Flinders Health and Medical Research Institute, 1065Flinders University, Adelaide, SA, Australia.
School of Medicine, 6123University of Nottingham, Nottingham, UK.
Neurorehabil Neural Repair. 2022 Jun;36(6):331-334. doi: 10.1177/15459683221100492. Epub 2022 May 7.
The use of telerehabilitation after stroke has necessarily increased in the last 2 years because of the COVID-19 pandemic, and many rehabilitation teams rapidly adapted to offering their services remotely. Evidence supporting the efficacy of telerehabilitation is still scarce with few randomized controlled trials, although current systematic reviews suggest that telerehabilitation does not lead to inferior outcomes when compared to face-to-face treatment. Increasing experience of telerehabilitation however has highlighted some of the pitfalls that need to be solved before we see widespread pragmatic adoption of new practices. We must ensure that offering services using digital technologies does not exclude those who need our services. We must acknowledge that our interactions online differ, both in the way we relate to each other and in the content of clinical consultations. Furthermore, we need to consider how to support staff who may be feeling disconnected and fatigued after spending hours providing remote therapies. Telerehabilitation is likely here to stay and has potential to help deliver rehabilitation to the many people who could benefit, but there are obstacles, challenges and trade-offs to be considered and overcome.
由于 COVID-19 大流行，中风后的远程康复治疗在过去 2 年中必然有所增加，许多康复团队迅速适应了远程提供服务。尽管目前的系统评价表明远程康复治疗与面对面治疗相比不会导致结果不佳，但支持远程康复治疗效果的证据仍然很少，只有少数随机对照试验。然而，远程康复治疗经验的增加凸显了一些需要在广泛采用新实践之前解决的陷阱。我们必须确保使用数字技术提供服务不会将那些需要我们服务的人排除在外。我们必须承认，我们在线上的互动方式不同，无论是我们彼此之间的关系，还是临床咨询的内容。此外，我们需要考虑如何支持那些在远程治疗中花费数小时后可能感到脱节和疲惫的工作人员。远程康复治疗可能会继续存在，并有可能帮助那些可能受益的许多人提供康复治疗，但需要考虑和克服障碍、挑战和权衡取舍。
