Manoela de Paula Ferreira, Noori Chowdhury, Lisa Wickerson, Heather Ross, Nazia Selzner, S Joseph Kim, Lianne G Singer, Sunita Mathur
{"title":"Feasibility of Virtual Assessment of Physical Frailty in Solid Organ Transplant Recipients: A Single Center, Observational Study.","authors":"Manoela de Paula Ferreira, Noori Chowdhury, Lisa Wickerson, Heather Ross, Nazia Selzner, S Joseph Kim, Lianne G Singer, Sunita Mathur","doi":"10.5195/ijt.2022.6447","DOIUrl":"https://doi.org/10.5195/ijt.2022.6447","url":null,"abstract":"<p><strong>Objectives: </strong>To describe the feasibility of virtual assessments of physical frailty in solid organ transplant (SOT) recipients using a modified Fried Frailty Index (mFFI) and Short Physical Performance Battery (SPPB), and to describe the prevalence of frailty 12-months post-transplant using virtual assessment.</p><p><strong>Methods: </strong>Virtual assessments were performed using an e-questionnaire and a video-call for functional tests. Feasibility variables included: internet quality, video-call duration, presence of a companion, and adverse events.</p><p><strong>Results: </strong>34 SOT recipients, median age 62 (46-67), 76% lung recipients, 47% female, were included. The video-call had a median duration of 12 minutes (10-15 min), without adverse events. A companion was present in 23 (68%) video-call assessments. Fifteen SOT recipients (44%) were classified as pre-frail by the mFFI, and none were frail. Three participants (8.8%) were classified as frail using the SPPB.</p><p><strong>Conclusion: </strong>Virtual frailty assessments can be used as an alternative to in-person assessments in SOT recipients.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"14 1","pages":"e6447"},"PeriodicalIF":3.3,"publicationDate":"2022-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9186907/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40225568","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}
Stephanie Donahue, Carly McMorrow, Andrew A Almeida, Deborah L Feairheller
{"title":"Feasibility and Perception of a Diet and Exercise Intervention Delivered via Telehealth to Firefighters.","authors":"Stephanie Donahue, Carly McMorrow, Andrew A Almeida, Deborah L Feairheller","doi":"10.5195/ijt.2022.6458","DOIUrl":"10.5195/ijt.2022.6458","url":null,"abstract":"<p><strong>Introduction: </strong>Firefighters have a high risk of cardiovascular incidence due to their poor health, fitness, and dietary habits. The purpose of this study was to examine the feasibility of a diet and exercise intervention within firefighters delivered exclusively via telehealth to help reduce the risks of cardiovascular disease. Additionally, the firefighters' perception of their health was assessed.</p><p><strong>Methods: </strong>Fifteen firefighters participated in a six-week Mediterranean diet and a functional circuit exercise intervention with pre- and post-fitness testing and survey completion. The firefighters had weekly video calls with their telehealth coach.</p><p><strong>Results: </strong>Self-assessed health improved with the intervention from an average of 5.9 to 7.9 out of 10. Both weight and BMI significantly decreased with the intervention. Overall, firefighters had high adherence to both portions of the intervention.</p><p><strong>Discussion: </strong>Telehealth interventions may be efficacious in improving firefighter fitness levels and overall health as firefighters saw positive health and fitness improvements.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"14 1","pages":"e6458"},"PeriodicalIF":2.5,"publicationDate":"2022-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9187031/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40225571","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}
Inna C De Leon, JennaLynn Philipps, Marina Yoegel, Joseph Byrnes, Jordan S Kase
{"title":"Comparison of Goal Achievement When Transitioning from In-Person Therapy to Teletherapy in Westchester County Early Intervention Program Due to the COVID-19 Pandemic.","authors":"Inna C De Leon, JennaLynn Philipps, Marina Yoegel, Joseph Byrnes, Jordan S Kase","doi":"10.5195/ijt.2022.6450","DOIUrl":"https://doi.org/10.5195/ijt.2022.6450","url":null,"abstract":"<p><p>The sudden transition to virtual therapeutic services during the COVID-19 pandemic provided a unique opportunity to explore telehealth as a platform for delivering early intervention (EI) services. Through retrospective chart review of 93 children, we collected the following data: demographics, diagnosed conditions, therapy type, service format, and provider-reported participant goal achievement (1=no progress, 2=little progress, 3=moderate progress, 4=great deal of progress, 5=outcome achieved) over a six-month period before and after transitioning to telehealth. Pre- and post-transition progress scores were compared using the Wilcoxon signed-rank test. Results demonstrated maintained progress among children who transitioned from in-person to virtual services for similar therapy types. Children receiving speech therapy in-person and virtually demonstrated increased achievement (3.00 vs 3.33; p=0.032). Participants receiving a particular therapy post-transition but not in-person attained similar achievement as those who received the same therapy only in-person. Our research suggests that teletherapy may be a viable option for delivering EI services.