REMOTE REHABILITATION OF VICTIMS WITH UPPER EXTREMITY INJURIES AS A COMPONENT OF POLYTRAUMA
DOI:
https://doi.org/10.11603/1811-2471.2025.v.i2.15319Keywords:
polytrauma, upper limb, telemedicine rehabilitation, retrospective studyAbstract
SUMMARY. In recent years, there has been an increase in the prevalence and absolute number of cases of polytraumatic injuries in Ukraine and worldwide. This trend is driven by factors such as the growing number of vehicles, the deterioration of road infrastructure in certain regions, and insufficient road safety measures. Patients with upper limb injuries require intensive treatment and rehabilitation.
The aim – to investigate the effectiveness of a telemedicine model for the rehabilitation of patients after upper limb injuries.
Material and Methods. The study analyzed the medical records of patients in the retrospective group (186 cases of upper limb injuries as a component of polytrauma) and 62 patients in the main group who additionally underwent rehabilitation using telemedicine technologies. The effectiveness of recovery was measured using the QuickDASH scale.
Results. The retrospective group consisted of 135 men (72.58 %) and 51 women (27.42 %), while the main group comprised 44 men (70.97 %) and 18 women (29.03 %). Rehabilitation in the retrospective group included early functional mobilization, edema treatment, and physiotherapy for three weeks. The main group additionally used a telemedicine model with a portable device for real-time monitoring and exercise management. Results showed statistically significant improvements in the daily duration of physical exercises and a reduction in visits to medical facilities in the main group, with higher scores for functional recovery. The telemedicine model, allowing real-time monitoring, led to better functional recovery and reduced use of medical services compared to traditional methods. This innovative approach supports improved patient interaction and motivation, leading to significant improvements in rehabilitation efficiency.
Conclusions. The use of telemedicine technologies can help a larger number of patients by providing opportunities for telerehabilitation in remote areas, improving the quality of life for those affected.
References
Babiy MP, Tsvyakh AI. Prognostuvannya infektsiinykh uskladnen' v operovanykh postrazhdalykh iz travmoyu verkhn'oyi kin'tsivky ta hrudnoyi klitky pislya dorozhno-transportnykh pryhod [Prognosis of infectious complications in operated patients with trauma to the upper extremities and chest after road transport accidents]. Shpytalna khirurhiya. Zhurnal im. L Ya Kovalchuka. 2023;4:60-68. DOI: 10.11603/2414-4533.2023.4.14350. Ukrainian. DOI: https://doi.org/10.11603/2414-4533.2023.4.14350
Kostyuk VP, Tsvyakh AI. Politravma: prychyny ta reabilitatsiya na piznikh stadiyakh travmatychnoyi khvoroby [Polytrauma: causes and rehabilitation in the late stages of traumatic disease]. Shpytalna khirurhiya. Zhurnal im L Ya Kovalchuka. 2023;1:63-68. DOI: 10.11603/2414-4533. 2023.1.13814. Ukrainian.
