Telerehabilitation and Smartphone Apps in Physiotherapy: Difference between revisions
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===== Telerehabilitation  =====
===== Telerehabilitation  =====
In recent years, technology has revolutionised all aspects of medical rehabilitation, from developments in the provision of cutting edge treatments to the actual delivery of the specific interventions (Brennan et al. 2009). Telerehabilitation refers to the use of information and communication technologies (ICT) to provide rehabilitation services to people remotely in their home or other environments (Brennan et al. 2009). Such services include therapeutic interventions, remote monitoring of progress, education, consultation, training and a means of networking for people with disabilities (Theodoros & Russell 2008).
Using technology to deliver rehabilitation services has many benefits for not only the clinician but also the patients themselves. It provides the patient with a sense of personal autonomy and empowerment, enabling them to take control in the management of their condition (Brennan et al. 2009). In essence they are becoming an active partner rather than a passive participant in their care. It enables access to care for individuals in remote areas or for those who have mobility issues associated with physical impairment, access to transport and socioeconomic factors (Theodoros & Russell 2008). In addition, it cuts down the associated travel costs and time spent travelling for both the healthcare provider and the patient (Kairy et al. 2009). Research has found that the rehabilitation needs for individuals with long-term conditions such as stroke, TBI and other neurological disorders are often unmet in the patient’s local community (Theordoros & Russell 2008).
As telerehabilitation expands, patient continuity of care improves. It enables clinicians to remotely engage and deliver patient care outside of the medical setting, thus eliminating the issue of distance between clinician and patient (Brennan et al. 2009). This opportunity to continue rehabilitation within the patient’s own social and vocational environment should lead to greater functional outcomes (Temkin et al. 1996). A study by Cranen and colleagues (2011) investigated the patient’s perspective of home telerehabilitation. They found the most important advantage of home based tele-rehabilitation to be the flexibility they had in deciding where and when to carry out their interventions (Cranen et al. 2011).
The shift in the global demographics towards an increasing elderly population brings with it an associated increase in chronic health conditions (Dexter et al. 2010). This highlights the need for changes to be made in the delivery of rehabilitation services with the incorporation of self-management strategies and technology. In America, between 2005 and 2030, it is predicted that the number of adults over 65 years will increase from 37 million to 70 million or more (Institute of Med 2008). The figure below represents the predicted growth in the elderly population in the UK. It indicates that by 2035, individuals aged 65 and over will account for 23% of the total population (National Statistics).
http://www.ons.gov.uk/ons/resources/percentolderpeopleuk19852010and2035_tcm77-258758.png
(National Statistics, 2012)
Growing numbers of elderly people have an impact on the NHS, incurring considerable health costs due to the growing demand for treatments (Cracknell 2010). It is hoped by integrating telehealth measures, these costs will be reduced. Kortke et al (2006) found a significant improvement in patient outcomes when using telerehabilitation and 58% reduction in cost in comparison to in-patient rehabilitation. 
Generally, most systematic reviews that have been carried out investigating the efficacy of telerehabilitation report the patient’s perspective on its use as a positive experience with significant clinical outcomes (Rogante et al. 2010). The hope for the future is to continue to develop and use new, innovative technologies that will transform current practice and make telerehabilitation an integral part of healthcare (Theodoros & Russell 2008).


===== Progression of technology  =====
===== Progression of technology  =====

Revision as of 23:32, 20 November 2015

Original Editor - Oriana Catenazzi, Alicia Rebellato, Hannah Meredith, Aaron Kirk, Martin Fitheridge, Marco Zavagni

     

Introduction to Telerehabilitation and smartphone physiotherapy applications
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Learning Outcomes
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Table of Contents [edit | edit source]

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Overview of Telerehabilitation[edit | edit source]

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Telerehabilitation[edit | edit source]
Progression of technology[edit | edit source]
Applications for specific conditions[edit | edit source]
Scotlands Telehealth and Telecare delivery plan[edit | edit source]
The patient perspective on telerehabilitation[edit | edit source]
Key points[edit | edit source]

Understanding the patient[edit | edit source]

Introduction[edit | edit source]
Transtheoretical model[edit | edit source]
Self-efficacy theory[edit | edit source]
Motivation[edit | edit source]
Self-determination theory[edit | edit source]
Goal setting[edit | edit source]
Clinical implications[edit | edit source]
Research[edit | edit source]

Current smartphone applications and modernization of physiotherapy
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Introduction
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Current physiotherapy applications
Physiotherapy Applications
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Further considerations: Improved communication [edit | edit source]

Facilitating patient-provider relationship[edit | edit source]
Utilising reminder services to enhance communication[edit | edit source]
Facilitating Knowledge and Education through Physiotherapist communication[edit | edit source]
Communicating the right exercise prescription[edit | edit source]

Further considerations: Facilitating behaviour change[edit | edit source]

Intrinsic and extrinsic motivation towards rehabilitation[edit | edit source]
Self-efficacy and goal setting[edit | edit source]
Cost effectiveness[edit | edit source]
Limitations
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Conclusing Remarks [edit | edit source]

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CPD Test your knowledge [edit | edit source]

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References[edit | edit source]

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