Turkiye Klinikleri Journal of Health Sciences

.: REVIEW
Ortopedik Fizyoterapi Alanında Güncel Telerehabilitasyon Yaklaşımları
Current Telerehabilitation Approaches in Orthopaedic Physiotherapy
Fatih ÖZDENa, Ahmet Furkan ARIKb, Nazan TUĞAYc
aMuğla Sıtkı Koçman Üniversitesi Köyceğiz Sağlık Hizmetleri Meslek Yüksekokulu, Yaşlı Bakımı Bölümü, Muğla, TÜRKİYE
bÖzel Algomed Hastanesi, Fizik Tedavi ve Rehabilitasyon Kliniği, Adana, TÜRKİYE
cMuğla Sıtkı Koçman Üniversitesi Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümü, Muğla, TÜRKİYE
Turkiye Klinikleri J Health Sci. 2020;5(2):354-60
doi: 10.5336/healthsci.2019-70990
Article Language: TR
Full Text
ÖZET
 Telerehabilitasyon, teletıp hizmetlerinin son yıllarda öne çıkan popüler alanlarından biridir. Uzaktan gerçekleştirilen bu rehabilitasyon hizmetleriyle klinikte çalışan sağlık profesyonellerinin, hastalarını uzun mesafelere rağmen değerlendirmeleri, izlemeleri ve tedavi programlarına müdahale edebilmeleri mümkün olabilmektedir. Bilgi ve iletişim teknolojilerinde meydana gelen gelişmelerle birlikte, rehabilitasyon hizmetlerinin uzaktan gerçekleştirilmesi için çeşitli araç ve protokoller geliştirilmektedir. Son birkaç yılda mobil cihaz tabanlı sağlık hizmetleri, telerehabilitasyon pratiğine devrim niteliğinde bir yaklaşım olarak karşımıza çıkmakta, kırsal alanda sağlık hizmetlerine ulaşmakta sıkıntı çeken hastaların rehabilitasyon süreçlerinin uygun şekilde devam ettirilebilmesine yardımcı olmaktadır. Üzerinde durulması gereken en önemli noktalardan birkaçı ise, bu platformlar sayesinde hastanın sağlık profesyonelleri ile iletişim devamlılığının sağlanması, rehabilitasyon sürecinin başarılı kılınması ve maliyet ile ilgili elde edilebilecek kazanımlardır. Yaşlanan nüfusla birlikte ortopedik fizyoterapi ve rehabilitasyon hizmetlerine olan talebin artmasına bağlı olarak telerehabilitasyon yöntemlerinin fazlasıyla başvurulan metotlardan biri hâline geldiği belirtilmektedir. Web tabanlı video takip uygulamaları, video konferans yöntemi ile uzaktan egzersiz izlemi, yapay zekâ teknolojisi ile geliştirilen web platformları gibi egzersiz izlem teknolojileri son yıllarda sıklıkla kullanılan popüler telerehabilitasyon yöntemleridir. Bu derlemede, güncel telerehabilitasyon yaklaşımlarını ele almak amaçlanmıştır. Ayrıca bu güncel uygulamaların avantaj ve dezavantajlarını teknik, mali, iş gücü, zaman tasarrufu açısından ele almanın yanında günümüzün en popüler ve ilgi çekici teknolojik rehabilitasyon yöntemlerinden olan yapay zekâ uygulamalarının da ne düzeyde kullanıldığına ışık tutulacaktır.

Anahtar Kelimeler: Ortopedi; telerehabilitasyon; fizyoterapi
ABSTRACT
 Telerehabilitation is one of the popular areas of telemedicine services in recent years. With these remote rehabilitation services, it is possible for health professionals working in the clinic to evaluate, monitor and intervene with the treatment programs of their patients despite long distances. Along with the developments in information and communication technologies, various tools and protocols are developed for the remote realization of rehabilitation services. In the last few years, mobile-based health services have emerged as a revolutionary approach to the practice of telerehabilitation, helping to maintain the rehabilitation process of patients who have difficulty accessing health services in rural areas. One of the most essential points to be emphasized is the continuity of the communication with the health professionals of the patient through these platforms and the success of the rehabilitation process and the costs that can be obtained. Telerehabilitation methods become one of the most commonly used methods due to the increasing demand for orthopaedic physiotherapy and rehabilitation services with the ageing population. Exercise monitoring technologies such as web-based video monitoring applications, remote exercise monitoring with video conferencing method, and web platforms developed with artificial intelligence technology are the popular telerehabilitation methods used frequently in recent years. In this review, we aimed to discuss current telerehabilitation approaches. Besides, the advantages and disadvantages of these existing applications in terms of technical, financial, labour, time-saving, as well as today's most popular and exciting technological rehabilitation methods, artificial intelligence applications are used to shed light on the level.

