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A novel telerehabilitation with an educational program for caregivers using telelecture is feasible for fall prevention in elderly people: A case series
BACKGROUND: The importance of fall prevention rehabilitations has been well recognized. Recently telerehabilitation was developed, however, there have been no reports on telerehabilitation with direct support from specialists for fall prevention among the elderly. We herein reported telerehabilitati...
Autores principales: | , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8830826/ https://www.ncbi.nlm.nih.gov/pubmed/35147084 http://dx.doi.org/10.1097/MD.0000000000027451 |
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author | Moriichi, Kentaro Fujiya, Mikihiro Ro, Takanori Ota, Tetsuo Nishimiya, Hitomi Kodama, Mariko Yoshida, Nana Hattori, Yukari Hosokawa, Tetsuya Hishiyama, Hohei Kunimoto, Masao Hayashi, Hiroki Hirokawa, Hiroyuki Yoshida, Akitoshi |
author_facet | Moriichi, Kentaro Fujiya, Mikihiro Ro, Takanori Ota, Tetsuo Nishimiya, Hitomi Kodama, Mariko Yoshida, Nana Hattori, Yukari Hosokawa, Tetsuya Hishiyama, Hohei Kunimoto, Masao Hayashi, Hiroki Hirokawa, Hiroyuki Yoshida, Akitoshi |
author_sort | Moriichi, Kentaro |
collection | PubMed |
description | BACKGROUND: The importance of fall prevention rehabilitations has been well recognized. Recently telerehabilitation was developed, however, there have been no reports on telerehabilitation with direct support from specialists for fall prevention among the elderly. We herein reported telerehabilitation by caregivers educated by our novel educational program. METHODS: Caregivers were educated with our educational program using a telelecture system and supported telerehabilitation following instructions from rehabilitation specialists in our university using the telemedicine system every two to four weeks for three months. Caregivers were assessed with our original questionnaire before and after the telelecture. Participants were assessed by the Berg Balance Scale (BBS), Timed Up & Go test (TUG test), Hand-held dynamometer (HHD) and Mini-Mental State Examination (MMSE) before and after telerehabilitation. Wilcoxon's signed-rank test was used for the statistical analyses. A value of P<.05 was considered statistically significant. RESULTS: Nine elderly people were enrolled. The mean age was 84.7 (78–90) years old and the sex ratio was 1:8 (males:females). The average number of telerehabilitation sessions was 4.7. The average score of nineteen caregivers before the lecture was 15.3, while that after the lecture was 18.3. Caregivers’ understanding was significantly increased after the telelecture (P<.001). No adverse events occurred during the study period. The median values of the BBSs, TUG test, right and left HHD and MMSE before and after 3 months’ telerehabilitation were 43 (95% confidence interval [CI]: 40.10, 49.01) and 49 (95% CI: 41.75, 50.91), 17.89 (95% CI: 15.51, 23.66) and 18.53 (95% CI: 14.56, 25.67), 7.95 (95% CI: 4.38, 10.14) and 11.55 (95% CI: 7.06, 13.55), 9.85 (95% CI: 6.79, 12.59) and 13.20 (95% CI: 7.96, 14.42), and 19 (95% CI: 12.34, 21.66) and 16 (95% CI: 10.81, 21.00), respectively. Although approximately half of the participants showed improvement in the BBS, TUG test, right and left HHD and MMSE, no significant changes were observed (P=.7239, P=.3446, P=.1023, P=.3538 and P=.8253, respectively). CONCLUSIONS: Our telerehabilitation program exhibited significant effects in elderly people and improved the degree of understanding concerning rehabilitation among caregivers in facilities for elderly people. |
format | Online Article Text |
