A Review on Challenges in Telerehabilitation and Human Activity Recognition Approaches during Covid-19 Pandemic

Jurnal Kejuruteraan, Journal Year: 2023, Volume and Issue: 35(3), P. 577 - 586

Published: May 30, 2023

Impact of COVID-19 pandemic is widespread imposing limitations on the healthcare services all over world. Due to this pandemic, governments around world have imposed restrictions that limit individual freedom and enforced social distance prevent collapse national health care systems. In such situation, offer medical rehabilitation patients, Telerehabilitation (TR) a promising way delivering facilities remotely using telecommunication internet. Technological advancement has played vital role establish TR technology assess patient’s physical condition act accordingly during pandemic. Likewise, Human Activity Recognition (HAR) key part recovery process for wide variety conditions, as stroke, arthritis, brain injury, musculoskeletal injuries, Parkinson’s disease, others. Different approaches human activity recognition can be utilized monitor levels patient effectively allows do remotely. Therefore, in situations where conventional inadequate, combination telerehabilitation HAR an effective means providing treatment these opportunities become patently apparent outbreak. However, new era technical progress significant limitations, paper, our main focus challenges various approaches. This study will help researchers identify good detection platform system after COVID-19, considering challenges.

Language: Английский

---

Evidence-based position paper on Physical and Rehabilitation Medicine (PRM) professional practice on telerehabilitation. The European PRM position (UEMS PRM Section)

European Journal of Physical and Rehabilitation Medicine, Journal Year: 2024, Volume and Issue: 60(2)

Published: March 13, 2024

iNtroductioN: the evidence on utility and effectiveness of rehabilitation interventions delivered via telerehabilitation is growing rapidly.telerehabilitation expected to have a key role in future.aiM: aim this evidence-based position paper (Ebpp) improve prM physicians' professional practice be functioning reduce activity limitations and/or participation restrictions individuals with variety disabling health conditions.MEthods: produce recommendations for physicians telerehabilitation, systematic review literature consensus procedure by means delphi process been performed involving delegates all European countries represented uEMs section.rEsults: reported together 32 resulting from procedure.coNclusioNs: it recommended that deliver services remotely, digital or using communication technologies eligible individuals, whenever required feasible conditions favor patient his/her family, based compliance relevant regulations.This EBPP represents official Union through section designates telerehabilitation.

Language: Английский

---

Therapeutic Exercise Interventions through Telerehabilitation in Patients with Post COVID-19 Symptoms: A Systematic Review

Journal of Clinical Medicine, Journal Year: 2022, Volume and Issue: 11(24), P. 7521 - 7521

Published: Dec. 19, 2022

The worldwide incidence of COVID-19 has generated a pandemic sequelae. These sequelae require multidisciplinary rehabilitative work to address the multisystemic symptoms that patients will present with now and in future. aim systematic review is analyze current situation telerehabilitation its effectiveness. Searches were conducted on following databases: PubMed, Scopus, PEDro, Web Science (WOS). There was no complete homogeneity among five selected articles, so we differentiated two clinical subgroups for clustering outcome measures: (group one) post-discharge two) permanent or “long COVID-19” defined as persistent > 2 months. For group one, sequelae, improvements obtained cardiovascular parameters, physical test studies presented very favorable results all cardiorespiratory measures tests evaluated. Telerehabilitation through therapeutic exercise based mixed protocols aerobic, respiratory, low-load strength exercises appear be an effective safe strategy recovery short- long-term post-COVID-19

Language: Английский

---

Do patients with and survivors of COVID-19 benefit from telerehabilitation? A meta-analysis of randomized controlled trials