Keywords: Orthopaedics; telerehabilitation; physiotherapy
REFERENCES:
  1. Flodgren G, Rachas A, Farmer AJ, Inzitari M, Shepperd S. Interactive telemedicine: effects on professional practice and health care outcomes. Cochrane Database Syst Rev. 2015;2015(9):CD002098. [Crossref]  [PMC] 
  2. Peretti A, Amenta F, Tayebati SK, Nittari G, Mahdi SS. Telerehabilitation: review of the state-of-the-art and areas of application. JMIR Rehabil Assist Technol. 2017;4(2):e7. [Crossref]  [PubMed]  [PMC] 
  3. Pastora-Bernal JM, Martín-Valero R, Barón-López FJ, Estebanez-Pérez MJ. Evidence of benefit of telerehabitation after orthopedic surgery: a systematic review. J Med Internet Res. 2017;19(4):e142. [Crossref]  [PubMed]  [PMC] 
  4. Agostini M, Moja L, Banzi R, Pistotti V, Tonin P, Venneri A, et al. Telerehabilitation and recovery of motor function: a systematic review and meta-analysis. Journal of Telemedicine and Telecare. 2015;21(4):202-13. [Crossref]  [PubMed] 
  5. Rogante M, Kairy D, Giacomozzi C, Grigioni M. A quality assessment of systematic reviews on telerehabilitation: what does the evidence tell us? Ann Ist Super Sanita. 2015;51(1):11-8.
  6. Dodakian L, McKenzie AL, Le V, See J, Pearson-Fuhrhop K, Burke Quinlan E, et al. A home-based telerehabilitation program for patients with stroke. Neurorehabil Neural Repair. 2017;31(10-11):923-33. [Crossref]  [PubMed]  [PMC] 
  7. Druss BG, Marcus SC, Olfson M, Tanielian T, Elinson L, Pincus HA. Comparing the national economic burden of five chronic conditions. Health Aff (Millwood). 2001;20(6):233-41. [Crossref]  [PubMed] 
  8. Wootton R. Twenty years of telemedicine in chronic disease management--an evidence synthesis. J Telemed Telecare. 2012;18(4):211-20. [Crossref]  [PubMed]  [PMC] 
  9. Emmerson KB, Harding KE, Lockwood KJ, Taylor NF. Home exercise programs supported by video and automated reminders for patients with stroke: a qualitative analysis. Aust Occup Ther J. 2018;65(3):187-97. [Crossref]  [PubMed] 
  10. Moral-Munoz JA, Zhang W, Cobo MJ, Herrera-Viedma E, Kaber DB. Smartphone-based systems for physical rehabilitation applications: a systematic review. Assist Technol. 2019:1-14. [Crossref]  [PubMed] 
  11. Russell TG. Telerehabilitation: a coming of age. Aust J Physiother. 2009;55(1):5-6. [Crossref] 
  12. Mani S, Sharma S, Omar B, Paungmali A, Joseph L. Validity and reliability of Internet-based physiotherapy assessment for musculoskeletal disorders: a systematic review. J Telemed Telecare. 2017;23(3):379-91. [Crossref]  [PubMed] 
  13. Cottrell MA, Galea OA, O'Leary SP, Hill AJ, Russell TG. Real-time telerehabilitation for the treatment of musculoskeletal conditions is effective and comparable to standard practice: a systematic review and meta-analysis. Clin Rehabil. 2017;31(5):625-38. [Crossref]  [PubMed] 
  14. Hailey D, Roine R, Ohinmaa A, Dennett L. Evidence of benefit from telerehabilitation in routine care: a systematic review. J Telemed Telecare. 2011;17(6):281-7. [Crossref]  [PubMed] 
  15. Tousignant M, Moffet H, Boissy P, Corriveau H, Cabana F, Marquis F. A randomized controlled trial of home telerehabilitation for post-knee arthroplasty. J Telemed Telecare. 2011;17(4):195-8. [Crossref]  [PubMed] 
  16. Lawford BJ, Delany C, Bennell KL, Hinman RS. "I was really pleasantly surprised": firsthand experience and shifts in physical therapist perceptions of telephone-delivered exercise therapy for knee osteoarthritis-a qualitative study. Arthritis Care & Research. 2019;71(4):545-57. [Crossref]  [PubMed] 
