Yeh et al. (69) |
Motivation and Telerehabilitation |
To provide a telerehabilitation experience to create an elevated mood state allowing patients and therapists to experience a sense of co-presence that will be associated with satisfaction with the telerehabilitation system, and willingness to persist in therapy |
A telerehabilitation system composed of two subsystems: a motor rehabilitation system, and a tele-communication system |
The therapists had to guide the patient through the setup of the systems and then talk him/her through three computer games designed to provide motor rehabilitation exercises for the upper extremity |
Therapist (Unspecified role) |
Remotely from placed at a different location through the telerehabilitation system |
Therapist/patient pairs were taken into separate rooms. |
Daily therapy during an unspecified time |
The difficulty levels and the progress in gameplay were monitored and manipulated through a live video chat during the exercise |
Two 7-point scale items measured daily therapy during an unspecified time the willingness to persist in therapy |
Lloréns et al. (70) |
Virtual reality for self-awareness |
To study the effectiveness of the virtual system in the rehabilitation of self-awareness skills |
A multi-touch non-immersive virtual reality system |
Patients had to move forward in the virtual game by answering questions, which can be related to knowledge (anatomical and pathological matters, red cards), reasoning (situational exercises, blue cards), action (role-playing exercises, green cards), or cohesion (jokes and sayings, yellow cards), related to their clinical condition |
Self-provided by the patients |
Self-provided by the patients at hospital |
At hospital |
1-hour session per week during 8 months |
No |
No |
White et al. (71) |
Tablet acceptability in stroke survivors' |
To explore stroke survivor acceptability of and experience of tablet use during the first three months of stroke recovery |
Tablet technology |
A qualitative study using an inductive thematic approach incorporating the process of constant comparison was utilized to collect and analyze data |
Self-provided by the patients |
Remotely |
Patients' home |
During the first three months of stroke recovery |
Not specified |
Qualitative outcomes were participants' perceptions using in-depth, semi-structured interviews |
Ferreira et al. (72) |
Teleassessement in pwPD |
To assess the feasibility and usability of an objective, continuous, and relatively unobtrusive system (SENSE-PARK System |
SENSE-PARK System which consists of wearable sensors, a smartphone-based App, a balance board, and computer software |
To perform a balance and cognitive training |
Two trained researchers were involved. The training was administered by the SENSE-PARK System |
Remotely |
Patients' home |
Sensors' information was registered 24 hours/7 days over 12 weeks |
Not specified |
Semi-structured interviews were conducted by phone to gain insight into the experiences of the participants using the SENSE-PARK System. Topics discussed were: willingness to continue in the study, satisfaction with the SENSE-PARK System, changes in health status or medical condition, adverse events, feedback messages, and doubts about the system |
Nijenhuis et al. (73) |
A motivational self-administered training for stroke |
To assess the feasibility and potential clinical changes associated with a technology-supported arm and hand training system at home for patients with chronic stroke |
A computer containing user interface and games, Touchscreen and SaeboMAS, SCRIPT wrist and hand orthosis |
To perform an upper limb training combining assisted movement by an orthosis and motor videogame |
Trained clinical researchers (human movement scientists), physical therapists, or occupational therapists remotely |
Remotely |
Patients' home |
30 minutes of exercise per day, 6 days per week |
Game difficulty schedule was used by the HCP weekly to provide the correct game categories to each participant. The HCP adjusted the training program remotely by accessing the HCP user interface |
The System Usability Scale is a 10-item scale to assess a global view of the subjective experience of system usability |
Lloréns et al. (74) |
Telerehabilitation of balance after stroke |
To evaluate the clinical effectiveness of a virtual reality-based telerehabilitation program in recovering balance compared to an in-clinic program in hemiparetic patients with stroke. Second, to compare the subjective experiences, and finally, to contrast the costs |
The hardware system consisted of a TV, a standard computer, and a Kinect™ (Microsoft®, WA). A 42” LCD screen and a PC were used in the clinical setting |
The VE used in the experiment represented the participants' feet and their movements in an empty scenario, which consisted of a checkered floor that facilitated the depth perception, with a central circle that represented the center of the VE. Different items rose from the floor around the circle |
Two physical therapists were involved remotely to detect possible issues and act accordingly |
Remotely |
Patients' home |
45-minute training sessions, 3 days a week, during 8 weeks. |
The level of difficulty of the task was defined by configuring the region of appearance, distance, size, lifetime, and number of simultaneous items. The difficulty of the task was adjusted automatically by the system |
The System Usability Scale is a 10-item scale to assess a global view of the subjective experience of system usability |
Palacios-Ceña et al. (75) |
Kinect VR home-based program in pwMS |
To explore the experiences of multiple sclerosis patients who performed a virtual home-exercise program using Kinect |
Kinect home-exercise program |
Postural control and balance exercises |
Medical doctors and therapists were involved in the recruitment and assessment times |
Remotely |
Patients' home |
10-week training |
Unspecified |
Unstructured interviews, using open questions, and thematic analysis were conducted |
Houlihan et al. (76) |
Enhancing self-management in pwSCI |
To evaluate the impact of “My Care My Call” (MCMC), a peer-led, telephone-based health self-management intervention in adults with chronic spinal cord injury (SCI) |
Telephone |
Trained peer health coaches applied the person-centered health self-management intervention |
Trained peer health coaches |
Remotely |
Patient's home |
6 months on a tapered call schedule |
Unspecified |
Phone interviews |
