Tousignant Michel, Giguère Anne-Marie, Morin Marilène, Pelletier Julie, Sheehy Annie, Cabana François
SCHOOL OF REHABILITATION, FACULTY OF MEDICINE AND HEALTH SCIENCES, UNIVERSITÉ DE SHERBROOKE, SHERBROOKE, QUÉBEC, CANADA ; RESEARCH CENTRE ON AGING, UNIVERSITY INSTITUTE OF GERIATRICS OF SHERBROOKE, SHERBROOKE, QUÉBEC, CANADA.
SCHOOL OF REHABILITATION, FACULTY OF MEDICINE AND HEALTH SCIENCES, UNIVERSITÉ DE SHERBROOKE, SHERBROOKE, QUÉBEC, CANADA.
Int J Telerehabil. 2015 Jan 29;6(2):31-7. doi: 10.5195/ijt.2014.6158. eCollection 2014 Fall.
The objective of this study was to investigate the feasibility of an in-home telerehabilitation program for proximal humerus fractures. Seventeen patients with proximal humerus fractures were recruited by an orthopedic specialist during emergency room visits. Telerehabilitation treatments were given at the patient's home over an 8-week period using a videoconferencing system. Pain (Short-Form McGill Pain Questionnaire [SF-MPQ]), disabilities including shoulder range of motion (flexion, extension, internal rotation, external rotation, abduction), and upper limb function (Disability of the Arm, Shoulder and Hand questionnaire [DASH]) were measured in face-to-face evaluations before (T1) and immediately after (T2) the program. Participant satisfaction with the health care received was also evaluated at T2 with the Health care satisfaction questionnaire. All the clinical outcomes improved post-intervention (p < 0.05). Also, patient satisfaction was high (overall score of 82 ± 7%). Therefore, in-home teletreatment seems to be a promising way to dispense rehabilitation services for this population.
本研究的目的是探讨针对肱骨近端骨折的居家远程康复计划的可行性。一名骨科专家在急诊室就诊期间招募了17名肱骨近端骨折患者。使用视频会议系统在患者家中进行了为期8周的远程康复治疗。在该计划开始前(T1)和结束后立即(T2)进行面对面评估,测量疼痛(简短麦吉尔疼痛问卷[SF-MPQ])、包括肩关节活动范围(前屈、后伸、内旋、外旋、外展)的残疾情况以及上肢功能(手臂、肩部和手部残疾问卷[DASH])。在T2时还使用医疗保健满意度问卷评估了参与者对所接受医疗保健的满意度。所有临床结果在干预后均有所改善(p<0.05)。此外,患者满意度较高(总体评分为82±7%)。因此,居家远程治疗似乎是为该人群提供康复服务的一种有前景的方式。