McCue Michael, Fairman Andrea, Pramuka Michael
Department of Rehabilitation Science and Technology, University of Pittsburgh, 5040 Forbes Tower, 3600 Forbes Avenue, Pittsburgh, PA 15260, USA.
Phys Med Rehabil Clin N Am. 2010 Feb;21(1):195-205. doi: 10.1016/j.pmr.2009.07.005.
Telerehabilitation is an emerging method of delivering rehabilitation services that uses technology to serve clients, clinicians, and systems by minimizing the barriers of distance, time, and cost. The driving force for telerehabilitation has been as an alternative to face-to-face rehabilitation approaches to reduce costs, increase geographic accessibility, or act as a mechanism to extend limited resources. A rationale for telerehabilitation is the potential to enhance outcomes beyond what may result from face-to-face interventions by enabling naturalistic, in vivo interventions. There is considerable support for the value of interventions delivered in the natural environment, ranging from addressing efficacy concerns by addressing problems of generalization, to increasing patient participation, including environmental context in rehabilitation, and increasing patient satisfaction. Further clinical and research exploration should explore telerehabilitation as a tool for the delivery of rehabilitation services in vivo.
远程康复是一种新兴的康复服务提供方式，它利用技术为客户、临床医生和系统提供服务，最大限度地减少距离、时间和成本等障碍。远程康复的驱动力在于作为面对面康复方法的替代方案，以降低成本、提高地理可及性，或作为扩展有限资源的一种机制。远程康复的一个基本原理是，通过实现自然主义的、现场的干预，有可能提高干预效果，超越面对面干预可能产生的效果。自然环境中进行的干预的价值得到了相当多的支持，从通过解决泛化问题来解决疗效问题，到提高患者参与度，包括在康复中纳入环境背景，以及提高患者满意度。进一步的临床和研究探索应将远程康复作为一种在现场提供康复服务的工具来进行研究。
