Research Article
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Year 2023, Volume: 6 Issue: 1, 82 - 86, 12.01.2023
https://doi.org/10.32322/jhsm.1183595

Abstract

References

  • Winstein CJ, Stein J, Arena R, et al. Guidelines for adult stroke rehabilitation and recovery: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2016; 47: e98-e169.
  • Rathore SS, Hinn AR, Cooper LS, Tyroler HA, Rosamond WD. Characterization of incident stroke signs and symptoms: findings from the atherosclerosis risk in communities study. Stroke 2002; 33: 2718–21.
  • Raghavan P. Upper limb motor impairment after stroke. Phys Med Rehabil Clin N Am 2015; 26: 599-610.
  • Li S, Francisco GE, Zhou P. Post-stroke hemiplegic gait: new perspective and insights. Front Physiol 2018; 9: 1021.
  • Rafsten L, Meirelles C, Danielsson A, Sunnerhagen KS. Impaired motor function in the affected arm predicts impaired postural balance after stroke: a cross sectional study. Front Neurol 2019; 10: 912.
  • Quinn TJ, Dawson J, Walters MR, Lees KR. Functional outcome measures in contemporary stroke trials. Int J Stroke 2009; 4: 200-5.
  • Harrison JK, McArthur KS, Quinn TJ. Assessment scales in stroke: clinimetric and clinical considerations. Clin Interv Aging 2013; 8: 201-11.
  • Kichloo A, Albosta M, Dettloff K, et al. Telemedicine, the current COVID-19 pandemic and the future: a narrative review and perspectives moving forward in the USA. Fam Med Community Health 2020; 8: e000530.
  • Brennan D, Tindall L, Theodoros D, et al. A blueprint for telerehabilitation guidelines. Int J Telerehabil 2010; 2 :31-4.
  • Durfee W, Carey J, Nuckley D, Deng J. Design and implementation of a home stroke telerehabilitation system. Conf Proc IEEE Eng Med Biol Soc 2009; 2009: 2422-5.
  • Johansson T, Wild C. Telerehabilitation in stroke care - A systematic review. J Telemed Telecare 2011; 17: 1-6.
  • Craig J. Patterson V. Russell C. Wootton R. Interactive videoconsultation is a feasible method for neurological in-patient assessment. Eur J Neurol 2000; 7: 699–702.
  • Handschu R. Littmann R. Reulbach U, et al. Telemedicine in emergency evaluation of acute stroke: interrater agreement in remote video examination with a novel multimedia system. Stroke 2003; 34: 2842–6.
  • Demnitz N, Zsoldos E, Mahmood A, et al. Associations between mobility, cognition, and brain structure in healthy older adults. Front Aging Neurosci 2017; 9: 155.
  • Vaughan BA, Simon JE, Grooms DR, Clark LA, Wages NP, Clark BC. Brain-predicted age difference moderates the association between muscle strength and mobility. Front Aging Neurosci 2022; 14: 808022.
  • Cabana F, Boissy P, Tousignant M, Moffet H, Corriveau H, Dumais R. Interrater agreement between telerehabilitation and face-to-face clinical outcome measurements for total knee arthroplasty. Telemed J E Health 2010; 16: 293-8.
  • Berg K, Wood-Dauphinee S, Williams JI. The balance scale: reliability assessment with elderly residents and patients with an acute stroke. Scand J Rehab Med 1995; 27: 27-36.
  • Williams LS, Weinberger M, Harris LE, Clark DO, Biller J. Development of a stroke-specific quality of life scale. Stroke 1999; 30: 1362-9.
  • Collin C, Wade D. Assessing motor impairment after stroke. A pilot reliability study. J Neurol Neurosurg Psychiatry 1990; 53: 576-9.
  • Turk Boru U, Kulualp AS, Tarhan OF, et al. Stroke prevalence among the Turkish population in a rural area of Istanbul: A community-based study. SAGE Open Med 2018; 6:2050312118797565.
  • Che B, Shen S, Zhu Z, et al. Education level and long-term mortality, recurrent stroke, and cardiovascular events in patients with ischemic stroke. J Am Heart Assoc 2020; 9:e016671.
  • Xiuyun W, Qian W, Minjun X, Weidong L, Lizhen L. Education and stroke: evidence from epidemiology and Mendelian randomization study. Sci Rep 2020; 10:21208.
  • Furlepa K, Tenderenda A, Kozłowski R, Marczak M, Wierzba W, Sliwczynski A. Recommendations for the development of telemedicine in Poland based on the analysis of barriers and selected telemedicine solutions. Int J Environ Res Public Health 2022; 19: 1221.
  • Chen SC, Lin CH, Su SW, Chang YT, Lai CH. Feasibility and effect of interactive telerehabilitation on balance in individuals with chronic stroke: a pilot study. J Neuroeng Rehabil 2021; 18: 71.
  • Cramer SC, Dodakian L, Le V, et al. A feasibility study of expanded home-based telerehabilitation after stroke. Front Neurol 2021; 11: 611453.
  • Ganapathy K. Telerehabilitation: an overview. Telehealth and Medicine Today 2021; 6.
  • Mulder M, Nikamp C, Nijland R, et al. Can telerehabilitation services combined with caregiver-mediated exercises improve early supported discharge services poststroke? A study protocol for a multicentre, observer-blinded, randomized controlled trial. BMC Neurol 2022; 22: 29.
  • Bashshur RL, Reardon TG, Shannon GW. Telemedicine: a new health care delivery system. Annu Rev Public Health 2000; 21: 613-37.
  • Park S, Tang A, Pollock C, Sakakibara BM. Telerehabilitation for lower extremity recovery poststroke: a systematic review and meta-analysis protocol. BMJ Open 2022; 12: e055527.
  • Everard G, Declerck L, Detrembleur C, Leonard S. New technologies promoting active upper limb rehabilitation after stroke: an overview and network meta-analysis. European Journal of Physical and Rehabilitation Medicine 2022; 58 : 530-48.
  • O'Cathail M, Sivanandan MA, Diver C, Patel P, Christian J. The use of patient-facing teleconsultations in the National Health Service: scoping review. JMIR Med Inform 2020; 8: e15380.
  • Winters JM. Telerehabilitation research: Emerging oppurtunities. Annu Rev Biomed Eng 2002; 4: 287-320.
  • Leon-Sales B, Gonzales-Hernandes Y, Infante D, et al. Telemedicine for neurological diseases: A systematic review and meta-analysis. Eur J Neurol 2022. doi: 10.1111/ene.15599.
  • Laver KE, Adey-Wakeling Z, Crotty M, Lannin NA, George S, Sherrington C. Telerehabilitation services for stroke. Cochrane Database Syst Rev 2020;1:CD010255.

