Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 339
Filtrar
Adicionar filtros

Tipo de documento
Intervalo de ano
1.
Medical Science Monitor ; 28:e938926, 2022.
Artigo em Inglês | MEDLINE | ID: covidwho-2203700

RESUMO

BACKGROUND This study aimed to evaluate the effect of physiotherapy to correct rounded shoulder posture (RSP) in 30 patients during the COVID-19 pandemic in South Korea using telerehabilitation exercise programs to improve posture and physical function and reduce pain, with evaluation of patient satisfaction. MATERIAL AND METHODS Thirty participants with RSP participated in this study for 4 weeks from May to June 2021. Participants were randomly divided into an experimental group (EG, n=15) or control group (CG, n=15). Both groups performed shrug exercise 3 days a week for 4 weeks, while the EG performed self-upper-extremity neural mobilization (SUENM) for 7 more minutes. The pectoralis minor length index for posture, neck range of motion (ROM) and scapular muscle activity for physical function, pressure pain threshold (PPT) for pain, and questionnaires for telerehabilitation satisfaction were assessed. All exercises were conducted at home using videoconferencing. RESULTS The EG significantly improved PPT and ROM of extension and right-side bending of the neck compared to the CG (P<0.05) and it significantly reduced the muscle activity of the upper trapezius at 60degree, 90degree, and 120degree shoulder flexion compared to the CG (P<0.05). In the satisfaction survey, participants cited the freedom of time and space as an advantage of telerehabilitation (100%) and reported difficulty in performing correct action as a disadvantage (69.2%). CONCLUSIONS These findings support those from recent studies on real-time telerehabilitation physiotherapy exercise programs. However, long-term controlled studies are required to develop evidence-based protocols for implementing and evaluating clinical outcomes of remote physiotherapy programs.

2.
Cureus Journal of Medical Science ; 14(12), 2022.
Artigo em Inglês | Web of Science | ID: covidwho-2203391

RESUMO

Introduction Coronavirus disease 2019 (COVID-19) has affected the healthcare system and the practice of physiotherapists. Telerehabilitation is an alternative method of delivering physiotherapy services. The aim of this study was to investigate physiotherapists' knowledge, beliefs, and willingness to use telerehabilitation in Greece during the COVID-19 pandemic.Materials and methods In this cross-sectional study, Greek physiotherapists completed an online survey between January and February 2022. A questionnaire was distributed via the Panhellenic Physiotherapy Association (PSF). The questionnaire involved 26 items on demographic background, use of technology, overall perceptions, the experience of telerehabilitation, and their opinion on the future of telerehabilitation. The study protocol was approved by the Ethical Committee of the University of Patras, Greece.Results Participants in this study were 213 physiotherapists (female 57.7%;mean age 39.84 +/- 8 years). Most physiotherapists (n=118;55.4%) were working in a private clinic in the areas of outpatient orthopedics, geriatrics, and neurorehabilitation. Overall, most participants (55%) reported increased use of telerehabilitation strategies during the COVID-19 pandemic. A total of 130 physiotherapists (n=61.3%) believed that telerehabilitation may be beneficial as a supplementary way of patient management. Greek physiotherapists made use of low-cost and easily accessible digital technologies, such as mobile phones and online meeting tools (e.g., Skype, Zoom). Although most physiotherapists (79.8%) reported that they wanted to receive more information about digital technology and telerehabilitation, only 42.1% of them did intend to work remotely after the pandemic.Conclusion Most of the participants were willing to deliver physiotherapy via telerehabilitation. Specific education and training programs need to be provided to physiotherapists during and after the pandemic. Healthcare managers should consider the use of telerehabilitation and design guidelines and policies to manage telerehabilitation practices in Greece.

