Department of Health Information Management, School of Allied Medical Sciences, Tehran University of Medical Sciences (TUMS), Tehran, Iran.
Department of Physical Therapy, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Int J Technol Assess Health Care. 2020 Apr;36(2):113-125. doi: 10.1017/S0266462320000021. Epub 2020 Mar 10.
In the past decade, with the ever-increasing growth of information and communication technologies, telerehabilitation, especially home-based rehabilitation (HBR), has been widely considered by researchers. Many software systems are developed to address HBR programs, which includes various functionalities. The aim of this study is to review the functional features of these systems designed for remote supervising of HBR programs.
Scopus, PubMed, EMBASE, ISI Web of Science, Cochrane Library, IEEE Xplore Digital Library, and ProQuest databases were searched for English-language articles published between January 2008 and February 2018 to retrieve studies reported an home-based telerehabilitation software system aiming to remotely supervise HBR program.
A total of fifty studies that reported twenty-two unique systems met the inclusion criteria. Various functional features were identified including but not limited to exercise plan management, report/statistics generating, patient education, and task scheduling. Disorders or diseases addressed by these systems could mainly be grouped into five categories: musculoskeletal, neurological, respiratory, cardiovascular, and other health-related problems. Usability and acceptability, and clinical/patient outcomes were the most reported outcomes and data analysis was used by the majority of included studies to measure the outcomes.
Systems developed for supervising of HBR program are diverse. However, preliminary results of this review revealed that these systems share more or less common functionalities. However, further research is needed to determine the requirements, structure, and effectiveness of these systems in real-life settings.
在过去的十年中,随着信息和通信技术的不断增长,远程康复,特别是家庭康复(HBR),已被研究人员广泛关注。许多软件系统被开发出来以解决 HBR 计划,其中包括各种功能。本研究旨在回顾这些专为远程监督 HBR 计划而设计的系统的功能特征。
在 2008 年 1 月至 2018 年 2 月期间,我们在 Scopus、PubMed、EMBASE、ISI Web of Science、Cochrane 图书馆、IEEE Xplore 数字图书馆和 ProQuest 数据库中搜索了发表的英文文章,以检索报道远程监督 HBR 计划的家庭远程康复软件系统的研究。
共有 50 项研究报告了 22 个独特的系统符合纳入标准。确定了各种功能特征,包括但不限于运动计划管理、报告/统计生成、患者教育和任务调度。这些系统所解决的障碍或疾病主要可分为五类:肌肉骨骼、神经、呼吸、心血管和其他与健康相关的问题。可使用性和可接受性以及临床/患者结果是报告最多的结果,并且大多数纳入的研究使用数据分析来衡量结果。
为监督 HBR 计划而开发的系统多种多样。然而,本综述的初步结果表明,这些系统或多或少地具有共同的功能。然而,需要进一步的研究来确定这些系统在现实环境中的要求、结构和有效性。