Face-to-face assessment versus tele-assessment of chronic stroke patients: do the results meet the needs?

Year 2023, Volume: 6 Issue: 1, 82 - 86, 12.01.2023
https://doi.org/10.32322/jhsm.1183595

Abstract

Aim: Baseline evaluation of stroke patients is valuable to manage the treatment plan. As in the case of stroke evaluation and rehabilitation, in every aspect of healthcare, tele-medicine is growing gradually. The aim of this descriptive study was to explore whether initial tele-assessment of chronic stroke patients is similar to face-to-face assessment in terms of clinical scales.
Material and Method: Thirty-four chronic stroke patients (mean post-stroke duration 21.44±15.47 months; stroke etiology, 58.8% ischemic; hemiplegic side, 52.9% left; mean age 49.24±12.51; 22 males; 12 females) were included in this trial. Firstly, all the patients were evaluated online, and then at the same day they were evaluated face-to-face by the clinical scales including chair stand test, Berg balance scale, Stroke specific quality of life scale, Motricity index.
Results: The findings of the present study revealed that there was no statistically significant difference between tele-assessment and face-to-face assessment for all the scales (p>0.05) except chair stand test (mean time to stand: 9.41 secs vs 8.94 secs in tele-assessment and face-to-face respectively; p<0.013).
Conclusion: The authors think that tele-assessment could be performed conclusively as well as face-to-face assessment since the clinical scales used in this trial were gross motor and functional tests. These preliminary results may suggest that tele-assessment could be used for initial assessment of the post-stroke patients as a convenient tool in order to ameliorate the continuous care without disruption by location. 

