International Journal of Telerehabilitation最新文献

{"title":"Autistic Children Have a Voice and Want to Use It: Acceptability of Dyadic, Telehealth, Occupation-Based Coaching.","authors":"Melanie Morriss Tkach, Winnie Dunn, Nathaniel Dare, Timothy J Wolf","doi":"10.63144/ijt.2026.6761","DOIUrl":"10.63144/ijt.2026.6761","url":null,"abstract":"<p><p>Autistic children may need additional support to manage daily activities compared with their peers. Telehealth occupation-based coaching (OBC) may help them participate in daily activities and develop related skills. Although telehealth OBC is feasible and acceptable to caregivers, its acceptability to children remains unknown. This phenomenological study explored the lived experiences of seven children who completed dyadic, telehealth OBC with their caregivers. We conducted semi-structured interviews and thematic analysis to understand their perspectives on intervention acceptability. Three themes emerged: (1) <i>I want to be included and heard in coaching calls</i>, (2) <i>I can learn to participate in coaching</i>, and (3) <i>I like coaching because I met my goals</i>. Findings suggest that dyadic, telehealth OBC is acceptable to children because it supports their inclusion, fosters self-efficacy in coaching, and contributes to perceived improvements in daily activities. Findings also provide preliminary evidence that this approach can promote child engagement and self-determination.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"18 1","pages":"6761"},"PeriodicalIF":1.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13321843/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating the Efficacy of Telerehabilitation in Individuals Who Underwent Hand Tendon Surgery: A Randomized Controlled Trial.","authors":"Zerrin İzmirli Mete, Ferruh Taşpınar, Yasemin Özkan, Betül Taşpınar","doi":"10.63144/ijt.2026.6752","DOIUrl":"10.63144/ijt.2026.6752","url":null,"abstract":"<p><p>Hand tendon injuries require a long rehabilitation process. Telerehabilitation may offer advantages in terms of accessibility, time, and cost. Accordingly, this study aimed to determine the efficacy of telerehabilitation in individuals who underwent hand tendon surgery. This randomized controlled study comprised two groups: a home program group and a telerehabilitation group. While the control group continued their routine treatment and home program, the intervention group's home program was monitored via telerehabilitation three times per week for six weeks. Outcomes were assessed using the Visual Analog Scale (VAS) for pain, a baseline hydraulic hand dynamometer for gross grip strength, a Lafayette hydraulic pinch meter for fine grip strength, the Nine-Hole Peg Test for dexterity, and the Quick Disabilities of the Arm, Shoulder, and Hand (Quick-DASH) questionnaire for functional status. The findings indicated that telerehabilitation had positive effects on activities of daily living and overall functionality.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"18 1","pages":"6752"},"PeriodicalIF":1.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13321860/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceived Usability of Zoom™ for a Single-Session Telehealth Fall-Risk Screening in Community-Dwelling Older Adults.","authors":"Rolando Lazaro, Amie Marie Jasper, Rania Karim, Carmina Minnie Rafael, Eleazar Tayag, Samuel John Montecalvo Uy, Rodiel Kirby Baloy, Arvie Vitente","doi":"10.63144/ijt.2026.6750","DOIUrl":"10.63144/ijt.2026.6750","url":null,"abstract":"<p><p>The increased utilization of telehealth services necessitates systematic evaluation of patients' experiences with technologies, tools, and interventions adapted for the remote delivery of rehabilitation programs. This study examined the usability of Zoom™ as a telehealth platform for delivering a virtual fall-risk screening program in older adults. A convenience sample of community-dwelling older adults participated in a single virtual fall-risk screening session conducted via Zoom. Following the session, participants completed the 9-item System Usability Scale (SUS). Thirty participants (mean age = 71.47 years, <i>SD</i> = 5.97) completed the study. The mean SUS score was 76.30 (95% CI [71.47, 82.03]), exceeding the established benchmark of 68 for average usability and approaching the threshold of 80, indicative of excellent usability. Subscale analysis demonstrated that scores for perceived complexity, ease of use, and user confidence exceeded benchmark values, whereas learnability yielded more variable results. Overall, Zoom demonstrated good usability for virtual fall-risk screening in older adults. Participants reported that the platform was easy to use and facilitated confidence, supporting its suitability for remote telerehabilitation screening and intervention delivery.