3.
International Journal of Telerehabilitation ; 14(2), 2022.
Artigo em Inglês | Web of Science | ID: covidwho-2202612

RESUMO

Objective: To implement a telerehabilitation prevention, treatment, and follow-up physical therapy protocol for monitoring individuals with Parkinson ' s disease (PD) and to verify its effectiveness in minimizing the deleterious effects of the COVID-19 pandemic. Design: Prospective case series, involving 40 participants with mild to moderate PD recruited from a specialized neurorehabilitation group. The study was divided into four parts: (1) Phone calls to assess the feasibility of participating in remote physical therapy. (2) Social media training. (3) Baseline and post-intervention assessment for functional lower extremity strength, fear of falling, quality of life, depression, anxiety, activities of daily living, verbal fluency. (4) Intervention protocol consisting of 20 remote weekly physical therapy sessions, graphic material for physical and cognitive training, social activities, and education. Conclusion: The telerehabilitation protocol was viable and effective for patients with PD as an alternative to in-person treatment during the COVID-19 pandemic.

4.
Indian Journal of Rheumatology ; 17(7):S414-S417, 2022.
Artigo em Inglês | Scopus | ID: covidwho-2201864

RESUMO

The coronavirus disease-19 pandemic has caused a considerable deterioration in medical practices. This resulted in a rapid shift to telemedicine/telehealth as an alternative to conventional interventions and in-person visits. Telerheumatology practices have been increasing worldwide. Virtual consulting for remote physiotherapy advice in rheumatic diseases is also essential. The present topical review aimed to provide an insight to telehealth for musculoskeletal physiotherapy among patients with rheumatic diseases. Patient assessment, goal setting, teleeducation, and providing individual-based, goal-directed exercises are components of telerehabilitation. Telephone/video calls can be used to further progress the exercise program and to evaluate patient adherence. Future studies on the role of virtual consulting for physiotherapy advice in rheumatic diseases would be of value. © 2022 Wolters Kluwer Medknow Publications. All rights reserved.

5.
Indian Journal of Respiratory Care ; 11(3):277-280, 2022.
Artigo em Inglês | Web of Science | ID: covidwho-2201843

RESUMO

Coronavirus disease 2019 (COVID-19) survivors experience impaired pulmonary function, reduced muscle strength, and exercise intolerance affecting their activities of daily living. Literature has demonstrated a need for multi-disciplinary approach for their faster recovery. In a pandemic like situation where maintaining social distancing to reduce the risk of transmission had become a norm, telerehabilitation services came to a great rescue of both the patients and health-care providers. At present, there are not any established guidelines for rendering pulmonary rehabilitation through telerehabilitation (TR). Besides, it's effective implementation depends on numerous patient-centric factors such as age, hemodynamic stability, presence of comorbidities, availability of resources, and cognitive level of the patient. We hereby present the case of a 69-year-old female diagnosed with COVID-19 with prolonged hospital stay, having a history of multiple co-morbidities, focusing on the role of 12 weeks of TR in improving her functional outcomes.

6.
Frontiers in Public Health ; 10, 2022.
Artigo em Inglês | Web of Science | ID: covidwho-2199514

RESUMO

BackgroundFalls and resulting injury are a significant concern for individuals living with multiple sclerosis (MS) that use a wheelchair and/or scooter to support mobility. Effective fall prevention efforts are vital to support the health, wellbeing, and participation for these individuals. AimsThis study reports the findings from the process evaluation conducted in association with a pilot study evaluating the efficacy of Individualized Reduction of FaLLs-Online (iROLL-O), an online, group fall prevention, and management program specifically designed for community-based people living with multiple sclerosis (pwMS) who are full-time wheelchair or scooter users. MethodsA mixed-methods process evaluation was conducted, with specific attention to the impact of online delivery on intervention implementation, participant satisfaction, and mechanisms of change (MOC). Multiple data sources were utilized, including post-session and post-intervention participant and trainer feedback forms and participant qualitative interview data. Descriptive analysis was conducted using Microsoft Excel. Close-ended questions were analyzed by examining five-point Likert scale responses. Qualitative interview data was explored using thematic analysis. ResultsTwelve participants and three trainers (one occupational therapist and two physical therapists) contributed to the study. Online delivery did not compromise session fidelity, which averaged 95%. No significant adaptations to the intervention were made during delivery. Participant satisfaction was high at 4.6/5.0. Post-course Trainer Feedback Forms indicate trainer satisfaction with the group dynamic, ability to address unique group needs, and program content. Reach improved with online delivery as transportation barriers were removed and recruitment from a broader geographic area was enabled. Three themes reflecting key MOC emerged from the analysis: group context, motivation for participant engagement, and the multifaceted nature of the program. The COVID-19 pandemic was identified as a contextual factor impacting community participation. Both participants and trainers identified the group dynamic as a strength. The trainers valued the program's flexibility in allowing them to address individual and/or group-specific fall prevention needs. ConclusionFeedback from key stakeholders was essential to a meaningful process evaluation. Online delivery supported program implementation, including reach, and resulted in high levels of satisfaction among participants and trainers. Future iterations should aim to uphold the positive group context, recruit, and train skilled interventionists who are licensed as occupational or physical therapists and continue to provide the program's diverse approach to fall prevention and management.

