Telerehabilitation model in operated individuals with upper limb and chest trauma due to road traffic accidents
DOI:
https://doi.org/10.61751/bmbr/4.2023.08Keywords:
polytrauma surgery, telemedicine, rank analysis, retrospective studyAbstract
Implementing telerehabilitation methods for individuals injured in road traffic accidents with upper limb and
chest trauma is critically essential for improving patients' functional recovery, ensuring effective interaction between the
patient and the rehabilitation specialist, and reducing overall time and costs associated with rehabilitation. The purpose
of the study is to assess the effectiveness of applying telemedicine monitoring tools and the developed rehabilitation
model in the functional recovery of operated patients with upper limb and chest trauma. The study included patients
who underwent surgery due to upper limb and chest trauma resulting from road traffic accidents. Patients were divided
into two groups: retrospective (186 patients) underwent standard rehabilitation, while the main group (62 patients) was
involved in the developed telerehabilitation model programme. Functional outcomes were analysed using the qDASH scale,
including the average time spent by patients on rehabilitation per day, the number of patient visits to the medical facility
within 3 weeks, and the total time spent by the rehabilitation specialist per patient over 3 weeks. After rehabilitation,
over 80% of patients in both groups demonstrated positive and satisfactory results, with a slight advantage of excellent
results in the main group (12.90% versus 9.14%). Patients in the main group spent more time on their rehabilitation
(41+3 minutes per day) and had access to progress monitoring functions and communication with the doctor, which
increased their motivation and involvement. Telerehabilitation remarkably reduced the number of required doctor visits
(5±2 versus 11±3 visits) and the time spent by the rehabilitation specialist on each patient over 3 weeks (132±12 minutes
versus 243±17 minutes). The average time per day spent by the injured individuals on rehabilitation exercises in the
main group was 41±3 minutes, while in the retrospective group, it was 31±7 minutes. The telerehabilitation model is an
equivalent alternative and complement to standard rehabilitation methods. Its advantages include increased motivation
for performing rehabilitation exercises and the ability to conduct training in a distance-controlled environment
Received: 10.08.2023 | Revised: 20.10.2023 | Accepted: 28.11.2023
References
Adachi M, Inagaki K. Evaluation on induction of driver fatigue in driving different traffic condition: An EEG study. Annual International Conference of the IEEE Engineering in Medicine and Biology Society; 2023; Sydney. Sydney, AU: EMBC; 2023. P. 605-8. DOI: 10.1109/EMBC40787.2023.10340407
Nazarenko I, Ivanov V, Roschin G, Dorosh V. Consequences of psychological trauma in victims of traffic accidents (analytical review of the literature). Trauma. 2022;17(4):7–15. DOI: 10.22141/1608-1706.4.17.2016.77485
Guryev S, Kusnir V, Soloviov O. Clinical and epidemiological characteristics of road traffic injuries in the conditions of a metropolis. Trauma. 2023;24(1):14–19. DOI: 10.22141/1608-1706.1.24.2023.926
Berkeveld E, Popal Z, Schober P, Zuidema WP, Bloemers FW, Giannakopoulos GF. Prehospital time and mortality in polytrauma patients: A retrospective analysis. BMC Emerg Med. 2021;21:e78. DOI: 10.1186/s12873-021-00476-6
Kovačević J, Miškulin M, Matić Ličanin M, Barać J, Biuk D, Palenkić H, et al. Quality of life in road traffic accident survivors. Sloven J Public Health. 2020;59(4):202–10. DOI: 10.2478/sjph-2020-0026
Moulaei K, Sheikhtaheri A, Shahabi Nezhad M, Haghdoost AA, Gheysari M, Bahaadinbeigy K. Telerehabilitation for upper limb disabilities: A scoping review on functions, outcomes, and evaluation methods. Arch Public Health. 2022;80:e196. DOI: 10.1186/s13690-022-00952-w