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"18 1","pages":"6750"},"PeriodicalIF":1.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13321532/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lung Transplant Go (LTGO): A Randomized Controlled Trial to Evaluate the Efficacy of a Telerehabilitation Behavioral Exercise Intervention after Lung Transplantation.","authors":"Christopher C Imes, Frank C Sciurba, Andrea L Hergenroeder, Dianxu Ren, Elizabeth A Lendermon, Bryan Willey, Alice Curtis Cline, Seol Ju E Moon, Melissa Vendetti, Kristen Jones, Haydar Al Ebousi, Annette Devito Dabbs","doi":"10.63144/ijt.2026.6734","DOIUrl":"10.63144/ijt.2026.6734","url":null,"abstract":"<p><p>The Lung Transplant GO (LTGO) randomized controlled trial evaluated the efficacy of a telerehabilitation behavioral exercise program after lung transplantation compared to enhanced usual care (EUC). We hypothesized that the LTGO treatment condition would show significantly greater improvements in change scores from baseline to 3 and 6 months for outcomes of physical function, physical activity, and blood pressure control compared to the EUC condition. The sample included 88 lung transplant recipients (LTRs) randomized 1:1 to either LTGO or EUC. No statistically significant differences in change scores for physical function, physical activity, and blood pressure control were found between treatment groups at 3 and 6 months. While no statistically significant difference in outcomes were found between groups, null findings are not uncommon. These findings and the discussion of post-trial considerations are important for the design of future trials to inform the field of telerehabilitation.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"18 1","pages":"6734"},"PeriodicalIF":1.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13321857/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does the Type of Online Group-based Exercise Influence the Feasibility of Telerehabilitation in People with Parkinson's Disease? A Randomized Controlled Trial.","authors":"Francisca Pereira, Camila Pinto, Rafaela Simon Myra, Thainara Cruz da Rosa, Ana Paula da Silva, Bruna Medeiros Calegare, Bruno Rodrigues da Silva, Lívia Estivalet Vieira, Aline Souza Pagnussat","doi":"10.63144/ijt.2026.6748","DOIUrl":"10.63144/ijt.2026.6748","url":null,"abstract":"<p><strong>Background: </strong>Ensuring equitable access to effective interventions for people with Parkinson's disease (PD) remains a global challenge. Although dance and multimodal exercise improve motor and non-motor symptoms, no randomized controlled trial has compared their feasibility, safety, and participants' perceptions when delivered online in a group-based format.</p><p><strong>Methods: </strong>This randomized controlled feasibility trial allocated participants to a dance or multimodal exercise group incorporating music. Interventions were delivered via videoconference twice weekly for 12 weeks. Feasibility and safety were assessed through adherence, attendance, technological barriers, and adverse events. Participant perceptions were evaluated post-intervention using study-specific structured interviews.</p><p><strong>Results: </strong>Seventy-five participants were enrolled (dance: n = 40; multimodal exercise: n = 35), predominantly women, with mild-to-moderate PD (Hoehn & Yahr Scale 1.0-3.0). Both interventions were feasible and safe, with high adherence (82.5-85.7%), moderate attendance, and no adverse events with similar participants' perceptions across the groups.</p><p><strong>Conclusions: </strong>Group-based online dance and multimodal exercise are feasible, safe, and well accepted for people with mild-to-moderate PD, supporting their use as telerehabilitation options in clinical practice.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"18 1","pages":"6748"},"PeriodicalIF":1.