Issue 1-20, 2021
Original article
Remote Rehabilitation of Patients with Impaired Motor Functions in Cerebral Pathology
1 Irina P. Yastrebtseva, 2
Vadim D. Daminov, 1
Lydia Yu. Deryabkina, 1
Svetlana V. Vyalkova, 1
Ksenia V. Makshantsevа
1 Ivanovo State Medical Academy, Ivanovo, Russian Federation
2 National Medical and Surgical Center named after N.I. Pirogov, Moscow, Russian Federation
ABSTRACT
INTRODUCTION. After passing the inpatient rehabilitation program, patients often experience a regression of the results achieved due to the low activity of outpatient rehabilitation. The solution to this problem is the introduction of remote rehabilitation programs.
AIM. To analyze the results of remote patients’ rehabilitation with impaired motor functions in cerebral stroke using Steps Reabil software.
MATERIAL AND METHODS. 32 patients with stroke were examined at the ISMA clinic. They were randomly assigned to a group of patients who continued a remote course of kinesotherapy using the Steps Reabil program for 3 months. (Steps Reabil group, n = 14) and to the group of people who received recommendations on therapeutic exercises for homework and were not appealing to this software (comparison group, n = 18). At the time of discharge, 1 and 3 months into, the capabilities were evaluated according to the Frenchay, ≪Stand up and go≫ tests, the Rivermead mobility index and Hauser Ambulation Index, the Berg Balance Scale, and the EuroQol-5D quality of life questionnaire.
RESULTS. When comparing the initial results in the study groups, a statistically significant difference was found between the indicators on the Berg Balance Scale (the indicators were lower in the Steps Rehabil group), but the differences were leveled out after 3 months. When comparing the results in the Steps Reabil group at discharge and after 3 months, there was an improvement as of the Berg Balance Scale, the Rivermead mobility index and the Hauser Ambulation Index, and the Frenchay arm test. In the comparison group, from the moment of discharge and 3 months into, the results on the Berg Balance Scale improved (p <0.05).
CONCLUSION. The functioning of patients who continued rehabilitation kinesiotherapeutic measures using modern information technologies continues to improve effectively in everyday life. Remote rehabilitation for 3 months is much more effective than short-term monthly, which indicates the need for continuous controlled rehabilitation measures. The Berg Balance Scale is especially sensitive in assessing the functional capabilities of patients.
KEYWORDS: telemedicine, outpatient rehabilitation, remote rehabilitation, motor disorders, impaired motor function, neurorehabilitation, stroke
FUNDING: The study had no sponsorship
CONFLICT OF INTEREST: The authors declare no apparent or potential conflicts of interest related to the publication of this article
FOR CITATION: Yastrebtseva I.P., Daminov V.D., Deryabkina L.Yu., Vyalkova S.V., Makshantsevа K.V. Remote Rehabilitation of Patients with Impaired Motor Functions in Cerebral Pathology. Bulletin of Rehabilitation Medicine. 2021; 20(1): 45-50. https://doi.org/10.38025/2078-1962-2021-20-1-45-50
FOR CORRESPONDENCE:
Irina P. Yastrebtseva, e-mail: ip.2007@mail.ru
References:
- Gercik Yu.G., Ivanova G.E., Ragutkin A.V., Gercik G.Ya., Vinokurov O.E., Klishin A.A. Povyshenie effektivnosti ekspluatacii vysokotekhnologichnyh medi-cinskih izdelij putem rasshireniya kompetencij medicinskih rabotnikov v obshchetekhnicheskih, informacionnyh i telemedicinskih tekhnologiyah [Improving the operational efficiency of high-tech medical devices by expanding the competencies of medical workers in general technical, information and telemedicine technologies]. Bulletin of Rehabilitation Medicine. 2018: 1(83): 61-68. https://doi.org/10.18334/eo.10.2.110262 (In Russ.).
- Truhanov A.I., Skakun S.G., Grechko A.V. Sovremennaya rol’ personificirovannoj cifrovoj mediciny v razvitii medicinskoj reabilitacii [The modern role of personalized digital medicine in the development of medical rehabilitation]. Bulletin of Rehabilitation Medicine. 2018; 1(83): 2-13 (In Russ.).
- Tubekova M.A. Tekhnologii M-health v reabilitacii pacientov s serdechnoj nedostatochnost’yu [M-health technologies in the rehabilitation of heart failure patients]. Bulletin of Rehabilitation Medicine. 2019; 3(91): 44-49 (In Russ.).
- Snopkov P.S., Lyadov K.V., SHapovalenko T.V., Sidyakina I.V. Distancionnaya reabilitaciya: istoki, sostoyanie, perspektivy [Remote rehabilitation: origins, condition, prospects]. Russian Journal of Physiotherapy, Balneology and Rehabilitation. 2016; (3): 141-145. https://doi.org/10.18821/16813456-2016-15-3-141-145 (In Russ.).
