Telerehabilitation: State-of-the-Art from an Informatics Perspective
AbstractRehabilitation service providers in rural or underserved areas are often challenged in meeting the needs of their complex patients due to limited resources in their geographical area. Recruitment and retention of the rural clinical workforce are beset by the ongoing problems associated with limited continuing education opportunities, professional isolation, and the challenges inherent to coordinating rural community healthcare. People with disabilities who live in rural communities also face challenges accessing healthcare. Traveling long distances to a specialty clinic for necessary expertise is troublesome due to inadequate or unavailable transportation, disability specific limitations, and financial limitations. Distance and lack of access are just two threats to quality of care that now being addressed by the use of videoconferencing, information exchange, and other telecommunication technologies that facilitate telerehabilitation. This white paper illustrates and summarizes clinical and vocational applications of telerehabilitation. We provide definitions related to the fields of telemedicine, telehealth, and telerehabilitation, and consider the impetus for telerehabilitation. We review the telerehabilitation literature for assistive technology applications, pressure ulcer prevention, virtual reality applications, speech-language pathology applications, seating and wheeled mobility applications, vocational rehabilitation applications, and cost-effectiveness. We then discuss external telerehabilitation influencers, such as the positions of professional organizations. Finally, we summarize clinical and policy issues in a limited context appropriate to the scope of this paper. Keywords: Telerehabilitation, Telehealth,Telemedicine, Telepractice
Demiris, G., Shigaki, C. L., & Schopp, L. H. (2005). An evaluation framework for a rural home-based telerehabilitation network. Journal of Medical Systems, 29(6), 595-603.
Feng, X., & Winters, J. (2007). An interactive framework for personalized computer-assisted neurorehabilitation. IEEE Transactions on Information Technology in Biomedicine, 11(5), 518-526.
Heuser, A., Kourtev, H., Winter, S., Fensterheim, D., Burdea, G., Hentz, V., et al. (2007). Telerehabilitation using the Rutgers Master II Glove following carpal tunnel release Surgery: Proof-of-concept. IEEE Transactions on Neural Systems and Rehabilitation Engineering, 15(1), 43-49.
Hill, A. J., Theodoros, D. G., Russell, T. G., Cahill, L. M., Ward, E. C., & Clark, K. M. (2006). An Internet-based telerehabilitation system for the assessment of motor speech disorders: a pilot study. American Journal of Speech-Language Pathology, 15(1), 45-56.
Hoenig, H., Sanford, J. A., Butterfield, T., Griffiths, P. C., Richardson, P., & Hargraves, K. (2006). Development of a teletechnology protocol for in-home rehabilitation. Journal of Rehabilitation Research & Development, 43(2), 287-298.
Iwatsuki, H., Fujita, C., Maeno, R., & Matsuya, A. (2004). Development of a telerehabilitation system for training physiotherapists in rural areas. J Telemed Telecare, 10(Suppl 1), 51-52.
Kim, J., & Brienza, D. M. (2006). Development of a virtual reality telerehabilitation system for analyzing accessibility of the built environment. Journal of Rehabilitation Research & Development, 43(2), 11-26.
Lemaire, E., Necsulescu, L., & Greene, G. (2006). Service delivery trends for a physical rehabilitation outreach program. Disability & Rehabilitation, 28(21), 1349-1359.
Madden, M. (2006). Internet penetration and impact. PEW Internet and American Life Project.
Paré G, Jaana M, Sicotte C. (2007) Systematic review of home telemonitoring for chronic diseases: the evidence base. J Am Med Inform Assoc. May-Jun; 14(3): 269-77.
Placidi, G. (2007). A smart virtual glove for the hand telerehabilitation. Computers in Biology and Medicine, 37(8), 1100-1107.
Russell, T. G., Buttrum, P., Wootton, R., & Jull, G. A. (2003). Low-bandwidth telerehabilitation for patients who have undergone total knee replacement: preliminary results. Journal of Telemedicine & Telecare, 9(2), S44-S47.
Russell, T. G. (2007). Physical rehabilitation using telemedicine. Journal of Telemedicine & Telecare, 13(5), 217-220.
Sanford, J. A., Griffiths, P. C., Richardson, P., Hargraves, K., Butterfield, T., & Hoenig, H. (2006). The effects of in-home rehabilitation on task self-efficacy in mobility-impaired adults: A randomized clinical trial. J Am Geriatr Soc, 54(11), 1641-1648.
Schein RM, Schmeler MR, Brienza D, Saptono A, Parmanto B. 2008). Development of a service delivery protocol used for remote wheelchair consultation via telerehabilitation. Telemed J E Health. 14(9): 932-8.
Schopp, L. H., Hales, J. W., Quetsch, J. L., Hauan, M. J., & Brown, G. D. (2004). Design of a peer-to-peer telerehabilitation model. Telemedicine Journal and e-Health, 10 (2), 243-251.
Sugarman, H., Dayan, E., Weisel-Eichler, A., & Tiran, J. (2006). The Jerusalem Telerehabilitation System, a new low-cost, haptic rehabilitation approach. Cyberpsychol Behav., 9(2), 178-182.
Wainhouse Research. (2006). The ISDN to IP Migration for Videoconferencing. Duxbury, MA: Weinstein, I. M.
Winters, J. M. (2002). Telerehabilitation research: Emerging opportunities. Annual Review of Biomedical Engineering, 4:287-320.
How to Cite
Authors who publish with this journal agree to the following terms:
- The Author retains copyright in the Work, where the term “Work” shall include all digital objects that may result in subsequent electronic publication or distribution.
- Upon acceptance of the Work, the author shall grant to the Publisher the right of first publication of the Work.
- The Author shall grant to the Publisher and its agents the nonexclusive perpetual right and license to publish, archive, and make accessible the Work in whole or in part in all forms of media now or hereafter known under a Creative Commons Attribution 4.0 International License or its equivalent, which, for the avoidance of doubt, allows others to copy, distribute, and transmit the Work under the following conditions:
- Attribution—other users must attribute the Work in the manner specified by the author as indicated on the journal Web site;
- The Author is able to enter into separate, additional contractual arrangements for the nonexclusive distribution of the journal's published version of the Work (e.g., post it to an institutional repository or publish it in a book), as long as there is provided in the document an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post online a prepublication manuscript (but not the Publisher’s final formatted PDF version of the Work) in institutional repositories or on their Websites prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work. Any such posting made before acceptance and publication of the Work shall be updated upon publication to include a reference to the Publisher-assigned DOI (Digital Object Identifier) and a link to the online abstract for the final published Work in the Journal.
- Upon Publisher’s request, the Author agrees to furnish promptly to Publisher, at the Author’s own expense, written evidence of the permissions, licenses, and consents for use of third-party material included within the Work, except as determined by Publisher to be covered by the principles of Fair Use.
- The Author represents and warrants that:
- the Work is the Author’s original work;
- the Author has not transferred, and will not transfer, exclusive rights in the Work to any third party;
- the Work is not pending review or under consideration by another publisher;
- the Work has not previously been published;
- the Work contains no misrepresentation or infringement of the Work or property of other authors or third parties; and
- the Work contains no libel, invasion of privacy, or other unlawful matter.
- The Author agrees to indemnify and hold Publisher harmless from Author’s breach of the representations and warranties contained in Paragraph 6 above, as well as any claim or proceeding relating to Publisher’s use and publication of any content contained in the Work, including third-party content.
Revised 7/16/2018. Revision Description: Removed outdated link.