Mobility Limitation
Conditions
Brief summary
Tele-rehabilitation offers remote healthcare services via telecommunication technology to patients who face challenges in accessing traditional in-person rehabilitation. This randomized controlled trial investigated the effectiveness of tele-rehabilitation in overcoming mobility impairments in rural Pakistan.
Detailed description
A total of 92 participants, equally divided into intervention and control groups, were assessed. The intervention group received a 6-month tele-rehabilitation program, including video consultations, home visits, structured calls, and text messages.
Interventions
COMBINATION_PRODUCTTele Rehab
Tele rehabilitation intervention is 6 months standardized program aimed to provide special rehabilitation services to patients with mobility impairments in rural areas without the need for them to travel to healthcare facility in big cities. The program consists of standard exercises addressing key components of mobility impairments.
DIAGNOSTIC_TESTFormal Rehab
After formal rehabilitation is completed, some impaired mobility victims re-access services; no attempt will be made to stop the control group from accessing further care, in either a public or private setting. However, physical activity participation will be assured during monthly phone call by a blinded -research assistant. Participants in this group will undergo three assessments at baseline, 6 and 12 months
Sponsors
Superior University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
20 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* People will be eligible for participation if they have had any disorder causing mobility impairment, * Lives in rural areas, * Are over the age of 20, * Have been discharged from inpatient, outpatient and community physiotherapy living in their home, (Saywell, Vandal et al. 2012) * Have medical approval from their general practitioner to engage in low to medium level exercise programs, * At least 3 score on telephone cognitive screening questionnaire (Callahan, Unverzagt et al. 2002) * Have limitation in mobility, physical function of arm, leg or both.
Exclusion criteria
* If they have confirmed cerebellar or brain stem stroke, * Tele rehabilitation involvement require frequent communication with physiotherapist so using interpreter is considered impractical, * Participants enrolled in other rehabilitation programs, * Lack of necessary devices (e.g, internet, smartphone, tablet, computer) for tele rehabilitation.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Berg Balance Scale | 12 Months | The scale consists of 14 tasks that a healthcare provider scores on a scale from 0 to 4. The higher the score, the better your balance. It's a straightforward, reliable test providers use to assess functional balance |
| Quality of Life (QOL) | 12 Months | The QOLS scores are summed so that a higher score indicates higher quality of life. Average total score for healthy populations is about 90. |
Countries
Pakistan
Outcome results
None listed