Teleneurorehabilitation in Neurologic Disorders and Diseases: Potentials, Effectiveness and Barriers
- Authors: Belova A.N.1, Kuznetsov A.N.1, Sushin V.O.1, Rezenova A.M.1, Shabanova M.A.1, Sheyko G.E.1, Anan'yev R.D.1
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Affiliations:
- Privolzhsky Research Medical University
- Issue: Vol 32, No 1 (2024)
- Pages: 159-170
- Section: Reviews
- URL: https://journals.eco-vector.com/pavlovj/article/view/364502
- DOI: https://doi.org/10.17816/PAVLOVJ364502
- ID: 364502
Cite item
Abstract
INTRODUCTION: One of the important problems of modern rehabilitation is loss of the results achieved at different stages of rehabilitation because of interruption of the recovery processes and absence of home-based rehabilitation after discharge from a medical center. The maximal effect after rehabilitation can be achieved only on condition that an integrated continuous approach is provided including distant format through use of modern digital devices and technologies to ensure the double feedback between the patient and the doctor. In this context, telemedicine acquires special significance. Teleneurorehabilitation (TNR) is a field of telemedicine ensuring accessibility and continuity of rehabilitation care to patients living in geographically remote areas.
AIM: Reporting of brief information on the possibilities of using TNR technologies in neurologic disorders and diseases.
The review includes general concepts of TNR: conditions of realization range of technical means, principles and types of remote rehabilitation interventions. Brief information is given on the possibilities of using remote technologies in motor and cognitive disorders. The effectiveness of TNR and barriers to its implementation are considered.
CONCLUSION: A large number of studies prove the technical feasibility of TNR, however, the development and maintenance of a viable model of remote rehabilitation care integrated into the existing health care system requires scientific justification of the effectiveness and economic benefits of specific technologies in specific forms of neurologic pathology. The creation of an evidence base will permit to realize the potential of TNR and make the remote form of rehabilitation a new standard of medical care not only in the era of the pandemic of a new coronavirus infection, but also after the pandemic.
Full Text
About the authors
Anna N. Belova
Privolzhsky Research Medical University
Author for correspondence.
Email: anbelova@mail.ru
ORCID iD: 0000-0001-9719-6772
MD, Dr. Sci. (Med.), Professor
Russian Federation, Nizhny NovgorodAleksey N. Kuznetsov
Privolzhsky Research Medical University
Email: metall.su@mail.ru
ORCID iD: 0000-0003-1889-1297
Russian Federation, Nizhny Novgorod
Vil'yam O. Sushin
Privolzhsky Research Medical University
Email: sushin.nn@mail.ru
ORCID iD: 0000-0003-2346-7810
Russian Federation, Nizhny Novgorod
Anastasiya M. Rezenova
Privolzhsky Research Medical University
Email: seule1993@gmail.com
ORCID iD: 0000-0001-6478-8077
Russian Federation, Nizhny Novgorod
Mariya A. Shabanova
Privolzhsky Research Medical University
Email: bilberry47@mail.ru
ORCID iD: 0000-0002-8160-1208
Russian Federation, Nizhny Novgorod
Gennadiy E. Sheyko
Privolzhsky Research Medical University
Email: sheikogennadii@yandex.ru
ORCID iD: 0000-0003-0402-7430
MD, Cand. Sci. (Med.)