7.
Trials ; 23(1), 2022.
Artigo em Inglês | Web of Science | ID: covidwho-2196406

RESUMO

Background: Various psychological issues and serious health concerns during the imposed lockdown by coronavirus disease 2019 (COVID-19) have induced many changes in the treatment of patients. More effective self-management strategies through tele-rehabilitation are suggested to be applied for patients with chronic neck pain to reduce referrals to health cares and disability support through COVID-19. Also, the pain neuroscience education (PNE) approach is an educational method used by health professionals to assist patients in understanding the biology, physiology, and psychosocial factors affecting their pain experience and aligning with the cognitions and beliefs associated with pain and recurrent disability. PNE combined with tele-rehabilitation could be a new solution to encourage patients to manage their condition by themselves and increase the continuity of practice instead of face-to-face sessions. Objective: This randomized control trial (RCT) aims to investigate the effects of PNE with online and face-to-face exercise interventions, and the control group received biomedical education + standardized physical therapy on neck pain and disability, psychological factors, and function in non-traumatic chronic neck pain. Methods/design: Patients with non-traumatic chronic neck pain (patient-centered care and active involvement of patients and the public) will be recruited via flyers displayed in hospitals and universities to participate in an RCT with two experimental and one control group designed to investigate the effects of PNE with online and face-to-face exercise interventions, and the control group received biomedical education + standardized physical therapy on neck pain and disability, psychological factors, and function in non-traumatic chronic neck pain. The outcomes will be measured at baseline, after PNE, and after 3 months of an exercise intervention. All outcomes are presented as mean +/- SD, and statistical significance was set at alpha level of < 0.05. The normal distribution of the variables was verified by the Kolmogorov-Smirnov test, following a descriptive analysis. Discussion: It seems that PNE plus online and face-to-face exercise interventions are appropriate educational models for the treatment of patients with neck pain during COVID-19. Also, online training seems to encourage patients to continue their treatment.

8.
British Journal of Occupational Therapy ; 2022.
Artigo em Inglês | Web of Science | ID: covidwho-2194916

RESUMO

Introduction: Telerehabilitation is a tool for patients who, for different reasons, cannot participate in person with their physical presence. We aimed to identify the factors associated with satisfaction with telerehabilitation in families with children with neurodevelopmental disorders through a program that included physiotherapy, occupational therapy, and speech therapy. Methods: The program was developed during the COVID-19 lockdown period. Outcome measures: Child's age, the school stage to which they belonged, the person of reference in their daily care at home. The resources provided to the families, as well as the frequency of activities and difficulties detected, were evaluated through a survey. Findings: One hundred thirteen families responded to the survey. The general assessment resources were classified as very good. The average frequency of carrying out the activities was two times a week, with an average of 30 minutes per session. The ability to understand the information in the manual was not affected by the academic status of the caregivers (p = 0.286). Conclusions: This is the first study to quantify the multidisciplinary approach to children with neurodevelopmental disorders using telerehabilitation. The results show high levels of participation and satisfaction. The resources could be shared for their applicability in other countries whose families have similar needs conditioned by COVID-19.