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13321846/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorials: Dual Reflections on Telerehabilitation.","authors":"Ellen R Cohn, Kyrylo Malakhov","doi":"10.63144/ijt.2026.6770","DOIUrl":"https://doi.org/10.63144/ijt.2026.6770","url":null,"abstract":"<p><p>Two complementary editorials are presented by two IJT editors. The first editorial reflects upon aspects of the relationship between Artificial Intelligence (AI) and telerehabilitation and points out that current AI terminology, in which AI is employed as \"an umbrella term\" can be imprecise and confusing. The second editorial observes that telerehabilitation is now entering a new stage of development in which digital health, computer science, artificial intelligence, and rehabilitation medicine are becoming increasingly integrated. The future use of Human Digital Twins as dynamic, patient-centered digital representations will enable individualized assessment, rehabilitation planning, monitoring of patient trajectories, and decision support across distributed care environments.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"18 1","pages":"6770"},"PeriodicalIF":1.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13321858/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unsupervised Machine Learning in the Evaluation of Telerehabilitation Interventions for Reading Fluency.","authors":"Chiara Pecini, Andrea Frascari, Viola Margheri, Kianna Kazemi, Pierluigi Zoccolotti, Gionata Manduchi","doi":"10.63144/ijt.2026.6735","DOIUrl":"10.63144/ijt.2026.6735","url":null,"abstract":"<p><p>The implementation of machine learning techniques enables the analysis of large data corpora to differentiate response patterns based on exercise parameters, providing insights for implementing efficient telerehabilitation of reading skills. In this study, we applied unsupervised machine learning methods to investigate rehabilitation training trajectories in response to a self-adaptive teleintervention of reading decoding. We analyzed data from 6,692 children and adolescents using the Reading Trainer app for at least two months. Using K-means clustering, we identified eight distinct learning curve patterns, subsequently categorized as No-responders, Partial Responders, and High Responders based on the differences between initial and final reading performance. Multinomial regression analysis showed that younger children with greater initial difficulties and those who completed a higher number of in-session exercises during treatment were more likely to be classified as High Responders. These findings provide crucial insights to predict responses to reading intervention and help in personalizing telerehabilitation strategies.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"18 1","pages":"6735"},"PeriodicalIF":1.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13321850/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Semi-supervised Telerehabilitation Exercise Program for Pelvic Floor Function in Pregnant Women with Gestational Diabetes Mellitus: A Randomized Controlled Clinical Trial.","authors":"Joyce Maria Pereira de Oliveira, Letícia Amaro Vieira, Edson Silva-Filho, Adriana Gomes Magalhães, Leony Morgana Galliano, Eduardo Caldas Costa, Sávio Ferreira Camargo, Maria Thereza Albuquerque Barbosa Cabral Micussi","doi":"10.63144/ijt.2026.6738","DOIUrl":"10.63144/ijt.2026.6738","url":null,"abstract":"<p><strong>Introduction: </strong>Pelvic floor dysfunctions (PFD) are common during pregnancy, and the metabolic stress of Gestational Diabetes Mellitus (GDM) may exacerbate this condition. Supervised muscle training is an option that might be effective for treating PFD. This study aimed to evaluate the effects of a semi-supervised exercise program, delivered via telerehabilitation, on pelvic floor function in pregnant women with GDM.</p><p><strong>Methods: </strong>A randomized, controlled, blinded clinical trial was conducted with participants allocated into an Exercise Group (EG; n=20) and a Control Group (CG; n=20). The EG performed an exercise protocol (aerobic, global strength, and pelvic floor muscle-specific training) for 10-20 weeks, with telemonitoring via smartphone. The CG received educational booklets. Pelvic floor muscle function, PFD symptoms and impacts, and sexual function were assessed before and after the intervention. Perceived global improvement was measured at the end of the study.