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"14 1","pages":"e6450"},"PeriodicalIF":3.3,"publicationDate":"2022-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9186834/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40225569","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":"Telehealth Service Delivery in Medicaid Home- and Community-Based Services for People with Intellectual and Developmental Disabilities.","authors":"Carli Friedman","doi":"10.5195/ijt.2022.6478","DOIUrl":"10.5195/ijt.2022.6478","url":null,"abstract":"<p><p>Medicaid Home- and Community-Based Services (HCBS) 1915(c) waivers are the largest funding mechanism for Long-Term Supports and Services (LTSS) for people with intellectual and developmental disabilities (IDD) in the United States. This study's aim was to examine telehealth service provision in Medicaid HCBS waivers for people with IDD. We analyzed fiscal year 2021 Medicaid HCBS waivers for people with IDD and emergency Appendix K authorizations (2020-2022) to examine permanent and temporary use of telehealth, respectively. The overwhelming majority of waivers (98.1%) temporarily permitted the use of telehealth service delivery for people with IDD. However, only a fraction (27.6%) permanently included the use of telehealth for people with IDD. The most prevalent types of services that permitted telehealth service delivery were: employment, day, and prevocational services; clinical and therapeutic services; and in-home and residential supports. When developing and implementing telehealth, it is important to consider the needs of people with IDD.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"14 1","pages":"e6478"},"PeriodicalIF":2.5,"publicationDate":"2022-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9248906/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40610585","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":"An Evaluation of Telepractice use During the Covid-19 Pandemic for the Treatment of Speech and Language Disorders in Belgium.","authors":"Ronny Boey, Stefaan Lefevere","doi":"10.5195/ijt.2022.6411","DOIUrl":"https://doi.org/10.5195/ijt.2022.6411","url":null,"abstract":"<p><p>The aim of this article was to evaluate the sudden implementation of telepractice in Belgium during the COVID-19 pandemic. A 38-question survey was completed by 1,222 Dutch-speaking speech-language pathologists (SLPs) from Belgium. Most reported good or very good satisfaction with telepractice and that telepractice can be effectively used with clients of different ages and speech disorders with or without comorbidity. The SLPs reported when telepractice could be used most effectively. They also detailed their difficulties with both technology and client-related issues. Limitations when switching to telepractice included a lack of training and experience, and digital materials.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"14 1","pages":"e6411"},"PeriodicalIF":3.3,"publicationDate":"2022-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9187036/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40225565","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}
Megan H Ross, Andrea Whitehead, Lauren Jeffery, Nicole Hartley, Trevor Russell
{"title":"Supervising Students During a Global Pandemic: Clinical Educators' Perceptions of a Student-Led Telerehabilitation Service During Covid-19.","authors":"Megan H Ross, Andrea Whitehead, Lauren Jeffery, Nicole Hartley, Trevor Russell","doi":"10.5195/ijt.2022.6464","DOIUrl":"https://doi.org/10.5195/ijt.2022.6464","url":null,"abstract":"<p><strong>Scope: </strong>In March 2020, COVID-19 restrictions prompted services delivered by student-led clinics in the university sector to transition to telehealth. This provided a unique opportunity to explore the challenges and opportunities faced by clinical educators when supervising students to deliver telehealth.</p><p><strong>Methodology: </strong>Semi-structured interviews were conducted with allied health clinical educators who supervised students on clinical placement who were required to provide services via telehealth. Clinical educators across the disciplines of audiology, occupational therapy, physiotherapy, and speech pathology were asked to reflect on their experiences and perceptions of the rapid transition to a telehealth model for student clinical placements. A content analysis approach was used to analyse qualitative data.