Engelhard et al. (77) |
Remotely engagement in MS |
To evaluate web-based patient-reported outcome (wbPRO) collection in pwMS in terms of feasibility, reliability, adherence, and subject-perceived benefits; and quantify the impact of MS-related symptoms on perceived well-being |
Web portal |
Patients had to report symptoms from home and view their symptom history. Subjects were required to complete each of the five questionnaires |
Unspecified |
Remotely |
Patients' home |
One per month during 6 months |
No |
Questionnaires at the web portal |
D'hooghe et al. (81) |
MS Telecoach feasibility |
To enhance levels of physical activity, thereby improving fatigue in pwMS in an accessible and interactive way, reinforcing self-management of patients |
Smartphone application consisting of two main components: telemonitoring and telecoaching |
Patients had to perform a physical activity training while they were telemonitored and telecoached |
Unspecified |
Remotely |
Patient's home |
2- week run-in period was followed by a 12-week evaluation period |
No |
Telemonitored information about physical activity by the smartphone application. Visual analogue scale to assess levels of fatigue |
Lai et al. (78) |
Telemonitored rehabilitation in pwPD |
To explore the uptake and implementation of Tele-Monitored Home-Exercise program in adults with PD |
Android computer tablet with Bluetooth and wireless Internet capability, mounted to an adjustable floor stand. A wearable physiologic monitor (BioHarness 3, Zephyr) |
Combined strength and aerobic exercise. Participants exercised under a telecoachs' supervision via videoconferencing |
Research staff |
Remotely |
Patients' home |
8 weeks of exercise, 3 sessions per week: with a total of 24 sessions |
No |
Measures of adherence included four variables: (a) the total number of exercise sessions performed, (b) time in minutes exercising per week, (c) time exercising at a moderate aerobic intensity per week, and (d) attendance. Interviews included 10 open-ended questions that served as general prompts for discussion in the following areas: perceptions of the program, equipment/devices, exercise setting, telecoach (or not having one), and rationales for exercise adherence |
Skolasky et al. (79) |
Improving Rehabilitation Engagement After Spinal Stenosis Surgery |
To compare the effectiveness of health behavior change counseling with usual care to improve health outcomes after lumbar spine surgical procedures |
Telephone |
Health behavior change counseling is a brief, telephone-based intervention intended to increase rehabilitation engagement through motivational interviewing strategies that elicit and strengthen motivation for change |
Clinical staff |
Remotely |
Patients' home |
Participants were assessed before the surgical procedure and for 3 years after the surgical procedure for pain intensity |
No |
Phone interviews |
Pitt et al. (80) |
Telerehabilitation in pw aphasia |
To describe changes in aphasia severity, and communication-related QOL and participation, for people with chronic aphasia following TeleGAIN |
Web-based videoconferencing |
Treatment provided opportunities to participate in a conversation, engage with others with aphasia, and complete functional communication activities |
Clinicians and patients |
Remotely |
Patients' home |
12 weeks |
No |
Communication-related quality of life and participation assessments |
Dennett et al. (82) |
Web-based physical intervention in pwMS |
To explore the experiences of participants who used a web-based physiotherapy intervention as part of a feasibility randomized controlled trial by in-depth interviews |
Web-based exercise platform |
Patients had to perform a web- based exercise program |
Physical therapist |
Remotely |
Patients' home |
Twice-weekly web-based physiotherapy sessions. |
No |
Interviews were audio-recorded, transcribed verbatim, and analyzed using thematic analysis |
Vries et al. (83) |
Home-based video intervention in pwPD |
To study the barriers and facilitators as perceived by PD patients considering continuous video recording at home for medical research and/or medical treatment purposes |
Home-based video system + Kinect camera, which measures motor functioning |
Patients had to perform their motor training routine, and it was recorded through the Kinect to the assessment of movement parameters, including standing up and several gait parameters |
Research staff |
Remotely |
Patients' home |
Motor training: not specified Interviews were conducted during 1 year |
No |
Interviews were semi-structured and included a standardized introduction, open-ended questions, and prompts to encourage further discussion and more specific answers |
Thomas et al. (84) |
Digital fatigue management in pwMS |
To gather views about a web-based model of service delivery from HCPs who had delivered FACETS and from pwMS who had attended FACETS |
Telephone |
Telephone consultations were undertaken with FACETS-trained HCPs who had the experience of delivering FACETS |
Clinicians |
Remotely |
Patients' home |
Face to face consultation intervention |
No |
Interviews |
Chemtob et al. (85) |
Telehealth to enhance motivation in pwSCI |
To test a pilot tele-health intervention, grounded in self-determination theory, to enhance need satisfaction, motivation, physical activity, and quality of life among adults with SCI. |
Online video-chat platform. |
Patients had to perform a leisure-time physical activity program that has been supported by an online coach intervention |
Psychologist |
Remotely |
Patients' home |
The Intervention group received online 1hour of counseling session per week, during 8 weeks |
No |
Online counseling |
Ellis et al. (86) |
Effectiveness of mHealth in pwPD |
To explore the preliminary effectiveness, safety, and acceptability of a mobile health (mHealth)–a mediated exercise program designed to promote sustained physical activity in people with PD |
Mobile health (mHealth) |
Patients had to perform a mobile health–mediated exercise program (“mHealth” condition) with an exercise program administered without mobile health technology |
Unspecified |
Remotely |
Patients' home |
12-month single-blind (assessor) |
No |
Exercise adherence data were collected via daily records of steps taken and exercises performed, using either the mobile health application. Program acceptability was assessed after 12 months by having participants rate their satisfaction using a 1 to 10 Likert scale |