{"title":"Editors' Note.","authors":"Ellen R Cohn, Jana Cason","doi":"10.63144/ijt.2026.6766","DOIUrl":"https://doi.org/10.63144/ijt.2026.6766","url":null,"abstract":"","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"18 1","pages":"6766"},"PeriodicalIF":1.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13321859/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370267","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}
Jennine Harvey, Megan E Cuellar, Yihsiang Isaac Chang
{"title":"Feasibility of Immersive Virtual Reality for Delivering Semantic Feature Analysis to Adults with Communication Disorders and Normal Cognitive Aging.","authors":"Jennine Harvey, Megan E Cuellar, Yihsiang Isaac Chang","doi":"10.63144/ijt.2026.6746","DOIUrl":"10.63144/ijt.2026.6746","url":null,"abstract":"<p><p>This study investigated the feasibility of delivering Semantic Feature Analysis (SFA) within a fully immersive virtual reality (VR) environment for adults with normal cognitive aging (NCA) and communication disorders (CSD). The scope included short-term semantic feature training, baseline assessments, and evaluation of engagement and acceptability. Thirty-five adults (11-younger, 11-older, and 13-CSD) completed a two-phase protocol involving standardized SFA and VR-delivered SFA (VRSFA) across five tasks: picture naming, associative matching, common feature identification, semantic feature questions, and integrated SFA training. Participants completed cognitive and language assessments pre- and post-intervention, with qualitative feedback gathered through thematic analysis. Quantitative data were analyzed using non-parametric tests to assess group differences and task effects. Findings indicate that immersive VR is a feasible, engaging, and promising approach for delivering evidence-based semantic-feature training for individuals with typical and impaired cognitive communication profiles. Results support continued exploration of VR as a scalable and accessible rehabilitation modality in speech-language pathology.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"18 1","pages":"6746"},"PeriodicalIF":1.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13321851/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370332","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":"The ATA's Principles for Delivering Telerehabilitation Services.","authors":"","doi":"10.63144/ijt.2026.6767","DOIUrl":"https://doi.org/10.63144/ijt.2026.6767","url":null,"abstract":"<p><p>Telehealth is a broad term used to describe the use of electronic or digital information and communications technologies (ICT) to deliver clinical healthcare, patient and professional health-related education, and public health and health administration. More recently, the term digital health has emerged to refer to the use of digital technologies as tools and systems that contribute to improving healthcare outcomes (i.e., artificial intelligence and machine learning, digital therapeutics, mHealth, remote patient monitoring, remote therapeutic monitoring, wearable devices, and other health analytics and information software systems). These technologies enhance the efficiency of health care delivery through the broad use of information and communication technologies (ICT) and in some commercial applications include telehealth. This document is a revision of the American Telemedicine Association's (ATA) \"Principles for delivering Telerehabilitation Services\" (2017) and reflects the current utilization of telerehabilitation services. Its purpose is to inform and assist practitioners in providing effective and secure telerehabilitation services that are based on client needs, current empirical evidence, and available technologies. Rehabilitation professionals, in conjunction with professional associations and other organizations are encouraged to use this document as a resource for developing discipline-specific standards, guidelines, and practice requirements. This guide is not intended to replace the primary practitioner's clinical decision-making about the appropriate course of healthcare for any client.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"18 1","pages":"6767"},"PeriodicalIF":1.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13321863/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370278","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}
Bruna Nascimento Zanfir da Silva, Camila Pinto, Caroline Santos Figueiredo, Thainara Cruz da Rosa, Katherine Lee Hsieh, Aline Souza Pagnussat
{"title":"Is the 360 Degree Turn Test a Safe and Reliable Tool for Post-Stroke Tele-Assessment?","authors":"Bruna Nascimento Zanfir da Silva, Camila Pinto, Caroline Santos Figueiredo, Thainara Cruz da Rosa, Katherine Lee Hsieh, Aline Souza Pagnussat","doi":"10.63144/ijt.2026.6730","DOIUrl":"10.63144/ijt.2026.6730","url":null,"abstract":"<p><strong>Background: </strong>Despite the growing use of telehealth in stroke rehabilitation, it remains unclear whether online assessments can match the accuracy of in-person evaluations.</p><p><strong>Purpose: </strong>To investigate the safety and reliability of tele-assessment using the 360 Degree Turn Test in individuals with chronic stroke under controlled conditions.</p><p><strong>Methods: </strong>Twenty-five individuals with chronic stroke were assessed both in person and via synchronous tele-assessment with a 24-48-hour interval. Online assessments were conducted via video call by a trained physiotherapist. One month later, the same physiotherapist and a second physiotherapist scored the recorded assessments asynchronously.