Russian Federation, Nizhny NovgorodRoman D. Anan'yev
Privolzhsky Research Medical University
Email: rom97an@yandex.ru
ORCID iD: 0009-0002-9170-833X
Russian Federation, Nizhny Novgorod
References
- Ryu S. Telemedicine: opportunities and developments in member states: report on the Second Global Survey on eHealth 2009 (Global Observatory for eHealth Series, Volume 2). Healthc Inform Res. 2012;18(2):153–5. doi: 10.4258/hir.2012.18.2.153
- Sabrina MI, Defi IR. Telemedicine Guidelines in South East Asia — A Scoping Review. Front Neurol. 2021;11:581649. doi: 10.3389/fneur.2020.581649
- Seron P, Oliveros M–J, Gutierrez–Arias R, et al. Effectiveness of Telerehabilitation in Physical Therapy: A Rapid Overview. Phys Ther. 2021;101(6):pzab053. doi: 10.1093/ptj/pzab053
- Di Tella S, Pagliari C, Blasi V, et al. Integrated telerehabilitation approach in multiple sclerosis: a systematic review and meta-analysis. J Telemed Telecare. 2020;26(7–8):385–99. doi: 10.1177/1357633x19850381
- Klaic M, Galea MP. Using the Technology Acceptance Model to Identify Factors That Predict Likelihood to Adopt Tele-Neurorehabilitation. Front Neurol. 2020;11:580832. doi: 10.3389/fneur.2020.580832
- Maresca G, Maggio MG, De Luca R, et al. Tele-Neuro-Rehabilitation in Italy: State of the Art and Future Perspectives. Front Neurol. 2020;11:563375. doi: 10.3389/fneur.2020.563375
- Solomon DL, Dirlikov B, Shem KL, et al. The Time Burden of Specialty Clinic Visits in Persons With Neurologic Disease: A Case for Universal Telemedicine Coverage. Front Neurol. 2021;12:559024. doi: 10.3389/fneur.2021.559024
- Srivastava A, Swaminathan A, Chockalingam M, et al.; The Indian Federation of Neurorehabilitation (IFNR) research task force. Tele-Neurorehabilitation During the COVID-19 Pandemic: Implications for Practice in Low- and Middle-Income Countries. Front Neurol. 2021;12:667925. doi: 10.3389/fneur.2021.667925
- Isernia S, Pagliari C, Jonsdottir J, et al. Efficiency and Patient- Reported Outcome Measures From Clinic to Home: the Human Empower-ment Aging and Disability Program for Digital-Health Rehabilitation. Front Neurol. 2019;10:1206. doi: 10.3389/fneur.2019.01206
- Burdea GC, Grampurohit N, Kim N, et al. Feasibility of integrative games and novel therapeutic game controller for telerehabilitation of individuals chronic post-stroke living in the community. Top Stroke Rehabil. 2020;27(5):321–36. doi: 10.1080/10749357.2019.1701178
- Maldonado–Díaz M, Vargas P, Vasquez R, et al. Teleneuro- rehabilitation program (virtual reality) for patients with balance disorders: descriptive study. BMC Sports Sci, Med Rehabil. 2021;13:83. doi: 10.1186/s13102-021-00314-z
- Podury A, Raefsky SM, Dodakian L, et al. Social Network Structure is Related to Functional Improvement From Home-Based Tele-rehabilitation After Stroke. Front Neurol. 2021;12:603767. doi: 10.3389/fneur.2021.603767
- Knapp A, Harst L, Hager S, et al. Use of Patient-Reported Outcome Measures and Patient-Reported Experience Measures Within Evaluation Studies of Telemedicine Applications: Systematic Review. J Med Internet Res. 2021;23(11):e30042. doi: 10.2196/30042
- Moccia M, Lanzillo R, Morra VB, et al. digital Technologies Web and Social Media Study Group of the Italian Society of Neurology. Assessing disability and relapses in multiple sclerosis on tele-neurology. Neurol Sci. 2020;41(6):1369–71. doi: 10.1007/s10072-020-04470-x
- Kim J, Sin M, Kim W–S, et al. Remote Assessment of Post-Stroke Elbow Function Using Internet-Based Telerobotics: A Proof-of-Concept Study. Front Neurol. 2020;11:583101. doi: 10.3389/fneur.2020.583101
- Cherry CO, Chumbler NR, Richards K, et al. Expanding stroke telerehabilitation services to rural veterans: a qualitative study on patient experiences using the robotic stroke therapy delivery and monitoring system program. Disabil Rehabil Assist Technol. 2017;12(1): 21–7. doi: 10.3109/17483107.2015.1061613
- Nitkunan A, Paviour D, Nitkunan T. COVID-19: switching to remote neurology outpatient consultations. Pract Neurol. 2020;20(3):222–4. doi: 10.1136/practneurol-2020-002571
- Ben–Pazi H, Beni–Adani L, Lamdan R. Accelerating Telemedicine for Cerebral Palsy During the COVID-19 Pandemic and Beyond. Front Neurol. 2020;11:746. doi: 10.3389/fneur.2020.00746