  17. Gilbert AW, Jaggi A, May CR. What is the patient acceptability of real time 1:1 videoconferencing in an orthopaedics setting? A systematic review. Physiotherapy. 2018;104(2):178-86. [Crossref]  [PubMed] 
  18. Meijer HA, Graafland M, Goslings JC, Schijven MP. Systematic review on the effects of serious games and wearable technology used in rehabilitation of patients with traumatic bone and soft tissue injuries. Arch Phys Med Rehabil. 2018;99(9):1890-9. [Crossref]  [PubMed] 
  19. Bower KJ, Louie J, Landesrocha Y, Seedy P, Gorelik A, Bernhardt J. Clinical feasibility of interactive motion-controlled games for stroke rehabilitation. J Neuroeng Rehabil. 2015;12:63. [Crossref]  [PubMed]  [PMC] 
  20. Laver KE, Lange B, George S, Deutsch JE, Saposnik G, Crotty M. Virtual reality for stroke rehabilitation. Cochrane Database Syst Rev. 2017;11(11):CD008349. [Crossref]  [PubMed]  [PMC] 
  21. Stein S, Moxey S, Stein L. Digital platform to identify health conditions and therapeutic interventions using an automatic and distributed artificial intelligence system. US Patent App. 2019. https://patents.google.com/patent/US10327697B1/en Tarih: 20.07.2019
  22. Macko RF, Forrester T, Francis P, Nelson G, Hafer-Macko C, Roy A. Interactive video exercise tele-rehabilitation (IVET) for stroke care in Jamaica. IEEE. 2016. [Crossref] 
  23. Ortiz-Pi-a M, Salas-Fari-a Z, Mora-Traverso M, Martín-Martín L, Galiano-Castillo N, García-Montes I, et al. A home-based tele-rehabilitation protocol for patients with hip fracture called @ctivehip. Res Nurs Health. 2019;42(1):29-38. [Crossref]  [PubMed] 
  24. Skwortsow N, Molin HP. Exercise protocol creation and management system. Google Patents. 2015. https://patents.google.com/patent/US20150094192A1/en Tarih: 20.07.2019
  25. Kemp JL, Coburn SL, Jones DM, Crossley KM. The physiotherapy for Femoroacetabular Impingement Rehabilitation STudy (physioFIRST): a pilot randomized controlled trial. J Orthop Sports Phys Ther. 2018;48(4):307-15. [Crossref]  [PubMed] 
  26. Mbada CE, Olaoye MI, Dada OO, Ayanniyi O, Johnson OE, Odole AC, et al. Comparative efficacy of clinic-based and telerehabilitation application of McKenzie therapy in chronic low-back pain. Int J Telerehabil. 2019;11(1):41-58. [Crossref]  [PubMed]  [PMC] 
  27. Choi Y, Nam J, Yang D, Jung W, Lee HR, Kim SH. Effect of smartphone application-supported self-rehabilitation for frozen shoulder: a prospective randomized control study. Clin Rehabil. 2019;33(4):653-60. [Crossref]  [PubMed] 
  28. Bennell KL, Nelligan R, Dobson F, Rini C, Keefe F, Kasza J, et al. Effectiveness of an internet-delivered exercise and pain-coping skills training intervention for persons with chronic knee pain: a randomized trial. Ann Int Med. 2017;166(7):453-62. [Crossref]  [PubMed] 
  29. Danbjørg DB, Villadsen A, Gill E, Rothmann MJ, Clemensen J. Usage of an exercise app in the care for people with osteoarthritis: user-driven exploratory study. JMIR Mhealth Uhealth. 2018;6(1):e11. [Crossref]  [PubMed]  [PMC] 
  30. Shenoy MP, Shenoy PD. Identifying the challenges and cost-effectiveness of telerehabilitation: a narrative review. Journal of Clinical & Diagnostic Research. 2018;12(12):YE01-4. [Crossref] 
  31. Berkoff DJ, Krishnamurthy K, Hopp J, Stanley L, Spores K, Braunreiter D. Corrected error video versus a physical therapist instructed home exercise program: accuracy of performing therapeutic shoulder exercises. Int J Sports Phys Ther. 2016;11(5):757-64.