Frontiers in Public Health, Journal Year: 2022, Volume and Issue: 10

Published: Sept. 28, 2022

Background Coronavirus disease 2019 (COVID-19) significantly impacts physical, psychological, and social functioning reduces quality of life, which may persist for at least 6 months. Given the fact that COVID-19 is a highly infectious therefore healthcare facilities be sources contagion, new methods avoiding face-to-face contact between workers patients are urgently needed. Telerehabilitation provision rehabilitation services to distance via information communication technologies. However, high-quality evidence efficacy telerehabilitation still lacking. This meta-analysis aimed investigate with survivors COVID-19. Methods We searched Cochrane Library, EMBASE, Medline ( PubMed), PEDro, ClinicalTrials.gov , WHO International Clinical Trials Registry Platform from January 1st, 2020 April 30th, 2022 randomized controlled trials published in English, evaluate vs. rehabilitation, usual care, or no treatment Methodological overall included studies were assessed. The statistical reliability data was quantified using trial sequential analysis. Results Seven eight comparisons all them used meta-analysis. meta-analyses absolute values showed superiority over care dyspnea (Borg scale: mean difference = −1.88, −2.37 −1.39; Multidimensional dyspnea-12: −3.70, −5.93 −1.48), limb muscle strength (mean 3.29; 2.12 4.47), ambulation capacity (standardized 0.88; 0.62 1.14), depression −5.68; −8.62 −2.74). Significant improvement these variables persisted change scores. No significant found anxiety life. severe adverse events reported any studies. Conclusions Moderate- very low-quality demonstrates an effective safe solution dyspnea, lower strength, capacity, depression. Further well-designed required long-term effects, cost-effectiveness, satisfaction larger samples.

Language: Английский

---

Effectiveness of Telerehabilitation Interventions for Self-management of Tinnitus: Systematic Review

Journal of Medical Internet Research, Journal Year: 2023, Volume and Issue: 25, P. e39076 - e39076

Published: Feb. 9, 2023

Background Tinnitus is a highly prevalent symptom affecting 10%-20% of the adult population. Most patients with tinnitus have chronic tinnitus, which can directly or indirectly disrupt their daily life and negatively affect health-related quality life. Therefore, are frequently in need costly time-consuming treatments. As an answer, telerehabilitation interventions on rise to promote self-management reduce dependency in-person care. Objective This systematic review aimed provide overview research concerning effectiveness for tinnitus. Methods adheres PRISMA (Preferred Reporting Items Systematic Reviews Meta-Analyses) guidelines. Studies were eligible inclusion if study participants complaints primary subjective intervention comprised any possible form complaints. A search studies was conducted PubMed, ScienceDirect, Scopus, Web Science, Cochrane Library. The Risk Bias 2 tool used assess risk bias. Results In total, 29 articles found eligible, these, 5 (17%) studied multiple forms. Internet-based cognitive behavioral treatment guidance by psychologist audiologist examined 17 (n=1767), internet-based without 4 (n=940), self-help manuals 1 (n=72), technological devices (n=82), smartphone apps 8 (n=284), other (n=130). These rehabilitation categories proven be effective decreasing severity relieving distress as measured questionnaires such Functional Index, Handicap Inventory, Reactions Questionnaire. However, dropout rates often high (range 4%-71.4%). All reported between some concerns bias, resulting low moderate certainty levels. Conclusions Overall, there evidence that effectively distress. improve capacities patient accessibility care replacement addition Nevertheless, barriers lack time, engagement, motivation, openness causing should considered. Trial Registration PROSPERO International Prospective Register CRD42021285450; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=285450

Language: Английский

---

Effect of home-based pulmonary rehabilitation on exercise capacity in post COVID-19 patients: a randomized controlled trail

Journal of NeuroEngineering and Rehabilitation, Journal Year: 2024, Volume and Issue: 21(1)

Published: March 25, 2024

Abstract Background Coronavirus 2019 (COVID-19) is an epidemic condition that compromises various consequences. The goal of this study was to investigate the effect home-based pulmonary rehabilitation on exercise capacity in patients with post COVID-19 syndrome. Methods designed as a randomized control trial. A total sixty-eight syndrome complaining fatigue, dyspnea, and intolerance participated study. Their ages ranged from 40 70 years old. were randomly classified into two equal groups. group received usual medical care only, whereas selected program plus same care. Physical Fitness Index (PFI), Chalder fatigue index, SF-36 questionnaire, dyspnea scale, six-minute walk test (6 MWT) measured before after 12 weeks intervention. Results showed significant lower mean (11.1 ± 0.94) higher 6MWT (439.7 25.3) PFI (52.3 10.2), addition Questionnaire (66.4 3.7) improvement mMRC score (26.7%), grade 2, (63.3%), 1 (10%), 0 p-value < 0.001 when compared group. Conclusion Home-based (HBPR) for effective has potential direct influence capacity, quality life. HBPR could be considered adjunctive, applicable, low-cost therapy Trial registration: registered Pan African Clinical Registry clinical trial ID (PACTR202111640499636), November 2021.