Fioratti I, Saragiotto BT, Reis FJ, Miyamoto GC, Lee H, Yamato TP, et al. Evaluation of the efficacy of an internet-based pain education and exercise program for chronic musculoskeletal pain in comparison with an online self-management booklet: a protocol of a randomised controlled trial with assessor-blinded, 12-month follow-up, and economic evaluation. BMC Musculoskelet Disord. 2020;21(1):1-12. DOI: 10.1186/s12891-020-03423-x. DOI: https://doi.org/10.1186/s12891-020-03423-x
Wang Q, Lee RL, Hunter S, Chan SW. The effectiveness of internet-based telerehabilitation among patients after total joint arthroplasty: A systematic review and meta-analysis of randomised controlled trials. J Telemed Telecare. 2023;29(4):247-260. DOI: 10.1177/ 1357633x20980291. DOI: https://doi.org/10.1177/1357633X20980291
Lee AY, Wong AK, Hung TT, Yan J, Yang S. Nurse-led Telehealth Intervention for Rehabilitation (Telerehabilitation) Among Community-Dwelling Patients With Chronic Diseases: Systematic Review and Meta-analysis. J Med Internet Res. 2022;24(11):e40364. DOI: 10.2196/40364. DOI: https://doi.org/10.2196/40364
Cottrell MA, Galea OA, O’Leary SP, Hill AJ, Russell TG. Real-time telerehabilitation for the treatment of musculoskeletal conditions is effective and comparable to standard practice: a systematic review and meta-analysis. Clin Rehabil. 2017;31(5):625-638. DOI: 10.1177/ 0269215516645148. DOI: https://doi.org/10.1177/0269215516645148
Seron P, Oliveros MJ, Gutierrez-Arias R, Fuentes-Aspe R, Torres-Castro RC, Merino-Osorio C, et al. Effectiveness of Telerehabilitation in Physical Therapy: A Rapid Overview. Phys Ther. 2021;101(6):pzab053. DOI: 10. 1093/ptj/pzab053. DOI: https://doi.org/10.1093/ptj/pzab053
Khosrokiani Z, Letafatkar A, Hadadnezhad M, Sokhanguei Y. The comparison between the effects of pain education interventions with online and face-to-face exercise and the control group received biomedical education + standardized physical therapy in patients with chronic nonspecific neck pain during COVID-19: protocol for a parallel-group randomized controlled trial. Trials. 2022;23:1031. DOI: 10.1186/s13063-022-06932-3. DOI: https://doi.org/10.1186/s13063-022-06932-3
Rushay AK, Klymovytskyy VG, Klymovytskyy FV, Lisunov SV, Bogdanova LV. Rehabilitation of the patients with the radius distal epiphysis fractures. Trauma. 2017; 18(2):17-22. DOI: 10.22141/1608-1706.2.18.2017.102553. DOI: https://doi.org/10.22141/1608-1706.2.18.2017.102553
Janela D, Costa F, Molinos M, Moulder RG, Lains J, Francisco GE, et al. Asynchronous and Tailored Digital Rehabilitation of Chronic Shoulder Pain: A Prospective Longitudinal Cohort Study. J Pain Res. 2022;15:53-66. DOI: 10.2147/JPR.S343308. DOI: https://doi.org/10.2147/JPR.S343308
Tsvyakh AI, Hospodarskyy AY, Marchenkova NO, Kopytchak IR, Kostyuk VP, Lymar YA, et al. Telerehabilitation of the knee joints of patients with polytrauma. Wiad Lek. 2021;74(1):48-51. DOI: 10.36740/wlek202101109. DOI: https://doi.org/10.36740/WLek202101109
Kovačević J, Miškulin M, Ličanin MM, Barać J, Biuk D, Palenkić H, et al. Quality of life in road traffic accident survivors. Slov J Public Health. Zdr Varst. 2020;59(4):202-210. DOI: 10.2478/sjph-2020-0026. DOI: https://doi.org/10.2478/sjph-2020-0026
Khruakhorn S, Jirasakulsuk N, Saengpromma P. Effectiveness of Telerehabilitation for Correcting Posture in Elderly with Thoracic Kyphosis in Urban Thailand. Int J Telerehabilitation. 2023;15(2). DOI: 10.5195/ijt.2023.6566. DOI: https://doi.org/10.5195/ijt.2023.6566
Jirasakulsuk N, Saengpromma P, Khruakhorn S. The Real-time Telerehabilitation in Elderly People with Musculoskeletal Conditions: a Systematic Review and Meta-analysis. JMIR Rehabil Assist Technol. 2022; 9(3):e36028. DOI: 10.2196/36028. DOI: https://doi.org/10.2196/36028
Tsvyakh AI, Hospodarskyy AJ. Telerehabilitation of Patients with Injuries of the Lower Extremities. Telemed E Health. 2017;23(12):1011-1015. DOI: 10.1089/tmj.2016. 0267. DOI: https://doi.org/10.1089/tmj.2016.0267