9.
Physiother Res Int ; : e1991, 2022.
Artigo em Inglês | Web of Science | ID: covidwho-2173404

RESUMO

BACKGROUND AND PURPOSE: During the COVID-19 pandemic, hospital physiotherapy departments transitioned to telerehabilitation to ensure continuity of care for patients. The purpose of this study is to determine the key elements to successful, rapid uptake of telerehabilitation in medium-sized public hospital physiotherapy departments in response to COVID-19. METHODS: This study used a qualitative design. Physiotherapists who delivered telerehabilitation consultations during the COVID-19 restriction period in two Brisbane public hospital physiotherapy departments were eligible to participate in semi-structured interviews. Data were analysed thematically. RESULTS: Twenty-five physiotherapists (22-60 years of age;68% female) with 1-40 years of clinical experience provided insights into their perceptions of the rapid uptake of telerehabilitation in the provision of clinical care. Physiotherapists worked across musculoskeletal outpatient (72%), inpatient, community, paediatrics and pelvic health departments. Qualitative analyses in relation to the physiotherapist perceptions of the key elements of rapid transition to telerehabilitation, revealed four key themes underpinning success: (1) 'it requires a whole team approach', (2) 'technology issues will be encountered and can be overcome', (3) 'optimise the situation while understanding the differences' and (4) 'modifying your approach doesn't imply inferior quality of care'. CONCLUSION: Rapid implementation of telerehabilitation in a hospital setting is possible, and is facilitated by organisational, administrative and management support, willingness of physiotherapists to adopt, shared learning experience, quality software and connection, availability of equipment and space and optimised systems and processes. Key factors facilitating successful telerehabilitation consultations include effective communication, demonstration, involving a third party to help, and clients who are well prepared and willing to engage.

11.
Textbook of psychiatry for intellectual disability and autism spectrum disorder ; : 1031-1050, 2022.
Artigo em Inglês | APA PsycInfo | ID: covidwho-2157999

RESUMO

Persons with intellectual disability (PwID) and/or and autism spectrum disorder with high support needs (ASD-HSN) have resulted to be among the most vulnerable populations to COVID-19 and distress factors associated to the measures for containing its spread. Telemedicine, particularly teleassistance (TA) and telerehabilitation (TR), was used to manage several health, rehabilitation, and assistance needs, in respect to both the prevention and treatment of the epidemic illness and the continuity of care necessary for the condition of developmental disability and co-occurrent physical or mental disorders. TA and TR can be operated through direct or indirect interaction with the PwID/ASD, in the latter way, intermediation on the local side is provided by a family member, a habitual caregiver or a technician. The present chapter reviews the most frequent TA and TR activities, their prerequisites, ways of use, and objectives, which must be aligned with the more general aim of every individualized therapeutic and rehabilitation plan, which is to promote and favor PwID/ASD's quality of life. Studies on TA and TR efficacy for PwID/ASD are limited, especially concerning adulthood. The few available findings show effectiveness in maintenance or slight improvement of cognitive, adaptive, and occupational skills. Family members and other caregivers reported empowerment of their educational and relational skills with the PwID/ASD, including the management of ordinary and extraordinary activities and critical episodes. In comparison with traditional face-to-face services, main advantages have been identified in higher availability and accessibility, and shorter physical and psychological distance. Main limits are represented by the lack of all aspects of the therapeutic relationship related to physical interaction, possible poor ability to use technology, availability of the technology itself, privacy issue, and distracting factors associated to the home environment. Although feasibility and effectiveness are shown so far, it is unlikely that telemedicine will be able to replace traditional practices, at least in the near future. However, it could represent a valid supplement, integration, or temporary alternative. Future research should provide insights on indications, efficacy assessment, contextual implementation, and operational stability over time of specific TA and TR activities as well as on the use of artificial intelligence, machine learning, and interactive avatars. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

12.
Rassegna di Patologia dell'Apparato Respiratorio ; 37(3):150-152, 2022.
Artigo em Italiano | EMBASE | ID: covidwho-2156222
13.
Eurasian Journal of Pulmonology ; 24(1):73-76, 2022.
Artigo em Inglês | Web of Science | ID: covidwho-2155869

RESUMO

Tele-pulmonary rehabilitation (PR) is a good option for patients who underwent lung transplanta-tion or on the waiting list during the COVID-19 pandemic;in addition, optimum content, duration, and optimum remote assessment tests have not been defined for tele-PR. We reported our tele-PR model and two cases of exercise capacity, which were assessed remotely. Tele-PR can be effective in improving the exercise capacity in patients who underwent lung transplantation and in those who have advanced lung disorders and are on the waiting list for transplantation. Further-more, shuttle tests can be practical and convenient to use for remote assessment

