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Background: The aim of our project was to develop a telerehabilitation service which would help compensating the lack of rehabilitation teams on the primary level. We also wanted to test the suitability of the developed content and assess its feasibility for use it in clinical practice. We tested our own telerehabiltiation model based on movies for rehabilitation that patients can access via tablet PC and monitoring by professionals during videoconferences. Methods: We developed the telerehabilitation model, prepared the required infrastructure (web portal, web multimedia server, Skype teleconferencing system), prepared the content (movies for patients to watch at home), decided how the patients would access the content, and organised the videoconferences. The telerehabilitation solution was tested by five patients after trans-tibial amputation. Results: Twenty-six movies were produced, classified and stored on the cloud server. The therapists prescribed 7 to 17 different exercise movies per patient; the patients watched the movies from 0 to 11 times. The occupational therapist and the physiotherapist held one videoconference per week with each patient (two to seven in total). Each patient experienced problems with the mobile internet connection at least once, but the problems were quickly resolved. Conclusions: The developed rehabilitation solution is appropriate and useful in clinical practice for patients staying at home after trans-tibial amputation. Izhodišča: Namen našega projekta je bil razviti storitev rehabilitacije na daljavo - telerehabilitacije, ki bi lahko nadomestila pomanjkanje ustrezno usposobljenih rehabilitacijskih timov na primarni ravni. Želeli smo preveriti lasten model telerehabilitacije, ki temelji na posnetih vajah za rehabilitacijo (filmi), ki so bolniku dostopni prek tabličnega računalnika, in strokovnemu spremljanju bolnika prek video konference na daljavo na domu. Potrditi smo želeli primernost razvitih multimedijskih vsebin in možnost uporabe telerehabilitacije v klinični praksi. Metode: Izdelali smo model telerehabilitacijske storitve, vzpostavili tehnološko infrastrukturo za izvajanje telerehabilitacije (spletni portal, spletni strežnik za multimedijske vsebine, povezavo v Skype), pripravili multimedijske vsebine (filme, vaje), ki jih bodo bolniki gledali v domačem okolju in ob njih izvajali vaje) ter določili protokol, kako bodo bolniki dostopali do pripravljenih vsebin, kako bodo vadili in kako bodo potekali obiski terapevta na daljavo. Pripravljeno metodo smo preizkusili pri petih osebah po transtibialni amputaciji. Rezultati: Za izvajanje vaj smo posneli 26 filmov z vajami, jih ustrezno opremili in razvrstili ter jih shranili na spletni multimedijski strežnik v informacijskem oblaku. Bolnikom so terapevti predpisali od 7 do 17 različnih vaj. Uporabili smo vse pripravljene filme. Bolniki so si jih ogledali od 0 do 11-krat. Delovni terapevt in fizioterapevt sta imela z vključenimi bolniki po eno videokonferenco na teden (skupaj dve do sedem). Pri vseh bolnikih smo vsaj enkrat imeli težave s povezavo (internet, Skype), vendar smo jih hitro in sproti reševali. Sklepi: Storitev telerehabilitacije je bila za vključene osebe po transtibialni amputaciji v predlaganem modelu primerna in uporabna v klinični praksi za rehabilitacijo v domačem okolju. |