References

  • Winstein CJ, Stein J, Arena R, et al. Guidelines for adult stroke rehabilitation and recovery: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2016; 47: e98-e169.
  • Rathore SS, Hinn AR, Cooper LS, Tyroler HA, Rosamond WD. Characterization of incident stroke signs and symptoms: findings from the atherosclerosis risk in communities study. Stroke 2002; 33: 2718–21.
  • Raghavan P. Upper limb motor impairment after stroke. Phys Med Rehabil Clin N Am 2015; 26: 599-610.
  • Li S, Francisco GE, Zhou P. Post-stroke hemiplegic gait: new perspective and insights. Front Physiol 2018; 9: 1021.
  • Rafsten L, Meirelles C, Danielsson A, Sunnerhagen KS. Impaired motor function in the affected arm predicts impaired postural balance after stroke: a cross sectional study. Front Neurol 2019; 10: 912.
  • Quinn TJ, Dawson J, Walters MR, Lees KR. Functional outcome measures in contemporary stroke trials. Int J Stroke 2009; 4: 200-5.
  • Harrison JK, McArthur KS, Quinn TJ. Assessment scales in stroke: clinimetric and clinical considerations. Clin Interv Aging 2013; 8: 201-11.
  • Kichloo A, Albosta M, Dettloff K, et al. Telemedicine, the current COVID-19 pandemic and the future: a narrative review and perspectives moving forward in the USA. Fam Med Community Health 2020; 8: e000530.
  • Brennan D, Tindall L, Theodoros D, et al. A blueprint for telerehabilitation guidelines. Int J Telerehabil 2010; 2 :31-4.
  • Durfee W, Carey J, Nuckley D, Deng J. Design and implementation of a home stroke telerehabilitation system. Conf Proc IEEE Eng Med Biol Soc 2009; 2009: 2422-5.
  • Johansson T, Wild C. Telerehabilitation in stroke care - A systematic review. J Telemed Telecare 2011; 17: 1-6.
  • Craig J. Patterson V. Russell C. Wootton R. Interactive videoconsultation is a feasible method for neurological in-patient assessment. Eur J Neurol 2000; 7: 699–702.
  • Handschu R. Littmann R. Reulbach U, et al. Telemedicine in emergency evaluation of acute stroke: interrater agreement in remote video examination with a novel multimedia system. Stroke 2003; 34: 2842–6.
  • Demnitz N, Zsoldos E, Mahmood A, et al. Associations between mobility, cognition, and brain structure in healthy older adults. Front Aging Neurosci 2017; 9: 155.
  • Vaughan BA, Simon JE, Grooms DR, Clark LA, Wages NP, Clark BC. Brain-predicted age difference moderates the association between muscle strength and mobility. Front Aging Neurosci 2022; 14: 808022.
  • Cabana F, Boissy P, Tousignant M, Moffet H, Corriveau H, Dumais R. Interrater agreement between telerehabilitation and face-to-face clinical outcome measurements for total knee arthroplasty. Telemed J E Health 2010; 16: 293-8.
  • Berg K, Wood-Dauphinee S, Williams JI. The balance scale: reliability assessment with elderly residents and patients with an acute stroke. Scand J Rehab Med 1995; 27: 27-36.
  • Williams LS, Weinberger M, Harris LE, Clark DO, Biller J. Development of a stroke-specific quality of life scale. Stroke 1999; 30: 1362-9.
  • Collin C, Wade D. Assessing motor impairment after stroke. A pilot reliability study. J Neurol Neurosurg Psychiatry 1990; 53: 576-9.
