APPLICATION OF TELEMEDICINE TECHNOLOGIES IN THE REHABILITATION OF CHILDREN AT RISK OF DISABILITY
DOI:
https://doi.org/10.11603/2411-1597.2023.3-4.14544Keywords:
telerehabilitation, family-centred approach, rehabilitation in paediatrics, telemedicineAbstract
Introduction. Paediatric telerehabilitation is delivered via telemedicine to diverse populations and has a wide range of effects, including improved access to services, child outcomes (e.g. behaviour) and family satisfaction. Telehealth interventions show promise when integrated into comprehensive family-centred services. Despite the established effectiveness, the implementation of telemedicine is low in rehabilitation, including in paediatric patients.
The aim of the study – to evaluate the implementation of a training intervention and support programme to improve family-centred tele-rehabilitation in paediatric rehabilitation facilities.
The main part. The study included 20 children aged 15 months to 26 months ((19.6±0.9) months) with diagnosed motor disorders. Parents, after completing a 14-day rehabilitation course, received instructions on how to perform exercises at home and coordinate their children’s motor activity. Two groups were formed: 9 children of Group 1, together with their parents, were engaged in kinesiotherapy at home, filled in a diary and contacted a physical therapist by phone once every 2 weeks. The parents of 11 children in Group 2 signed an information consent to receive TV rehabilitation services and underwent online training, learning the tools and strategies of family-oriented TV rehabilitation. At baseline and 6 months later, parents filled out the SF-36 quality of life questionnaire and the PEDI questionnaire for a comprehensive clinical assessment of their child’s basic functional abilities. The results of the study showed significantly better results in children of the 2nd group (p<0.05), in which TV rehabilitation was used.
Conclusions. The effectiveness of family-oriented TV rehabilitation in improving the results of children with motor disorders and improving the quality of life of parents has been established. The knowledge of family-oriented tele-rehabilitation improves rehabilitation at home and supports the integration of telemedicine as a consistent option for children’s rehabilitation services for families of children with disabilities.
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