Follow-up consultations through telerehabilitation for wheelchair recipients with paraplegia in a developing country: a case report
Follow-up consultations through telerehabilitation for wheelchair recipients with paraplegia in a developing country: a case report
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DOI：
10.1038/s41394-020-0310-9
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发表时间：
2020-07-06
影响因子：
1.2
通讯作者：
Valera, Miguel Julio S.
中科院分区：
文献类型：
--
作者：
Leochico, Carl Froilan D.;Valera, Miguel Julio S.
菲律宾的残疾人（PWD）由于距离、交通和食物费用、残疾和时间限制，很难参加定期的面对面康复。作为一个发展中国家，菲律宾的康复医生必须足智多谋来克服这些障碍，并尝试其他方法来接触他们的病人，例如通过远程医疗，特别是远程康复。在接受免费轮椅后，两名继发于脊髓疾病的截瘫患者无法报告进行门诊轮椅重新评估。远程康复首次尝试使用一种常见的社交媒体应用程序，通过同步和异步方法对轮椅进行随访。在远程会诊期间，康复医生使用了翻译成菲律宾语的世界卫生组织轮椅随访表。一开始，尤其是患者方面，对远程康复的方法、有效性和安全性存在担忧。最后，患者认为远程康复简单、安全、方便，并对实用的轮椅改装和运动建议感到满意。在资源有限的国家，远程康复是一种可行的替代方案，可以提供普遍获得康复护理的机会，并克服贫困残疾人在诊所就诊的障碍。与发达国家不同，我们没有现成的定制远程医疗平台和远程监测设备来进行远程康复。尽管如此，我们可以利用当地可获得的、负担得起的、方便我们的病人的东西。
Introduction Persons with disability (PWD) in the Philippines find it difficult to attend regular face-to-face rehabilitation due to distance, transportation and food expenses, disability, and time constraints. Being a developing country, Filipino rehabilitation doctors have to be resourceful to overcome these barriers and try alternative ways to reach out to their patients, such as through telemedicine, specifically telerehabilitation. Case presentation After receiving free wheelchairs, two patients with paraplegia secondary to spinal cord disease were unable to report for in-clinic wheelchair reassessment. Telerehabilitation was attempted for the first time to conduct wheelchair follow-up using a commonly available social media application through synchronous and asynchronous methods. During the teleconsultation, the rehabilitation doctors used the wheelchair follow-up form from the World Health Organization translated into Filipino. There were apprehensions at first, especially from the side of the patients, regarding the method, effectiveness, and safety of telerehabilitation. In the end, the patients found telerehabilitation easy, safe, and convenient, and were satisfied with the practical wheelchair modifications and exercise recommendations. Discussion Telerehabilitation is a viable alternative to provide universal access to rehabilitation care and overcome the barriers to in-clinic visits among indigent PWD in a resource-limited country. Unlike in developed countries, we do not have readily available customized telemedicine platforms and telemonitoring equipment to conduct telerehabilitation. Nonetheless, we can make use of what is locally available, affordable, and convenient to our patients.