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远程医疗在肌萎缩侧索硬化症和多发性硬化症中的应用。

Telehealth for Amyotrophic Lateral Sclerosis and Multiple Sclerosis.

机构信息

Rehabilitation Care Services, VA Puget Sound Healthcare System, 1660 South Columbian Way, Seattle, WA 98108, USA; Department of Rehabilitation Medicine, University of Washington, 325 Ninth Avenue, Box 359612 Seattle, WA 98104, USA.

Rehabilitation Care Services, VA Puget Sound Healthcare System, 1660 South Columbian Way, Seattle, WA 98108, USA; Department of Rehabilitation Medicine, University of Washington, 325 Ninth Avenue, Box 359612 Seattle, WA 98104, USA.

出版信息

Phys Med Rehabil Clin N Am. 2021 May;32(2):239-251. doi: 10.1016/j.pmr.2020.12.003. Epub 2021 Jan 26.

Abstract

Amyotrophic lateral sclerosis and multiple sclerosis are neurodegenerative diseases requiring interdisciplinary rehabilitation services to maximize function, manage symptoms, prevent complications, and promote higher quality of life. Distance and disability may pose barriers to access of subspecialized care. Telehealth is one solution to facilitate access and was rapidly expanded during the COVID-19 pandemic. This article details the utility of telehealth services across the disease spectrum-including to establish a diagnosis, monitor progression for ongoing management, and identify and manage symptoms and provide therapy interventions. The challenges and promise of telehealth services for clinical care and research will be explored.

摘要

肌萎缩侧索硬化症和多发性硬化症是神经退行性疾病,需要跨学科的康复服务来最大限度地提高功能、管理症状、预防并发症和提高生活质量。距离和残疾可能会成为获得专业护理的障碍。远程医疗是促进获得护理的一种解决方案,并且在 COVID-19 大流行期间迅速得到扩展。本文详细介绍了远程医疗服务在整个疾病谱中的应用,包括建立诊断、监测疾病进展以进行持续管理,以及识别和管理症状并提供治疗干预。还探讨了远程医疗服务在临床护理和研究方面的挑战和前景。

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