  • Turk Boru U, Kulualp AS, Tarhan OF, et al. Stroke prevalence among the Turkish population in a rural area of Istanbul: A community-based study. SAGE Open Med 2018; 6:2050312118797565.
  • Che B, Shen S, Zhu Z, et al. Education level and long-term mortality, recurrent stroke, and cardiovascular events in patients with ischemic stroke. J Am Heart Assoc 2020; 9:e016671.
  • Xiuyun W, Qian W, Minjun X, Weidong L, Lizhen L. Education and stroke: evidence from epidemiology and Mendelian randomization study. Sci Rep 2020; 10:21208.
  • Furlepa K, Tenderenda A, Kozłowski R, Marczak M, Wierzba W, Sliwczynski A. Recommendations for the development of telemedicine in Poland based on the analysis of barriers and selected telemedicine solutions. Int J Environ Res Public Health 2022; 19: 1221.
  • Chen SC, Lin CH, Su SW, Chang YT, Lai CH. Feasibility and effect of interactive telerehabilitation on balance in individuals with chronic stroke: a pilot study. J Neuroeng Rehabil 2021; 18: 71.
  • Cramer SC, Dodakian L, Le V, et al. A feasibility study of expanded home-based telerehabilitation after stroke. Front Neurol 2021; 11: 611453.
  • Ganapathy K. Telerehabilitation: an overview. Telehealth and Medicine Today 2021; 6.
  • Mulder M, Nikamp C, Nijland R, et al. Can telerehabilitation services combined with caregiver-mediated exercises improve early supported discharge services poststroke? A study protocol for a multicentre, observer-blinded, randomized controlled trial. BMC Neurol 2022; 22: 29.
  • Bashshur RL, Reardon TG, Shannon GW. Telemedicine: a new health care delivery system. Annu Rev Public Health 2000; 21: 613-37.
  • Park S, Tang A, Pollock C, Sakakibara BM. Telerehabilitation for lower extremity recovery poststroke: a systematic review and meta-analysis protocol. BMJ Open 2022; 12: e055527.
  • Everard G, Declerck L, Detrembleur C, Leonard S. New technologies promoting active upper limb rehabilitation after stroke: an overview and network meta-analysis. European Journal of Physical and Rehabilitation Medicine 2022; 58 : 530-48.
  • O'Cathail M, Sivanandan MA, Diver C, Patel P, Christian J. The use of patient-facing teleconsultations in the National Health Service: scoping review. JMIR Med Inform 2020; 8: e15380.
  • Winters JM. Telerehabilitation research: Emerging oppurtunities. Annu Rev Biomed Eng 2002; 4: 287-320.
  • Leon-Sales B, Gonzales-Hernandes Y, Infante D, et al. Telemedicine for neurological diseases: A systematic review and meta-analysis. Eur J Neurol 2022. doi: 10.1111/ene.15599.
  • Laver KE, Adey-Wakeling Z, Crotty M, Lannin NA, George S, Sherrington C. Telerehabilitation services for stroke. Cochrane Database Syst Rev 2020;1:CD010255.
There are 34 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Article
Authors

İlknur Saral 0000-0001-7245-6304

Serkan Surucu 0000-0003-1551-4525

Yasemin Tuğçe Yayla 0000-0002-5136-4053

Engin Çakar 0000-0002-6477-6727

Early Pub Date January 9, 2023
Publication Date January 12, 2023
Published in Issue Year 2023 Volume: 6 Issue: 1

Cite

AMA Saral İ, Surucu S, Yayla YT, Çakar E. Face-to-face assessment versus tele-assessment of chronic stroke patients: do the results meet the needs?. J Health Sci Med / JHSM. January 2023;6(1):82-86. doi:10.32322/jhsm.1183595

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