</p><p><strong>Results: </strong>Although no between-group differences were observed post-intervention for the overall sample, the stratified analysis of participants with urinary incontinence (UI) revealed a significant time-by-group interaction for the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) (p = 0.007). Among women with UI, post-intervention between groups comparisons indicated mean differences of 4.07 (IC95%: 1.03;7.11) for the ICIQ-SF, 14.51 (IC95%: 1.26;27.76) for the UDI, and 2.68 (IC95%: -19.21;24.57) for the UIQ. In this subgroup, the EG demonstrated a numeric significant reduction in urinary discomfort and a protective effect against worsening UI severity compared with the CG.</p><p><strong>Conclusion: </strong>A semi-supervised telerehabilitation program appears to be effective in reducing and preventing the progression of urinary symptoms in pregnant women with GDM and pre-existing urinary incontinence.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"18 1","pages":"6738"},"PeriodicalIF":1.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13321845/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of a Low-resource TELE-assisted Home Exercise Program for Balance and Functional Mobility in Parkinson's Disease (TELEPORT-PD): An International e-Delphi Consensus.","authors":"Arnold Fredrick D'Souza, Manikandan Natarajan, Dushyanth Babu Jasti, Auwal Abdullahi, Mohammad Al-Wardat, Mohan Ganesan, Divyani Garg, Sudhir Prabhu Haladi, Pawan Raj Pulu Ishwara, Violaine Lavoie, Francesco Lena, Selva Ganapathy Velayutham, Susan L Whitney","doi":"10.63144/ijt.2026.6711","DOIUrl":"10.63144/ijt.2026.6711","url":null,"abstract":"<p><p>Despite the recent surge in the use of telerehabilitation (TR) for neurological disorders, there is a lack of TR programs tailored to persons with Parkinson's disease (PwPD), particularly in low-resource settings. To address this gap, we aimed to develop a tele-assisted home exercise program for improving balance and functional mobility in PwPD (TELEPORT-PD). An e-Delphi process was conducted with an international, interprofessional team of experts involved in rehabilitation of PwPD. A comprehensive pool of exercises was compiled and evaluated across three rounds of e-Delphi process. Out of 473 exercises pooled from literature and experts, 99 exercises entered the e-Delphi process after deduplication and were categorized under six domains. After consensus, the final program included 42 exercises along with dosage, progression, and safety considerations. The TELEPORT-PD protocol developed through an international, e-Delphi consensus could be adapted for its use in low-resource settings worldwide.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"18 1","pages":"6711"},"PeriodicalIF":1.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13321864/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"AI Privacy and Security in Healthcare: A Systematic Literature Review.","authors":"Diane Dolezel, Karima Lalani, Valerie Watzlaf, Kerryn Butler-Henderson, Elise V Z Lambert, Mary Morton, Jamie Sand, David Gibbs, Susan Fenton","doi":"10.63144/ijt.2065.6747","DOIUrl":"10.63144/ijt.2065.6747","url":null,"abstract":"<p><strong>Background: </strong>Artificial intelligence is expanding into telemedicine and telerehabilitation, yet significant privacy and security concerns persist.</p><p><strong>Scope: </strong>To synthesize empirical evidence on privacy and security approaches in health care, particularly those relevant to distributed home care.</p><p><strong>Methodology: </strong>A systematic review identified 80 studies (2019 to 2025), and Latent Dirichlet Allocation (LDA) topic modeling characterized the privacy and security themes.</p><p><strong>Results: </strong>Sixty-six studies addressed privacy, only seventeen addressed security, and three studies addressed both. LDA identified four themes: patient data privacy, federated learning for medical imaging, encrypted training and secure computation, and healthcare data governance. Most studies emphasized privacy-preserving approaches, like federated learning, encryption, and differential privacy. Almost half were conducted outside healthcare environments, limiting insight into real teleclinical and telerehabilitation workflow.</p><p><strong>Conclusion: </strong>Securing healthcare AI will require a multi-layered governance framework, broader global representation, and integration of privacy and security protections into routine clinical workflows.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"18 1","pages":"6747"},"PeriodicalIF":1.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13321853/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}