimal video rating requires frontal and lateral views for each assessment, high-definition video with high bandwidth, and the ability to carry out slow motion review.DOI : https://doi.org/10.1016/j.apmr.2016.10.019 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=117764
in Archives of Physical Medicine and Rehabilitation > 2017/4 (2017) . - pp. 659-664[article]