- Bigi S, Marrie RA, Till C, et al. The computer-based Symbol Digit Modalities Test: establishing age-expected performance in healthy controls and evaluation of pediatric MS patients. Neurol Sci. 2017;38(4): 635–42. doi: 10.1007/s10072-017-2813-0
- Hobart J, Lamping D, Fitzpatrick R, et al. The Multiple Sclerosis Impact Scale (MSIS-29): a new patient-based outcome measure. Brain. 2001;124(Pt 5):962–73. doi: 10.1093/brain/124.5.962
- Laver KE, Adey–Wakeling Z, Crotty M, et al. Telerehabilitation services for stroke. Cochrane Database Syst Rev. 2020;1(1):CD010255. doi: 10.1002/14651858.cd010255.pub3
- Dimer NA, do Canto–Soares N, Dos Santos–Teixeira L, et al. The COVID-19 pandemic and the implementation of telehealth in speech-language and hearing therapy for patients at home: an experience report. Codas. 2020;32(3):e20200144. doi: 10.1590/2317-1782/20192020144
- Cikajlo I, Hukić A, Zajc D. Exergaming as Part of the Telerehabilitation Can Be Adequate to the Outpatient Training: Preliminary Findings of a Non-Randomized Pilot Study in Parkinson's Disease. Front Neurol. 2021;12:625225. doi: 10.3389/fneur.2021.625225
- Deng H, Durfee WK, Nuckley DJ, et al. Complex versus simple ankle movement training in stroke using telerehabilitation: a randomized controlled trial. Physical Therapy. 2012;92(2):197–209. doi: 10.2522/ptj.20110018
- Van der Linden SD, Sitskoorn MM, Rutten G–JM, et al. Feasibility of the evidence-based cognitive telerehabilitation program Remind for patients with primary brain tumors. J Neurooncol. 2018;137(3):523–32. doi: 10.1007/s11060-017-2738-8
- Cotelli M, Manenti R, Brambilla M, et al. Cognitive telerehabilitation in mild cognitive impairment, Alzheimer’s disease and frontotemporal dementia: a systematic review. J Telemed Telecare. 2019;25(2):67–79. doi: 10.1177/1357633x17740390
- Dial HR, Hinshelwood HA, Grasso SM, et al. Investigating the utility of teletherapy in individuals with primary progressive aphasia. Clin Interv Aging. 2019;14:453–71. doi: 10.2147/CIA.S178878
- Yeroushalmi S, Maloni H, Costello K, et al. Telemedicine and multiple sclerosis: a comprehensive literature review. J Telemed Telecare. 2019;26(7–8):400–13. doi: 10.1177/1357633x19840097
- Mantovani E, Zucchella C, Bottiroli S, et al. Telemedicine and Virtual Reality for Cognitive Rehabilitation: A Roadmap for the COVID-19 Pandemic. Front Neurol. 2020;11:926. doi: 10.3389/fneur.2020.00926
- Mosca IE, Salvadori E, Gerli F, et al. Analysis of Feasibility, Adherence, and Appreciation of a Newly Developed Tele-Rehabilitation Program for People With MCI and VCI. Front Neurol. 2020;11:583368. doi: 10.3389/fneur.2020.583368
- Weidner K, Lowman J. Telepractice for Adult Speech-Language Pathology Services: A Systematic Review. Perspect ASHA Spec Interest Groups. 2020;5(1):326–38. doi: 10.1044/2019_PERSP-19-00146
- Peñaloza C, Scimeca M, Gaona A, et al. Telerehabilitation for Word Retrieval Deficits in Bilinguals With Aphasia: Effectiveness and Reliability as Compared to In-person Language Therapy. Front Neurol. 2021;12:589330. doi: 10.3389/fneur.2021.589330
- Milman L, Anderson E, Thatcher K, et al. Integrated Discourse Therapy After Glioblastoma: A Case Report of Face-To-Face and Tele-Neurorehabilitation Treatment Delivery. Front Neurol. 2020;11:583452. doi: 10.3389/fneur.2020.583452
- Larina OD. Restoration of speech in patients with aphasia via interactive technologies. Special Education. 2018;(2):40–9. (In Russ).
- Vellata C, Belli S, Balsamo F, et al. Effectiveness of Telerehabilitation on Motor Impairments, Non-Motor Symptoms and Compliance in Patients with Parkinson's Disease: A Systematic Review. Front Neurol. 2021;12:627999. doi: 10.3389/fneur.2021.627999
- Raso MG, Arcuri F, Liperoti S, et al. Telemonitoring of Patients With Chronic Traumatic Brain Injury: A Pilot Study. Front Neurol. 2021;12:598777. doi: 10.3389/fneur.2021.598777
- Yi JS, Pittman CA, Price CL, et al. Telemedicine and dementia care: a systematic review of barriers and facilitators. J Am Med Dir Assoc. 2021;22(7):1396–402.e18. doi: 10.1016/j.jamda.2021.03.015
- Di Lieto MC, Pecini C, Brovedani P, et al. Adaptive Working Memory Training Can Improve Executive Functioning and Visuo-Spatial Skills in Children With Pre-term Spastic Diplegia. Front Neurol. 2021;11:601148. doi: 10.3389/fneur.2020.601148
- Laver KE, Adey–Wakeling Z, Crotty M, et al. Telerehabilitation services for stroke. Cochrane Database Syst Rev. 2020;1(1):CD010255. doi: 10.1002/14651858.cd010255.pub3