  32. Tousignant M, Moffet H, Nadeau S, Mérette C, Boissy P, Corriveau H, et al. Cost analysis of in-home telerehabilitation for post-knee arthroplasty. J Med Internet Res. 2015;17(3):e83. [Crossref]  [PubMed]  [PMC] 
  33. Park KH, Song MR. Development of a web exercise video for patients with shoulder problems. Comput Inform Nurs. 2017;35(5):255-61. [Crossref]  [PubMed]  [PMC] 
  34. Gilboa Y, Maeir T, Karni S, Eisenberg ME, Liebergall M, Schwartz I, et al. Effectiveness of a tele-rehabilitation intervention to improve performance and reduce morbidity for people post hip fracture-study protocol for a randomized controlled trial. BMC Geriatr. 2019;19(1):135. [Crossref]  [PubMed]  [PMC] 
  35. Turner A. Case studies in physical therapy: transitioning a "Hands-On" approach into a virtual platform. Int J Telerehabil. 2018;10(1):37-50. [Crossref]  [PubMed]  [PMC] 
  36. Peterson S. Telerehabilitation booster sessions and remote patient monitoring in the management of chronic low back pain: a case series. Physiother Theory Pract. 2018;34(5):393-402. [Crossref]  [PubMed] 
  37. Grona SL, Bath B, Busch A, Rotter T, Trask C, Harrison E. Use of videoconferencing for physical therapy in people with musculoskeletal conditions: a systematic review. J Telemed Telecare. 2018;24(5):341-55. [Crossref]  [PubMed] 
  38. Buvik A, Bergmo TS, Bugge E, Smaabrekke A, Wilsgaard T, Olsen JA. Cost-effectiveness of telemedicine in remote orthopedic consultations: randomized controlled trial. J Med Internet Res. 2019;21(2):e11330. [Crossref]  [PubMed]  [PMC] 
  39. Tee LK. System and method for Mobile Platform Designed for Digital Health Management and Support for Remote Patient Monitoring. Google Patents. 2017. https://patents.google.com/patent/US20170124276A1/en Tarih: 20.07.2019
  40. Buvik A, Bugge E, Knutsen G, Småbrekke A, Wilsgaard T. Patient satisfaction with remote orthopaedic consultation by using telemedicine: a randomised controlled trial. J Telemed Telecare. 2018:1-9. [Crossref]  [PubMed] 
  41. Lawford BJ, Bennell KL, Campbell PK, Kasza J, Hinman RS. Therapeutic alliance between physical therapists and patients with knee osteoarthritis consulting via telephone: a longitudinal study. Arthritis Care Res (Hoboken). 2020;72(5):562-60. [Crossref]  [PubMed] 
  42. Novak D, Riener R. Control strategies and artificial intelligence in rehabilitation robotics. AI Magazine. 2015;36(4):23-33. [Crossref] 
  43. Luxton DD, June JD, Sano A, Bickmore T. Intelligent mobile, wearable, and ambient technologies for behavioral health care. In: Luxton DD, ed. Artificial Intelligence in Behavioral and Mental Health Care. 1st ed. Amsterdam: Elsevier; 2016. p.137-62. [Crossref] 
  44. Wells R, Price TR, Spooner T, Van Andel D, Dittmer T, Kotwick J, et al. Predictive telerehabilitation technology and user interface. Google Patents. 2018. https://patents.google.com/patent/US20180096111A1/en TARİH: 20.07.2019
  45. Ongvisatepaiboon K, Chan JH, Vanijja V. Smartphone-based tele-rehabilitation system for frozen shoulder using a machine learning approach. IEEE. 2015. [Crossref] 

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Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

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-During various attacks to the website,

-Disruption of the website because of a virus.

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Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

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