14.
9th IEEE RAS/EMBS International Conference on Biomedical Robotics and Biomechatronics, BioRob 2022 ; 2022-August, 2022.
Artigo em Inglês | Scopus | ID: covidwho-2136124

RESUMO

Shortages in therapists, along with the COVID-19 pandemic, have created a gap in care for people with cerebral palsy, stroke, and many other conditions requiring rehabilitation. Socially assistive robots and telehealth are two tools which could help fill this gap and may be able to work together, in socially assistive robot-Augmented telerehabilitation, to create meaningful telerehab encounters. We present results from a survey completed between Jun 31, 2020, and Dec 31, 2020, asking 379 therapists in the United States for their opinions on features which may be useful for a telerehabilitation platform and for their general feelings towards robots. We explore their answers and reduce the response space by identifying six factors underlying the answers. We show that therapists want high quality video, control over robots, and more regulations. We also find that they are positive about the features which could be used in socially assistive robot-Augmented telerehabilitation. © 2022 IEEE.

15.
Archives of Physical Medicine and Rehabilitation ; 103(12):e62, 2022.
Artigo em Inglês | ScienceDirect | ID: covidwho-2129970

RESUMO

Research Objectives To examine associations between frequency of telerehabilitation i.e., any few, most or all, and outcomes of functional status, number of visits, and patient satisfaction during COVID-19 and to compare functional status outcomes by telerehabilitation delivery mode i.e., synchronous, asynchronous, mixed, for patients with low back pain. Design Retrospective observational cohort. Setting Outpatient rehabilitation. Participants Sample consisted of 91,117 episodes of care (58% women;mean age = 55 [SD = 18]). Interventions Not applicable. Main Outcome Measures Lumbar Computer Adaptive Test (LCAT) patient-reported outcome measure was administered to assess functional status. LCAT has been shown to be reliable, valid, and responsive. Number of visits during the episode of care were documented at discharge. Data on patient satisfaction with treatment results were collected: “How satisfied were you with overall results of your treatment at this facility?” Results Telerehabilitation was administered in 5013 care episodes (5.5%). Propensity score matching was used to match episodes of care with or without telerehabilitation exposure by the probability of receiving telerehabilitation. Standardized differences were used to compare samples before and after matching. All standardized differences between matched samples were < 0.1. There was no significant difference in functional status points (range = 0–100, with higher representing better functional status) between matched samples, except for episodes that had few (−1.7) and all (+2.0) telerehabilitation frequencies or that involved the asynchronous (−2.6) telerehabilitation mode. These point differences suggest limited clinical importance. Episodes with any telerehabilitation frequency involved significantly fewer visits (0.7 to 1.3) than episodes with no telerehabilitation, except that those with the most telerehabilitation frequencies had nonsignificantly fewer visits (0.6). A smaller proportion of patients with telerehabilitation than of patients with no telerehabilitation (−4.0% to −5.0%, respectively) reported being very satisfied with treatment results, except for those with the ‘all’ telerehabilitation frequency. Conclusions A positive association between telerehabilitation and outcomes was observed, with a trend for better functional status outcomes and fewer visits when all care was delivered through telerehabilitation. Satisfaction tended to be lower with telerehabilitation use. Author(s) Disclosures No conflicts to declare.

16.
Indian Journal of Orthopaedics ; 2022.
Artigo em Inglês | Scopus | ID: covidwho-2129628

RESUMO

Introduction: Tele-rehabilitation is a method of delivering rehabilitation services using information, technology and communication to everyone, irrespective of their geographic location. National zeal for competitive sports and COVID pandemic has led to an increase in its demand and popularity worldwide. The athletes need immediate treatment and correct rehabilitation to keep them in their game. This review aims to bring into perspective the importance of telemedicine and telerehabilitation in orthopaedics and sports medicine with a focus on virtual reality. Methods: Articles were searched based on suitable keywords ‘telemedicine’, ‘telerehabilitation’ ‘orthopedics’, ‘orthopaedics’, ‘sports’ and ‘India*’ which were combined using suitable boolean operators in PubMed, Scopus and Web of Science. Government guidelines and laws were also reviewed in view of telehealth and telemedicine. Conclusion: Tele-rehabilitation and virtual physical therapy are innovative and cost-effective ways to provide the best rehabilitative services to the patients at their doorstep. Virtual reality should be incorporated into the Indian telehealth delivering system with a special focus on the remote athlete population. © 2022, Indian Orthopaedics Association.

