An Affordable, User-friendly Telerehabilitation System Assembled Using Existing Technologies for Individuals Isolated With COVID-19: Development and Feasibility Study.
An Affordable, User-friendly Telerehabilitation System Assembled Using Existing Technologies for Individuals Isolated With COVID-19: Development and Feasibility Study.
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DOI：
10.2196/24960
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发表时间：
2020-12-10
影响因子：
--
通讯作者：
Otaka Y
中科院分区：
文献类型：
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作者：
Mukaino M;Tatemoto T;Kumazawa N;Tanabe S;Katoh M;Saitoh E;Otaka Y
因COVID-19感染而隔离可能会限制活动并导致身心衰退，尤其是老年人和残疾人。然而，由于接触有限，很难为被隔离的患者提供充分的康复服务。远程康复技术可能是一种解决方案；但是，应考虑到COVID-19特有的问题，例如严格隔离和呼吸道症状，以及应对大流行导致的需求迅速增加的可及性。本研究旨在结合现有商业设备和计算机应用，开发并探讨COVID-19隔离患者远程康复系统的可行性。一个多学科小组已经确定了COVID-19远程康复系统的要求，并开发了该系统以满足这些要求。在随后的可行性研究中，纳入了确诊为COVID-19的患者（N=10，平均年龄60岁，SD 18岁）。一个单独的远程康复疗程包括伸展运动、一个15分钟的锻炼项目和一个视频锻炼项目，在物理治疗师通过视频电话的实时指导下进行。该系统包括一台平板电脑、一个脉搏血氧仪、视频会议软件和远程控制软件。采用远程医疗满意度问卷（TSQ， 14项）和远程康复系统附加问卷（5项）对系统的可行性进行评价。每个条目的评分从“1 =非常不同意”到“5 =非常同意”。远程康复系统是结合现有设备和应用开发的，包括脉搏血氧仪和远程控制机制，以实现用户友好，价格合理和安全，这是系统的要求。在可行性研究中，10名患者中有9名能够在没有任何现场帮助的情况下使用远程康复系统。在TSQ上，每个项目的平均得分为4.7 (SD 0.7)，在远程康复的附加项目中，每个项目的平均得分为4.3 （SD 1.0）。这些发现支持了这种简单的远程康复系统在被隔离的COVID-19患者中的可行性，并鼓励对该系统在临床实践中使用的优点进行进一步调查。
Isolation due to a COVID-19 infection can limit activities and cause physical and mental decline, especially in older adults and people with disabilities. However, due to limited contact, adequate rehabilitation is difficult to provide for quarantined patients. Telerehabilitation technology could be a solution; however, issues specific to COVID-19 should be taken into consideration, such as strict quarantine and respiratory symptoms, as well as accessibility to deal with rapid increases in need due to the pandemic. This study aims to develop and to investigate the feasibility of a telerehabilitation system for patients who are quarantined due to COVID-19 by combining existing commercial devices and computer applications. A multidisciplinary team has identified the requirements for a telerehabilitation system for COVID-19 and developed the system to satisfy those requirements. In the subsequent feasibility study, patients diagnosed with COVID-19 (N=10; mean age 60 years, SD 18 years) were included. A single session of telerehabilitation consisted of stretching exercises, a 15-minute exercise program, and a video exercise program conducted under real-time guidance by a physical therapist through a video call. The system included a tablet computer, a pulse oximeter, videoconferencing software, and remote control software. The feasibility of the system was evaluated using the Telemedicine Satisfaction Questionnaire (TSQ; 14 items) and an additional questionnaire on the telerehabilitation system (5 items). Each item was rated from “1 = strongly disagree” to “5 = strongly agree.” The telerehabilitation system was developed by combining existing devices and applications, including a pulse oximeter and remote control mechanism, to achieve user-friendliness, affordability, and safety, which were determined as the system requirements. In the feasibility study, 9 out of 10 patients were able to use the telerehabilitation system without any on-site help. On the TSQ, the mean score for each item was 4.7 (SD 0.7), and in the additional items regarding telerehabilitation, the mean score for each item was 4.3 (SD 1.0). These findings support the feasibility of this simple telerehabilitation system in quarantined patients with COVID-19, encouraging further investigation on the merit of the system’s use in clinical practice.