</p><p><strong>Conclusions: </strong>From the perspective of clinical educators, student-led telehealth services can effectively meet client needs while achieving student learning outcomes. This study highlights many opportunities for student learning via telehealth in the clinical education environment and the role of the clinical educator in the learning experience.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"14 1","pages":"e6464"},"PeriodicalIF":3.3,"publicationDate":"2022-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9186833/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40225624","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":"Benefits and Challenges of Telerehabilitation Use By Pediatric Physiotherapists During the COVID-19 Pandemic In Western and Southern India: A Cross-Sectional Survey.","authors":"Shukra Chivate, Mehek Sharma, Aamila Shaikh, Chandrika Satarkar","doi":"10.5195/ijt.2022.6466","DOIUrl":"https://doi.org/10.5195/ijt.2022.6466","url":null,"abstract":"<p><p>As the worldwide COVID-19 pandemic spread, many physiotherapists chose telerehabilitation (TR) to continue delivering therapy. This study was conducted to document the perceived benefits and challenges of TR faced by pediatric physiotherapists in western and southern India. Using the snowball method, electronic survey forms were distributed to 275 pediatric physiotherapists in Western and Southern India; 110 responses were available for analysis. A majority of respondents had experience with TR (n=83, 75.5%), while others had never used TR (n=27, 24.5%). TR was reported to be less effective than in-person therapy for treating children and adolescents during the COVID-19 pandemic. Therapists reported significant difficulties during TR sessions; these included assessing and modifying exercises for children. As the popularity of TR grows, pediatric physiotherapists will need to be aware of the benefits and challenges they will face during TR sessions. Most pediatric physiotherapists believed the interaction between parents and therapists is a requisite for optimal service delivery.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"14 1","pages":"e6466"},"PeriodicalIF":3.3,"publicationDate":"2022-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9186904/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40225625","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":"Telehealth Practice Standards With Emphasis on the United States: What Telerehabilitation Providers Need to Know","authors":"Kyle Y. Fagét","doi":"10.1016/b978-0-323-82486-6.00028-9","DOIUrl":"https://doi.org/10.1016/b978-0-323-82486-6.00028-9","url":null,"abstract":"","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"124 1","pages":"405 - 415"},"PeriodicalIF":3.3,"publicationDate":"2022-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85702508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oleksandr V Palagin, Kyrylo S Malakhov, Vitalii Yu Velychko, Tetiana V Semykopna
{"title":"Hybrid e-rehabilitation services: SMART-system for remote support of rehabilitation activities and services.","authors":"Oleksandr V Palagin, Kyrylo S Malakhov, Vitalii Yu Velychko, Tetiana V Semykopna","doi":"10.5195/ijt.2022.6480","DOIUrl":"https://doi.org/10.5195/ijt.2022.6480","url":null,"abstract":"<p><p>One of the most effective solutions in medical rehabilitation assistance is remote patient / person-centered rehabilitation. Rehabilitation also needs effective methods for the \"Physical therapist - Patient - Multidisciplinary team\" system, including the statistical processing of large volumes of data. Therefore, along with the traditional means of rehabilitation, as part of the \"Transdisciplinary intelligent information and analytical system for the rehabilitation processes support in a pandemic (TISP)\" in this paper, we introduce and define: the basic concepts of the new hybrid e-rehabilitation notion and its fundamental foundations; the formalization concept of the new Smart-system for remote support of rehabilitation activities and services; and the methodological foundations for the use of services (UkrVectōrēs and vHealth) of the remote Patient / Person-centered Smart-system. The software implementation of the services of the Smart-system has been developed.</p>","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"14 Spec","pages":"e6480"},"PeriodicalIF":3.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10101172/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9316221","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":"Telephysical Therapy","authors":"Mohit Arora, Camila Quel de Oliveira","doi":"10.1016/b978-0-323-82486-6.00019-8","DOIUrl":"https://doi.org/10.1016/b978-0-323-82486-6.00019-8","url":null,"abstract":"","PeriodicalId":45323,"journal":{"name":"International Journal of Telerehabilitation","volume":"91 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74479296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}