</p><p><strong>Results: </strong>There was a high level of agreement between in-person and tele-assessment (ICC > 0.90). Tele-assessment demonstrated excellent intra- and inter-rater reliability. However, participants took significantly longer to complete the test during tele-assessment (p < 0.05). No adverse events were observed.</p><p><strong>Conclusion: </strong>Tele-assessment using the 360 Degree Turn Test demonstrated high reliability and appeared to be safe under the specific conditions tested (i.e., chronic participants, caregiver presence, and controlled environment). However, performance outcomes obtained via tele-assessment may not be directly comparable to in-person assessments in longitudinal follow-up.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"18 1","pages":"6730"},"PeriodicalIF":1.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13321844/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370275","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}
Katharina Giordano, Lea Haas, Jasmin D M Pfannes, Julia Hagenow, Juliane Leinweber
{"title":"Co-Creation Technology Development of a Speech Therapy Platform in Germany: Results from an Exploratory Usability Workshop.","authors":"Katharina Giordano, Lea Haas, Jasmin D M Pfannes, Julia Hagenow, Juliane Leinweber","doi":"10.63144/ijt.2026.6764","DOIUrl":"10.63144/ijt.2026.6764","url":null,"abstract":"<p><p>Telepractice as a service model in speech and language therapy has significantly grown in Germany since the pandemic. However, the implementation is not yet satisfactory. The Hybrid and Interactive Speech and Language Therapy after Stroke project (HiSSS) aimed to provide a complex therapy platform that would integrate both synchronous and asynchronous therapeutic elements for the first time in Germany. This study aimed to evaluate the usability of an early-stage platform by involving people with speech and/or language impairment and speech and language therapists in the development process to ensure that the system was tailored to their needs. Structured observation and a focus group were used in an exploratory usability workshop. Participants provided feedback on facilitators and barriers, suggestions for improvement, training needs, and support while using the platform. The results of the exploratory usability workshop showed that both end user groups would be interested in a future use of the HiSSS platform.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"18 1","pages":"6764"},"PeriodicalIF":1.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13321854/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370320","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":"Current Status of Telerehabilitation Services in Low-Middle Income Countries - A Scoping Review.","authors":"Rehana Parvin, John Parsons, Karen Day","doi":"10.63144/ijt.2025.6724","DOIUrl":"10.63144/ijt.2025.6724","url":null,"abstract":"<p><p>Telerehabilitation adoption in low-middle income countries (LMICs) accelerated during COVID-19 pandemic, promoting a surge in telehealth initiatives, many of which remain unexplored. This scoping review aims to assess the current state of telerehabilitation services in LMICs across Asia and Africa using Arksey and O'Malley's five-stage framework with PRISMA-ScR guidelines. Two reviews were conducted: one covering from 2012 to 2022 and another from 2023 to January 2025, yielding a total of 87 relevant articles. The key themes that emerged from the collected literature include current telerehabilitation status, pandemic utilization, implementation challenges, user understanding of telerehabilitation along with their perceptions and practices, and feasibility together with legal-ethical aspects and acceptability. Despite limited ICT skills and infrastructure challenges, users reported positive experiences, primarily using mobile phones and video conferences. However, privacy concerns along with digital literacy issues remain. Although many nations adopted WHO guidelines and donor support, formal policies and sustainable implementation strategies are still lacking. The findings underscore the need for context specific and sustainable frameworks to strengthen telerehabilitation in LMICs.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"17 2","pages":"6724"},"PeriodicalIF":2.1,"publicationDate":"2025-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12726847/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145828863","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":"Implementation of a Family Centered Telecoaching Intervention for Parents of Children with Motor Difficulties: A Multimethod Process Evaluation.","authors":"Karen Hurtubise, Isabelle Gaboury, Chantal Camden, Rosalie Dostie, Audrée Jeanne Beaudoin, Désirée Maltais, Meaghan Reitzel, Jade Berbari, Mélanie M Couture, Mélanie M Morin, Michelle Phoenix","doi":"10.63144/ijt.2025.6722","DOIUrl":"10.63144/ijt.2025.6722","url":null,"abstract":"<p><p>This multimethod process evaluation aimed to explore the implementation of a telehealth coaching intervention for parents of children with motor difficulties. Four therapists and 59 parents participated. The dosage of 525 sessions was compared to the study protocol. Thirty-three external rater assessments, 62 therapists' self-adherence and 59 parent satisfaction surveys were analyzed descriptively for adherence, parent responsiveness and intervention quality. Therapists' interviews were analyzed thematically for implementation experience. A median of nine sessions per family was provided; only 58% were received within the prescribed timeframe. Adherence (83%), participant responsiveness (91%), and intervention quality (85%) were high, along with therapists' self-adherence (84%) and parent satisfaction (87%). Therapists reported partnering effectively with parents in the intervention and maintaining a family-oriented approach. Regular feedback and mentorship were the most effective implementation strategies identified by therapists. Telehealth coaching interventions can be implemented with high fidelity when therapists receive proper training and support.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"17 2","pages":"6722"},"PeriodicalIF":2.1,"publicationDate":"2025-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12726850/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145828784","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}