Rozevink SG, van der Sluis CK, Hijmans JM. HoMEcare aRm rehabiLItatioN (MERLIN): Preliminary evidence of long term effects of telerehabilitation using an unactuated training device on upper limb function after stroke. J Neuroeng Rehabil. 2021;18(1):e141. DOI: 10.1186/s12984-021-00934-z
Kourouma K, Delamou A, Lamah L, Camara BS, Kolie D, Sidibé S, et al. Frequency, characteristics and hospital outcomes of road traffic accidents and their victims in Guinea: A three-year retrospective study from 2015 to 2017. BMC Public Health. 2019;19:e1022. DOI: 10.1186/s12889-019-7341-9
Kovacevic J, Miskulin M, Degmecic D, Vcev A, Leovic D, Sisljagic V, et al. Predictors of mental health outcomes in road traffic accident survivors. J Clin Med. 2020;9(2):e309. DOI: 10.3390/jcm9020309
Tsvyakh AI, Hospodarskyy AY, Marchenkova NO, Kopytchak IR, Kostjuk VP, Lymar YA, Gdanskyi SM. Telerehabilitation of the knee joints of patients with polytrauma. Wiad Lek. 2021;74(1):48–51. DOI: 10.36740/WLek202101109
Linge AD, Bjørkly SK, Jensen C, Hasle B. Bandura's Self-efficacy model used to explore participants' experiences of health, lifestyle, and work after attending a vocational rehabilitation program with lifestyle intervention – a focus group Study. J Multidiscip Healthc. 2021;14:3533–48. DOI: 10.2147/JMDH.S334620
Siebert MJ, Roca H, Maughan G, Monson HW, Kazmers NH. Evaluating factors associated with patient-perceived applicability of the QuickDASH survey in reflecting their goals of care prior to hand surgery. J Hand Surg Am. 2024;49(1):35–41. DOI: 10.1016/j.jhsa.2023.09.013
The World Medical Association. Declaration of Helsinki: Ethical Principles for Medical Research Involving Human Subjects [Internet]. Available from: https://www.wma.net/what-we-do/medical-ethics/declaration-of-helsinki/
Cunha-Diniz F, Taveira-Gomes T, Teixeira JM, Magalhães T. Trauma outcomes in nonfatal road traffic accidents: A Portuguese medico-legal approach. Forensic Sci Res. 2022;7(3):528–39. DOI: 10.1080/20961790.2022.2031548
Kim K, Kwon O, Kim T, Lee T, Choi K, Cho HW, et al. Factors influencing clinical symptoms and treatment of patients with traffic accident injuries: A retrospective chart review with a questionnaire survey. PLoS One. 2021;16(6):e0252922. DOI: 10.1371/journal.pone.0252922
Bhooshan LS, Gopal VV, Baburaj PT. Impact of disability in the quality of life of patients with traumatic brachial plexus injuries based on a questionnaire survey in a tertiary center in South India. J Neurosci Rural Pract. 2023;14(3):413–17. DOI: 10.25259/JNRP-2021-12-26-R1-(2260)
Gopinath B, Jagnoor J, Kifley A, Dinh M, Craig A, Cameron ID. Predictors of health-related quality of life after non-catastrophic injury sustained in a road traffic crash. Ann Phys Rehabil Med. 2020;63(4):280–87. DOI: 10.1016/j.rehab.2019.10.001
Rissanen R, Ifver J, Hasselberg M, Berg HY. Quality of life following road traffic injury: The impact of age and gender. Qual Life Res. 2020;29(6):1587–96. DOI: 10.1007/s11136-020-02427-3
Pei LX, Chan H, Shum LK, Jae L, Staples JA, Taylor JA, et al. Demographic and clinical profile of an inception cohort of road trauma survivors. BMC Public Health. 2023;23:e1534. DOI: 10.1186/s12889-023-16487-w
Ahmed T, Islam MR, Brahmi B, Rahman MH. Robustness and tracking performance evaluation of PID motion control of 7 DoF anthropomorphic exoskeleton robot assisted upper limb rehabilitation. Sensors. 2022;22(10):e3747. DOI: 10.3390/s22103747
Singh N, Saini M, Kumar N, Srivastava MVP, Mehndiratta A. Evidence of neuroplasticity with robotic hand exoskeleton for post-stroke rehabilitation: A randomized controlled trial. J Neuroeng Rehabil. 2021;18(1):e76. DOI: 10.1186/s12984-021-00867-7
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Bulletin of Medical and Biological Research
This work is licensed under a Creative Commons Attribution 4.0 International License.