17.
Digit Health ; 8: 20552076221139694, 2022.
Artigo em Inglês | MEDLINE | ID: covidwho-2139047

RESUMO

Objective: Half of older adults undergoing hip surgery do not recover their previous functional status. mHealth is a promising tool for rehabilitating older adults after hip surgery. This study aimed to test the feasibility of the ActiveHip+ mHealth system in older adults after hip surgery. Methods: Sixty-nine older adults who had undergone hip surgery and their family caregivers were recruited from hospitals in Spain and Belgium and used the ActiveHip+ mHealth system for 12 weeks. Assessments were made during hospital stay and 3 months after surgery. Feasibility assessment included: adoption (participation proportion), usage (access to the app), satisfaction with the app (Net Promoter Score) and user perception of the quality of the app (Mobile App Rating Scale). Clinical assessment included: patient-reported outcomes, such as functional status (Functional Independence Measure) and performance-based outcomes, such as physical fitness (Short Physical Performance Battery). Results: The ActiveHip+ mHealth system obtained satisfactory feasibility results in both countries. In Spain, we observed 85% adoption, 64% usage, 8.86/10 in satisfaction with the app and 4.42/5 in perceived quality of the app. In Belgium, we observed 82% adoption, 84% usage, 5.16/10 in satisfaction with the app and 3.52/5 in app's perceived quality. The intervention had positive effects on levels of functional status, pain and physical fitness. Conclusions: The ActiveHip+ mHealth system is a feasible tool to conduct the rehabilitation in older adults after hip surgery. Although the intervention seemed beneficial clinically, we do not recommend its implementation in clinical settings until appropriately designed randomised clinical trials confirm these results.

18.
J Alzheimers Dis ; 2022 Nov 15.
Artigo em Inglês | MEDLINE | ID: covidwho-2141610

RESUMO

BACKGROUND: The Promoting Activity, Independence and Stability in Early Dementia (PrAISED) intervention is a program of physical activity and exercise designed to maintain participation in activities of daily living, mobility, and quality of life for people living with dementia. During the COVID-19 pandemic first national lockdown in England, the PrAISED physiotherapists, occupational therapists, and rehabilitation support workers adapted to delivering the intervention remotely via telephone or video conferencing. OBJECTIVE: The aim of this study was to explore therapists' experience of delivering the PrAISED intervention during the COVID-19 pandemic and derive implications for clinical practice. METHODS: Qualitative semi-structured interviews were conducted with 16 therapists using purposive sampling. Thematic analysis was used to analyze the transcripts. RESULTS: Therapists reported a change in the relationship between themselves, the person with dementia and the caregiver, with an increased reliance on the caregiver and a loss of autonomy for the person living with dementia. There was concern that this would increase the burden on the caregiver. The therapists reported using creativity to adapt to different modes of delivery. They felt their sessions were mostly focused on providing social and emotional support, and that assessing, progressing, and tailoring the intervention was difficult. CONCLUSION: It is possible to deliver some elements of a physical intervention using remote delivery, but a dual modal approach including remote and face-to-face delivery would optimize treatment efficacy. Educational support would be required to enable people living with dementia and their caregivers to overcome barriers relating to digital literacy.