- Kurmangulov A.A., Reshetnikova Yu.S., Bagirov R.N., Frolova O.I., Brynza N.S. Vozmozhnosti diagrammy Isikavy v kachestve instrumentariya berezhlivo-go proizvodstva v zdravoohranenii Rossiiskoi Federacii [Opportunities of the Ishikawa diagram as a tool for lean manufacturing in healthcare in the Russian Federation]. Transbaikalian Medical Bulletin. 2018; (3): 37-45 (In Russ.).
- Lyamina N.P., Kotel’nikova E.V. Mobil’nye tekhnologii kak instrument integracii programm kardiologicheskoj reabilitacii v sistemu dinamicheskogo nablyudeniya pacientov s hronicheskoj serdechnoj nedostatochnost’yu [Mobile technologies as a tool for integrating cardiac rehabilitation programs into the dynamic monitoring system for patients with chronic heart failure]. Bulletin of Rehabilitation Medicine. 2017; (5): 25-32 (In Russ.).
- Hwang R., Bruning J., Morris N.R., Mandrusiak A., Russell T. Home-based telerehabilitation is not inferior to a centre-based program in patients with chronic heart failure: a randomised trial. Journal of Physiotherapy. 2017; 63(2): 101-107. https://doi.org/10.1016/j.jphys.2017.02.017
- Rudel D., Balora Z., Oberzan D., Burger H., Zalar M., Kriznar A. Home telerehabilitation service for persons following lower limb amputation. The Journal of Telemedicine and e-Health. 2015; (1): 57-59.
- Moffet H., Tousignant M., Nadeau S., Merette C., Boissy P., Corriveau H., Marquis F., Cabana F., Ranger P., Belzile E.L., Dimentberg R. In-home telerehabilitation compared with face-to-face rehabilitation after total knee arthroplasty: a noninferiority randomized controlled trial. Journal of Bone and Joint Surgery. 2015; 97(14): 1129-1141. https://doi.org/10.2106/jbjs.n.01066
- Cabana F., Page C., Svotelis A., Langlois-Michaud S., Tousignant M. Is an in-home telerehabilitation program for people with proximal humerus fracture as effective as a conventional face-to face rehabilitation program? A study protocol for a noninferiority randomized clinical trial. BMC Sports Science, Medicine and Rehabilitation. 2016; (8): 27 p. https://doi.org/10.5195/ijt.2014.6158
- Fahretdinov V.V., Brynza N.S., Kurmangulov A.A. Sovremennye podhody k reabilitacii pacientov, perenesshih insul’t [Modern approaches to the rehabilitation of stroke patients]. Vestnik of the Smolensk State Medical Academy. 2019; (2): 182-189 (In Russ.).
- Levanov V.M., Perevezencev E.A. Vozmozhnosti kompleksnogo ispol’zovaniya telemedicinskih tekhnologij v sisteme medicinskogo obespecheniya rabotayushchego naseleniya na udalyonnyh territoriyah (obzor literatury) [Opportunities for the integrated use of telemedicine technologies in the system of medical support for the working population in remote areas (literature review)]. Journal of New Medical Technologies. 2019; (1): 102-110. https://doi.org/10.24411/2075-4094-2019-16233 (In Russ.).
- Ivanilova T.N., Vasilenko I.V., Semenov V.A. Buslov I.A., Ilminskaya A.A., Subocheva S.A. Funkcional’nye vozmozhnosti portala distancionnoj reabilitacii. Nauchno-tekhnicheskij vestnik informacionnyh tekhnologij, mekhaniki i optiki [Remote neurorehabilitation portal functionality]. Scientific and Technical Journal of Information Technologies, Mechanics and Optics. 2019; (5): 925-930. https://doi.org/10.17586/2226-1494-2019-19-5-925-930 (In Russ.).
- Alasheev A.M., Belkin A.A., Shelyakin V.A., Cvetkov A.I. Ispol’zovanie telemedicinskih tekhnologij pri okazanii pomoshchi pacientam s ostroj cerebral’noj nedostatochnost’yu v Sverdlovskoj oblasti [The use of telemedicine technologies in assisting patients with acute cerebral insufficiency in the Sverdlovsk region]. Consilium Medicum. 2018; (2): 18-23. https://doi.org/10.26442/2075-1753_2018.2.18-23 (In Russ.).

The content is available under the Creative Commons Attribution 4.0 License.
©
This is an open article under the CC BY 4.0 license. Published by the National Medical Research Center for Rehabilitation and Balneology.