Department of Rehabilitation Medicine, University of Texas Health Science Center, 7703 Floyd Curl Drive, San Antonio, TX 78229, USA.
Department of Psychiatry, University of Texas Health Science Center, 7703 Floyd Curl Drive, San Antonio, TX 78229, USA.
Phys Med Rehabil Clin N Am. 2021 May;32(2):373-391. doi: 10.1016/j.pmr.2021.01.005. Epub 2021 Feb 5.
Headache is one of the most disabling conditions in the world. Despite plentiful evidence supporting rehabilitation strategies, headache is significantly underassessed and undertreated. Obstacles to headache care include lack of available expertise in headache management, few available resources for effective assessment and treatment, and cost and disability that preclude treatment seeking in patients with headache. Telerehabilitation can allow providers to access expert consultation and gives patients easier access to assessment and treatment. This article covers existing telerehabilitation options for headache management and explores the strength of evidence supporting these approaches. Risks of telerehabilitation and recommendations for future development are discussed.
头痛是世界上最使人丧失能力的疾病之一。尽管有大量证据支持康复策略,但头痛的评估和治疗明显不足。头痛治疗的障碍包括缺乏头痛管理方面的专业知识,用于有效评估和治疗的资源有限,以及头痛患者因费用和残疾而无法寻求治疗。远程康复可使提供者获得专家咨询,并使患者更容易获得评估和治疗。本文介绍了现有的头痛管理远程康复方案,并探讨了支持这些方法的证据力度。还讨论了远程康复的风险和未来发展的建议。