19.
Int J Lang Commun Disord ; 2022 Nov 14.
Artigo em Inglês | MEDLINE | ID: covidwho-2115643

RESUMO

BACKGROUND: Impaired discourse production is commonly reported for individuals with traumatic brain injury (TBI). Discourse deficits can negatively impact community integration, return to employment and quality of life. COVID-19 restrictions have reduced in-person assessment services for people with communication impairments. Advances in telehealth may help speech and language therapists (SLTs) to assess monologic discourse more systematically and improve access to services for patients who may find it difficult to attend in-person. AIMS: To examine the feasibility of telehealth administration of narrative and procedural discourse tasks with individuals with TBI and matched controls. METHODS & PROCEDURES: A total of 20 individuals with TBI and 20 healthy controls, aged 18-55 years, were directly recruited from the UK and indirectly recruited from the US. For participants with TBI, time post-injury was at least 3 months with no diagnosis of aphasia. Control participants were matched for sex and as closely as possible for age. Feasibility of measures was based upon the time to administer both narrative tasks, the report of any technological problems, and participant feed. Discourse samples were transcribed verbatim and analysed using story grammar analysis (for narrative discourse) and identification of propositions (for procedural discourse). Interrater reliability was calculated using percentage agreement for 50% of the data. Non-parametric analyses were used to analyse the performance of the two groups. OUTCOMES & RESULTS: Narrative and procedural discourse samples were collected via telehealth in approximately 10 min with no reported technical difficulties or complaints from any participants. For narrative discourse performance, there were significant differences for the TBI and control groups for measures of complete episodes (p < 0.001) and missing episodes (p = 0.005). No significant group differences were noted for any of the procedural discourse measures. CONCLUSIONS & IMPLICATIONS: Results support the feasibility of collecting discourse samples via telehealth. Although the participants' discourse performance distinguished the TBI and control groups on the narrative task, no differences between the groups were noted for the procedural task. The narrative discourse task may have been more difficult than the procedural task, or video cue support reduced the cognitive load of the procedural task. This finding suggests the use of more complex procedural tasks without video cue support may be needed. WHAT THIS PAPER ADDS: What is already known on this subject Although little research has explored the feasibility of administering discourse assessments for individuals with TBI via telehealth, some studies have found that discourse interventions can be feasibly administered via telehealth. It is also well established that individuals with TBI struggle with the supra-structural and macro-linguistic elements of discourse production. Both procedural and narrative discourse tasks have been found to differentiate individuals with TBI from healthy controls. What this paper adds to existing knowledge Few studies have investigated the feasibility of, and procedures for, administering discourse tasks via telehealth. Additionally, the inclusion of multiple types of discourse tasks to parse cognitive-communication abilities is lacking in the current literature. Findings from this study support that narrative and procedural discourse can be feasibly sampled via telehealth and that international collaboration for research on this topic can facilitate such studies. Individuals with TBI performed more poorly on three measures of narrative discourse. No differences between groups were identified for the procedural task. What are the potential or actual clinical implications of this work? Telehealth assessment for discourse provides flexibility for both the individual with TBI and the speech-language therapist and does not compromise the quality of data collected. The administration of discourse tasks and collection of data was not time-consuming and was well accepted by the study participants. Additionally, international research collaboration not only expands potential participation in research but increases the opportunity to recruit and study more diverse groups.

20.
Int J Environ Res Public Health ; 19(22)2022 Nov 11.
Artigo em Inglês | MEDLINE | ID: covidwho-2110092

RESUMO

Mild cognitive impairment is frequent among people with Parkinson's disease. Cognitive training seems effective for cognitive status and for mitigating anxiety and depression. With the COVID-19 outbreak, such therapeutic interventions were delivered online. This longitudinal mixed-method study was aimed at evaluating the effectiveness of an online cognitive treatment, carried out during COVID times and based on Parkinson's-Adapted Cognitive Stimulation Therapy, on cognitive domains and mood of 18 older people with Parkinson's disease. After screening, the cognitive status and mood were assessed three times by Addenbrooke's Cognitive Examination-Revised scale and the Geriatric Depression Scale-Short Form. At the follow-up, patients were also interviewed for understanding their experience with the technology. Such treatment was effective on the participants' cognitive functions, but not on their mood. Despite some initial problems with the technology, the online intervention was experienced as a way of not being 'left behind', staying in contact with others, and being safe during the lockdown. This suggests that online cognitive treatment can be adopted to integrate face-to-face interventions by increasing their efficacy, accessibility, and long-term outcomes. Suggestions for future research are given.


Assuntos
COVID-19 , Doença de Parkinson , Humanos , Idoso , Projetos Piloto , Doença de Parkinson/complicações , Doença de Parkinson/terapia , COVID-19/terapia , Controle de Doenças Transmissíveis , Cognição
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA