Happe Lisa, Lau Sandra, Koschate Jessica, Diekmann Rebecca, Hein Andreas, Zieschang Tania
Abteilung für Assistenzsysteme und Medizintechnik, Department für Versorgungsforschung, Carl von Ossietzky Universität Oldenburg, Ammerländer Heerstr. 140, 26129, Oldenburg, Deutschland.
Abteilung für Geriatrie, Department für Versorgungsforschung, Carl von Ossietzky Universität Oldenburg, Ammerländer Heerstr. 140, 26129, Oldenburg, Deutschland.
Z Gerontol Geriatr. 2021 Jul;54(4):346-352. doi: 10.1007/s00391-021-01899-3. Epub 2021 Apr 30.
Restrictions in public life during the COVID-19 pandemic mainly addressed the safety of high-risk older multimorbid patients to protect them from infection. Nevertheless, detrimental aspects of the lockdown for older people are a reduction in physical activity and limited access to physiotherapy, which are likely to have a negative impact on the health status. This study examined the feasibility of video-based physiotherapy (VT) and the subjective rating of VT by patients and therapists.
From April to June 2020, 4 facilities with 9 patients (6 women, 64-82 years old) participated in the study and were provided with technical equipment. Semistructured telephone interviews were conducted in eight patients to assess physical activity, functional ability and participation before and during the restrictions. Both patients and therapists were asked about their subjective experiences with VT.
A total of 92 VT sessions took place. Performance of the exercises and comprehension of instructions were rated as good to very good. The level of acceptance was high. Of the patients four described a perceived reduction in their physical activities due to the public restrictions; however, in the questionnaires no substantial differences in participation and physical activity were found.
The use of VT is feasible in older patients. Only minor technical support is needed. In pandemic situations or in other contexts VT appears to be a promising supplement or alternative to normal physiotherapy. Further studies are needed to identify suitable patient groups, to prove efficacy and to develop further content-related aspects of VT.
2019年冠状病毒病（COVID-19）大流行期间公共生活中的限制措施主要是针对患有多种疾病的高危老年患者的安全，以保护他们免受感染。然而，封锁对老年人不利的方面是身体活动减少以及获得物理治疗的机会有限，这可能会对健康状况产生负面影响。本研究探讨了基于视频的物理治疗（VT）的可行性以及患者和治疗师对VT的主观评价。
2020年4月至6月，4家机构的9名患者（6名女性，64 - 82岁）参与了本研究，并配备了技术设备。对8名患者进行了半结构化电话访谈，以评估限制措施实施之前和期间的身体活动、功能能力和参与情况。同时询问了患者和治疗师对VT的主观体验。
共进行了92次VT治疗。练习的执行情况和对指令的理解被评为良好至非常好。接受程度很高。4名患者表示由于公共限制措施，他们感觉到身体活动有所减少；然而，在问卷中未发现参与度和身体活动有实质性差异。
VT在老年患者中使用是可行的。仅需要少量技术支持。在大流行情况下或其他背景下，VT似乎是常规物理治疗的一种有前景的补充或替代方法。需要进一步研究以确定合适的患者群体，证明其疗效并进一步拓展VT的相关内容。
