A Medical Student’s Perspective on the Growing Importance of Telemedicine/Telerehabilitation

Authors

  • Sung-Hoon Park BSA. The University of Texas Health Science Center at Houston, McGovern Medical School, Houston; Neuromodulation and Neural Interfaces Laboratory, Neurorecovery Research Center at TIRR Memorial Herman, Houston, TX, United States https://orcid.org/0000-0002-7449-5603
  • Nuray Yozbatiran PhD, PT. Neuromodulation and Neural Interfaces Laboratory, Neurorecovery Research Center at TIRR Memorial Herman, Houston; Department of Physical Medicine and Rehabilitation, The University of Texas Health Science Center at Houston, Houston, TX, United States https://orcid.org/0000-0002-6765-2455

DOI:

https://doi.org/10.5195/ijms.2021.1117

Keywords:

Spinal Cord Injury, Motor Recovery, Telerehabilitation, Telemedicine

Abstract

Telemedicine, particularly telerehabilitation for patients with chronic conditions such as spinal cord injury (SCI), has greatly evolved in the 21st century and expanded rapidly during the COVID-19 pandemic. Rehabilitation programs aiming to improve motor functions after SCI are important in reducing disability, promoting independence, and alleviating burden of caretakers. An appropriate intervention is limited to many patients due to requirements of periodic access to a location with appropriate equipment as well as a therapist to facilitate a one-on-one session to improve upper limb functions. Therefore, telerehabilitation can increase access to appropriate interventions to improve upper limb functions. This paper shows the limitations and benefits as well as the potential future of telerehabilitation based on a summertime experience of a rising 2nd year medical student. 

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References

Fiel MJ. Telemedicine: A Guide to Assessing Telecommunications in Health Care. National Academies Press; 1996.

Breen G-M, Matusitz J. An Evolutionary Examination of Telemedicine: A Health and Computer-Mediated Communication Perspective. Social Work in Public Health. 2010 Jan;25(1):59–71.

Bernell S, Howard SW. Use Your Words Carefully: What Is a Chronic Disease?. Front Public Health. 2016;4:159.

Spinal Cord Injury Facts and Figures at a Glance [Internet]. [cited 2021Jul22]. Available from: https://www.nscisc.uab.edu/Public/Facts%20and%20Figures%20-%202021.pdf

Francisco GE, Yozbatiran N, Berliner J, O'Malley MK, Pehlivan AU, Kadivar Z, et al. Robot-Assisted Training of Arm and Hand Movement Shows Functional Improvements for Incomplete Cervical Spinal Cord Injury. American Journal of Physical Medicine & Rehabilitation. 2017;96(10).

Friedman N, Chan V, Reinkensmeyer AN, Beroukhim A, Zambrano GJ, Bachman M, et al. Retraining and assessing hand movement after stroke using the MusicGlove: comparison with conventional hand therapy and isometric grip training. Journal of NeuroEngineering and Rehabilitation. 2014;11(1):76.

Lang CE, MacDonald JR, Reisman DS, Boyd L, Jacobson Kimberley T, Schindler-Ivens SM, et al. Observation of Amounts of Movement Practice Provided During Stroke Rehabilitation. Archives of Physical Medicine and Rehabilitation. 2009;90(10):1692–8.

Byl NN, Pitsch EA, Abrams GM. Functional Outcomes Can Vary by Dose: Learning-Based Sensorimotor Training for Patients Stable Poststroke. Neurorehabilitation and Neural Repair. 2008;22(5):494–504.

Jeffers MS, Karthikeyan S, Gomez-Smith M, Gasinzigwa S, Achenbach J, Feiten A, et al. Does Stroke Rehabilitation Really Matter? Part B: An Algorithm for Prescribing an Effective Intensity of Rehabilitation. Neurorehabilitation and Neural Repair. 2018;32(1):73–83.

Seelman KD, Hartman LM. Telerehabilitation: Policy Issues and Research Tools. International Journal of Telerehabilitation. 2009;:47–58.

Kichloo A, Albosta M, Dettloff K, Wani F, El-Amir Z, Singh J, et al. Telemedicine, the current COVID-19 pandemic and the future: a narrative review and perspectives moving forward in the USA. Family Medicine and Community Health. 2020;8(3).

Brennan D, Tindall L, Theodoros D, et al. A blueprint for telerehabilitation guidelines. International Journal of Telerehabilitation. 2010;2(2):31-34.

Amatya B, Galea MP, Kesselring J, Khan F. Effectiveness of telerehabilitation interventions in persons with multiple sclerosis: A systematic review. Multiple Sclerosis and Related Disorders. 2015;4(4):358–69.

Anil K, Freeman JA, Buckingham S, Demain S, Gunn H, Jones RB, et al. Scope, context and quality of Telerehabilitation Guidelines for physical disabilities: A scoping review. BMJ Open. 2021;11(8).

Dedov VN, Dedova IV. Development of the internet-enabled system for exercise telerehabilitation and cardiovascular training. Telemedicine and e-Health. 2015;21(7):575–80.

Finkelstein J, In Cheol Jeong. Remotely controlled cycling exercise system for home-based telerehabilitation. 2013 35th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC). 2013;.

Tsai LL, McNamara RJ, Dennis SM, Moddel C, Alison JA, McKenzie DK, et al. Satisfaction and experience with a supervised home-based real-time videoconferencing telerehabilitation exercise program in people with chronic obstructive pulmonary disease (COPD). International Journal of Telerehabilitation. 2016;8(2):27–38.

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Published

2021-11-24 — Updated on 2022-04-13

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How to Cite

Park, S.-H., & Yozbatiran, N. (2022). A Medical Student’s Perspective on the Growing Importance of Telemedicine/Telerehabilitation. International Journal of Medical Students, 10(1), 95–97. https://doi.org/10.5195/ijms.2021.1117 (Original work published April 5, 2022)

Issue

Vol. 10 No. 1 (2022)

Section

Experience

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Copyright (c) 2020 Sung-Hoon Park, Nuray Yozbatiran

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