id | pubmed-8830826 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-88308262022-02-15 A novel telerehabilitation with an educational program for caregivers using telelecture is feasible for fall prevention in elderly people: A case series Moriichi, Kentaro Fujiya, Mikihiro Ro, Takanori Ota, Tetsuo Nishimiya, Hitomi Kodama, Mariko Yoshida, Nana Hattori, Yukari Hosokawa, Tetsuya Hishiyama, Hohei Kunimoto, Masao Hayashi, Hiroki Hirokawa, Hiroyuki Yoshida, Akitoshi Medicine (Baltimore) 4600 BACKGROUND: The importance of fall prevention rehabilitations has been well recognized. Recently telerehabilitation was developed, however, there have been no reports on telerehabilitation with direct support from specialists for fall prevention among the elderly. We herein reported telerehabilitation by caregivers educated by our novel educational program. METHODS: Caregivers were educated with our educational program using a telelecture system and supported telerehabilitation following instructions from rehabilitation specialists in our university using the telemedicine system every two to four weeks for three months. Caregivers were assessed with our original questionnaire before and after the telelecture. Participants were assessed by the Berg Balance Scale (BBS), Timed Up & Go test (TUG test), Hand-held dynamometer (HHD) and Mini-Mental State Examination (MMSE) before and after telerehabilitation. Wilcoxon's signed-rank test was used for the statistical analyses. A value of P<.05 was considered statistically significant. RESULTS: Nine elderly people were enrolled. The mean age was 84.7 (78–90) years old and the sex ratio was 1:8 (males:females). The average number of telerehabilitation sessions was 4.7. The average score of nineteen caregivers before the lecture was 15.3, while that after the lecture was 18.3. Caregivers’ understanding was significantly increased after the telelecture (P<.001). No adverse events occurred during the study period. The median values of the BBSs, TUG test, right and left HHD and MMSE before and after 3 months’ telerehabilitation were 43 (95% confidence interval [CI]: 40.10, 49.01) and 49 (95% CI: 41.75, 50.91), 17.89 (95% CI: 15.51, 23.66) and 18.53 (95% CI: 14.56, 25.67), 7.95 (95% CI: 4.38, 10.14) and 11.55 (95% CI: 7.06, 13.55), 9.85 (95% CI: 6.79, 12.59) and 13.20 (95% CI: 7.96, 14.42), and 19 (95% CI: 12.34, 21.66) and 16 (95% CI: 10.81, 21.00), respectively. Although approximately half of the participants showed improvement in the BBS, TUG test, right and left HHD and MMSE, no significant changes were observed (P=.7239, P=.3446, P=.1023, P=.3538 and P=.8253, respectively). CONCLUSIONS: Our telerehabilitation program exhibited significant effects in elderly people and improved the degree of understanding concerning rehabilitation among caregivers in facilities for elderly people. Lippincott Williams & Wilkins 2022-02-11 /pmc/articles/PMC8830826/ /pubmed/35147084 http://dx.doi.org/10.1097/MD.0000000000027451 Text en Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0 (https://creativecommons.org/licenses/by/4.0/) |
spellingShingle | 4600 Moriichi, Kentaro Fujiya, Mikihiro Ro, Takanori Ota, Tetsuo Nishimiya, Hitomi Kodama, Mariko Yoshida, Nana Hattori, Yukari Hosokawa, Tetsuya Hishiyama, Hohei Kunimoto, Masao Hayashi, Hiroki Hirokawa, Hiroyuki Yoshida, Akitoshi A novel telerehabilitation with an educational program for caregivers using telelecture is feasible for fall prevention in elderly people: A case series |
title | A novel telerehabilitation with an educational program for caregivers using telelecture is feasible for fall prevention in elderly people: A case series |
title_full | A novel telerehabilitation with an educational program for caregivers using telelecture is feasible for fall prevention in elderly people: A case series |
title_fullStr | A novel telerehabilitation with an educational program for caregivers using telelecture is feasible for fall prevention in elderly people: A case series |
title_full_unstemmed | A novel telerehabilitation with an educational program for caregivers using telelecture is feasible for fall prevention in elderly people: A case series |
title_short | A novel telerehabilitation with an educational program for caregivers using telelecture is feasible for fall prevention in elderly people: A case series |
title_sort | novel telerehabilitation with an educational program for caregivers using telelecture is feasible for fall prevention in elderly people: a case series |
topic | 4600 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8830826/ https://www.ncbi.nlm.nih.gov/pubmed/35147084 http://dx.doi.org/10.1097/MD.0000000000027451 |
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