| Development of a teletechnology protocol for in-home rehabilitation. | |
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MedLine Citation:
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PMID: 16847794 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Our ability to provide in-home rehabilitation is limited by distance and available personnel. We may be able to meet some rehabilitation needs with videoconferencing technology. This article describes the feasibility of teletechnology for delivering multifactorial, in-home rehabilitation interventions to community-dwelling adults recently prescribed a mobility aid. We used standard telephone lines to provide two-way video and audio interaction. The interventions included prescription of and/or training in functionally based exercises, home-hazard assessment, assistive technology, environmental modifications, and adaptive strategies. Patients were evaluated in three transfer and three mobility tasks, and appropriate treatment was provided over the course of four visits. To date, 13 of the 14 subjects enrolled in the rehabilitation study have completed all four visits (56 visits total). Equipment-related problems were most common early in the study, particularly on the initial visit to a subject's house. We identified (mean +/- standard deviation [SD]) 13.1 +/- 7.9 mobility/self-care problems per subject and made 12.5 +/- 8.3 recommendations per subject to address those problems. At 6-week follow-up, 60.1 percent of our recommendations had been implemented. The greatest number of problems was identified for tub transfers (mean +/- SD = 3.4 +/- 1.4), the greatest number of recommendations was made for toilet transfers (mean +/- SD = 3.1 +/- 3.4), and the most frequently implemented recommendations were for transition between locations. Overall, our results show promise that both the telerehabilitation technology and intervention procedures are feasible. |
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Authors:
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Helen Hoenig; Jon A Sanford; Tina Butterfield; Patricia C Griffiths; Peg Richardson; Katina Hargraves |
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Publication Detail:
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Type: Journal Article; Research Support, U.S. Gov't, Non-P.H.S.; Review |
Journal Detail:
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Title: Journal of rehabilitation research and development Volume: 43 ISSN: 1938-1352 ISO Abbreviation: J Rehabil Res Dev Publication Date: 2006 Mar-Apr |
Date Detail:
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Created Date: 2006-07-18 Completed Date: 2007-12-21 Revised Date: 2009-11-03 |
Medline Journal Info:
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Nlm Unique ID: 8410047 Medline TA: J Rehabil Res Dev Country: United States |
Other Details:
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Languages: eng Pagination: 287-98 Citation Subset: IM |
Affiliation:
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Durham Department of Veterans Affairs Medical Center (VAMC), Physical Medicine and Rehabilitation Service, Durham, NC 27705, USA. helen.hoenig@med.va.gov |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Biomedical Technology Disabled Persons / rehabilitation* Feasibility Studies Forecasting Health Services Accessibility Home Care Services / standards*, supply & distribution Humans Motor Skills Occupational Therapy / methods, standards Patient Education as Topic / methods*, standards Physical Therapy Modalities / standards, trends Self-Help Devices Telemedicine / standards* Videoconferencing / standards* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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