Chelsea E Macpherson, Fatima Awad, Vruta Rana, Sheng-Han Kuo, Lori Quinn
{"title":"Fatigue Limits Motor and Cognitive Improvements after High-intensity Exercise Prior to Balance Training over Telehealth in People with Spinocerebellar Ataxia.","authors":"Chelsea E Macpherson, Fatima Awad, Vruta Rana, Sheng-Han Kuo, Lori Quinn","doi":"10.63144/ijt.2025.6713","DOIUrl":"10.63144/ijt.2025.6713","url":null,"abstract":"<p><strong>Objective: </strong>This pilot randomized controlled trial explored feasibility, and preliminary effects from remotely delivered high- versus low-intensity exercise prior to balance training for people with Spinocerebellar Ataxia (SCA).</p><p><strong>Methods: </strong>Twenty participants with SCA (types 1, 2, 3, or 6) were randomized to high- or low-intensity exercise (30 min), followed by balance training (30 min), delivered via telehealth twice-weekly for 8-weeks. Exercises were progressive and individualized based on ataxia severity, mobility, and home equipment. Outcomes included disease-specific measures (Scale for Assessment and Rating of Ataxia at home, Cerebellar Cognitive Affective Syndrome Scale), and fatigue (Fatigue Severity Scale) assessed at baseline, mid- and post-intervention.</p><p><strong>Results: </strong>Eighteen participants completed the intervention with high adherence. Both groups improved on disease-specific measures, with greater gains in cognition and reduced fatigue in the low-intensity group.</p><p><strong>Conclusions: </strong>Remote delivery of exercise and balance training is feasible in SCA. Fatigue may limit tolerability of higher exercise intensities. <i>National Institutes of Health Clinical Trials Registration Number: NCT05826171</i>.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"17 2","pages":"6713"},"PeriodicalIF":2.1,"publicationDate":"2025-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12726854/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145828814","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":"Editors' Note.","authors":"Ellen R Cohn, Jana Cason","doi":"10.63144/ijt.2025.6728","DOIUrl":"https://doi.org/10.63144/ijt.2025.6728","url":null,"abstract":"","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"17 2","pages":"6728"},"PeriodicalIF":2.1,"publicationDate":"2025-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12726844/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145828790","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}
Arnold Fredrick D'Souza, Akhila Jagadish, Jennifer V D'Souza, Dorcas B C Gandhi, Dushyanth Babu Jasti, Manikandan Natarajan
{"title":"Effect of Home-based Telerehabilitation on Balance, Functional Mobility, and Quality of Life in Persons with Parkinson's Disease: A Systematic Review and Meta-Analysis.","authors":"Arnold Fredrick D'Souza, Akhila Jagadish, Jennifer V D'Souza, Dorcas B C Gandhi, Dushyanth Babu Jasti, Manikandan Natarajan","doi":"10.63144/ijt.2025.6725","DOIUrl":"10.63144/ijt.2025.6725","url":null,"abstract":"<p><strong>Background: </strong>Persons with Parkinson's disease (PwPD) require ongoing rehabilitation to maintain independence, but traditional center-based and unsupervised home programs have limitations in accessibility and adherence. Home-based telerehabilitation (TR) offers a promising alternative by enabling remote delivery of exercise interventions.</p><p><strong>Objective: </strong>To evaluate the effect of home-based TR on balance, functional mobility, and quality of life in PwPD.</p><p><strong>Methods: </strong>A comprehensive electronic search was conducted across PubMed, CINAHL, Embase, OvidSP, ProQuest, Scopus, Web of Science, Cochrane CENTRAL, and PEDro databases. Interventional studies on exercise-centric home-based TR for PwPD with either balance, functional mobility, or quality of life as outcomes were included.</p><p><strong>Results: </strong>A total of 37 studies were included in this systematic review, of which 13 were eligible for meta-analysis. The meta-analysis revealed small but significant improvements in balance (SMD = 0.25; 95% CI: 0.04 to 0.45; p = 0.02). and functional mobility (SMD = -0.28; 95% CI: -0.52 to -0.05; p = 0.02). However, no significant effect was observed for quality of life (SMD = -0.08; 95% CI: -0.25 to 0.09; p = 0.35).</p><p><strong>Conclusion: </strong>Home-based TR is effective for improving balance and functional mobility in PwPD, although, its effect on quality of life is unclear which warrants further research.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"17 2","pages":"6725"},"PeriodicalIF":2.1,"publicationDate":"2025-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12726849/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145828787","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}