Language: Английский

---

Joint angle estimation during shoulder abduction exercise using contactless technology

BioMedical Engineering OnLine, Journal Year: 2024, Volume and Issue: 23(1)

Published: Jan. 28, 2024

Abstract Background Tele-rehabilitation, also known as tele-rehab, uses communication technologies to provide rehabilitation services from a distance. The COVID-19 pandemic has highlighted the importance of where in-person visits declined and demand for remote healthcare rises. Tele-rehab offers enhanced accessibility, convenience, cost-effectiveness, flexibility, care quality, continuity, communication. However, current systems are often not able perform comprehensive movement analysis. To address this, we propose validate novel approach using depth technology skeleton tracking algorithms. Methods Our data involved 14 participants (8 females, 6 males) performing shoulder abduction exercises. We collected videos an LiDAR camera motion Motion Capture (Mocap) system our ground truth. were at distances 2 m, 2.5 3.5 m sensor both arms. innovative integrates with Cubemos Mediapipe frameworks, enabling assessment 3D joint angles. validated by comparing estimated angles versus Mocap outputs. Personalized calibration was applied various regression models enhance accuracy angle calculations. Results outperformed in estimation higher fewer errors. proposed showed strong correlation results, although some deviations present due noise. Precision decreased distance increased. Calibration significantly improved performance. Linear consistently nonlinear models, especially shorter distances. Conclusion This study showcases potential marker-less system, proficiently track body joints upper-limb Signals exhibited robust correlation, Mean Absolute Errors (MAEs) below $$10^\circ$$ 10 ∘ . LiDAR’s feature enabled accurate computation in-depth beyond reach traditional RGB cameras. Altogether, this emphasizes depth-based system’s precise calculation tele-rehab applications.

Language: Английский

---

Family-Professional Collaborative Physical Therapy Intervention via Telehealth for Children with Developmental Disabilities: A Mixed-Method Feasibility Study

Physical & Occupational Therapy In Pediatrics, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 14

Published: Jan. 5, 2025

Aims To evaluate attendance rates, daily therapy engagement, parents' perceptions regarding feasibility, acceptability, family-centeredness, and individualized outcomes of a collaborative telehealth-based physical intervention for children with disabilities.

Language: Английский

---

Acceptability and Feasibility of a Cycling-based Telerehabilitation Program (Preprint)

Published: Jan. 10, 2025

COVID-19 pandemic increased the need to develop long-term remote rehabilitative programs. Most existing telerehabilitation platforms focus on rehabilitating upper limbs, balance, and cognitive training, but exercises improving cardiovascular fitness are often neglected. To evaluate acceptability feasibility of a intervention combining aerobic exercises. A virtual reality-based dual-task exercise exploiting cycle-ergometer was integrated with commercially available platform. Patients different conditions were enrolled administered subjective questionnaires. Their therapists interviewed. Twenty-six patients neurological or post-COVID symptoms included. attitude toward technology (3.44, iqr: 0.63) did not change after training period (3.50, 0.48); platform rated usable acceptable. Frustration physical mental workload present, especially among younger participants. The adherence moderate, individual differences present (0.59, 0.54). highlighted potential rehabilitation programs also identified some limitations. This study proved customized VR-based program allowing for safe implementation cycling-based training. solution judged meaningful de-hospitalized patients, although ome environmental technical barriers should be overcome implement more effectively.

Language: Английский

---

Self-determination Theory as a Lens to Explore the Implementation Challenges of Telehealth

International Journal of Telerehabilitation, Journal Year: 2025, Volume and Issue: 16(2)

Published: Jan. 15, 2025

Many benefits can be gained from telehealth, including reduced travel time, flexible work schedules, increased patient satisfaction, and a cost-effective method of providing care. Furthermore, telehealth provides rehabilitation professionals with the opportunity to observe people in their natural environment as they conduct daily activities identify any barriers functioning. Despite these advantages, after substantial amount research supporting its effectiveness, remains relatively underutilized. Self-determination theory (SDT) is theoretical framework for explaining motivation terms three basic psychological needs: competence, relatedness, autonomy. Using SDT, we suggest analyzing motivational challenges faced by therapists when implementing telehealth. We assert that transition remote treatment model advantageous since it them greater degree Nevertheless, turning point only achieved if relatedness competence are maintained.

Language: Английский

---