Fiani Brian, Siddiqi Imran, Lee Sharon C, Dhillon Lovepreet
Neurosurgery, Desert Regional Medical Center, Palm Springs, USA.
College of Osteopathic Medicine, Western University of Health Sciences, Pomona, USA.
Cureus. 2020 Sep 21;12(9):e10563. doi: 10.7759/cureus.10563.
The coronavirus disease 2019 (COVID-19) pandemic has triggered governments worldwide to implement severe restrictions on physical therapy protocols in order to better control the spread of the virus. One of the mechanisms of providing physical therapy patient care during this era is via telemedicine. Telerehabilitation or telerehab is a technological visual-audio system that serves patients, including those with a spine injury, ailment, or postoperatively, with neurological deficits. In this scoping review, we discuss the development of telerehab, the technological advances in the field, and the usage of telerehab specifically pertaining to spine patients, and comment on the advancement of telerehab in the time of COVID-19. There is preliminary evidence that suggests that the adoption of telerehab in lieu of face-to-face interventions is beneficial for reducing pain and improving physical function in patients afflicted with chronic nonmalignant musculoskeletal pain from low back pain, lumbar stenosis, neck pain, and osteoarthritis. Availability is important, as the necessary technology should be accessible to all participants. Safety and security should be addressed, as the passage of patient data over the Internet requires secure confidentiality. Ease-of-use is crucial to promote practicality, user-friendly operation, and adherence to therapy. The combination of evidence-based methodologies with cost-effective services will serve as a basis for the further expansion of vital telerehab services and increases reimbursement by health insurance providers.
2019年冠状病毒病（COVID-19）大流行促使世界各国政府对物理治疗方案实施严格限制，以更好地控制病毒传播。在这个时期，提供物理治疗患者护理的一种方式是通过远程医疗。远程康复或远程疗法是一种技术视听系统，为包括脊柱损伤、疾病或术后有神经功能缺损的患者提供服务。在本范围综述中，我们讨论了远程康复的发展、该领域的技术进步，以及远程康复在脊柱患者中的具体应用，并对COVID-19时期远程康复的进展进行评论。有初步证据表明，采用远程康复代替面对面干预，有利于减轻患有慢性非恶性肌肉骨骼疼痛（如腰痛、腰椎管狭窄、颈部疼痛和骨关节炎）患者的疼痛并改善其身体功能。可用性很重要，因为所有参与者都应能够获得必要的技术。应解决安全问题，因为通过互联网传输患者数据需要安全保密。易用性对于提高实用性、用户友好操作和坚持治疗至关重要。将循证方法与具有成本效益的服务相结合，将为进一步扩大重要的远程康复服务和增加医疗保险提供者的报销奠定基础。
