Feasibility and effectiveness of tele rehabilitation services for patients with Multiple Sclerosis: A Scoping Review
Code: G-1462
Authors: Zahra Zare ℗, Abdosaleh Jafari, Fatemeh Sarpourian *, Shokrollah Mohseni, Fatemeh Mirparsa
Schedule: Not Scheduled!
Tag: Robotics in Surgery and Care
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Abstract:
Abstract
Background and aims: Multiple sclerosis (MS) is a chronic disease of the central nervous system and a leading cause of disability in individuals aged 20 to 40. Recently, there has been a growing interest in utilizing innovative approaches such as telerehabilitation to supplement traditional rehabilitation services; however, the evidence regarding their feasibility and effectiveness remains limited and does not fully address the current needs of patients. This scoping review aims to gather published studies related to the feasibility and effectiveness of telerehabilitation services for patients with multiple sclerosis, conducted in 2024. Method: In the present study, a scoping review was conducted using the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines to examine studies published in PubMed, Embase, Web of Science, Scopus, and Cochrane databases up to September 29, 2024. To maximize article coverage, the reference lists of selected articles were also screened. The analysis included both descriptive summaries and inductive thematic analysis. Results: Of the 2700 articles initially identified, 10 were ultimately included in the study. The findings indicated that telerehabilitation is feasible and accessible, leading to improvements in both clinical and non-clinical outcomes. Clinical improvements included enhanced physical function, reduced fatigue, and improved mobility, while non-clinical improvements encompassed psychological well-being and quality of life. This is particularly important because it enables individuals with MS-related mobility impairments to access necessary rehabilitation services regardless of geographical limitations. Rehacom and ERICA were the most frequently used telerehabilitation software platforms. These platforms offer suitable exercises and monitoring tools that facilitate patient engagement and adherence to rehabilitation protocols. Technical issues were identified as the most significant barrier to implementation. Factors that facilitated implementation included educating patients and healthcare providers on the effective use of the technology, integration with existing healthcare systems, and the presence of supportive policies. Conclusion: Telerehabilitation for patients with MS is feasible and has significant effects compared to traditional rehabilitation. However, optimizing this technology requires reducing implementation barriers and utilizing accessible, user-friendly, and low-cost technologies.
Keywords
Tele rehabilitation, Multiple Sclerosis, Feasibility, Effectiveness
