1
|
Chuang HY, Ho SYC, Chou W, Tsai CL. Exploring the top-cited literature in telerehabilitation for joint replacement using the descriptive, diagnostic, predictive, and prescriptive analytics model: A thematic and bibliometric analysis. Medicine (Baltimore) 2023; 102:e36475. [PMID: 38050200 PMCID: PMC10695623 DOI: 10.1097/md.0000000000036475] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/03/2023] [Accepted: 11/14/2023] [Indexed: 12/06/2023] Open
Abstract
BACKGROUND Telerehabilitation offers a novel approach supplementing or replacing traditional physical rehabilitation. While research on telerehabilitation for joint replacement (TJR) has expanded, no study has investigated the top 100 cited articles (T100TJR) using the descriptive, diagnostic, predictive, and prescriptive analytics (DDPP) model. This study aims to examine the features of T100TJR in TJR through the DDPP approaches. METHODS A comprehensive search of the Web of Science Core Collection was conducted to locate all pertinent English-language documents from the database's inception until August 2, 2023. The T100TJR articles were then identified based on citation counts. The DDPP analytics model, along with 7 visualization techniques, was used to analyze metadata elements such as countries, institutions, journals, authors, references, and keywords. An impact timeline view was employed to highlight 2 particularly noteworthy articles. RESULTS We analyzed 712 articles and observed a consistent upward trend in publications, culminating in a noticeable peak in 2022. The United States stood out as the primary contributor. A detailed examination of the top 100 articles (T100TJR) revealed the following leading contributors since 2010: the United States (by country), University of Sherbrooke, Canada (by institutions), 2017 (by publication year), and Dr Hawker from Canada (by authors). We delineated 4 major themes within these articles. The theme "replacement" dominated, featuring in 89% of them. There was a strong correlation between the citations an article garnered and its keyword prominence (F = 3030.37; P < .0001). Additionally, 2 particularly high-impact articles were underscored for recommendation. CONCLUSIONS Telerehabilitation for TJR has seen rising interest, with the U.S. leading contributions. The study highlighted dominant themes, especially "replacement," in top-cited articles. The significant correlation between article citations and keyword importance indicates the criticality of keyword selection. The research underscores the importance of 2 pivotal articles, recommending them for deeper insights.
Collapse
Affiliation(s)
- Hua-Ying Chuang
- Department of Internal Medicine, Chi Mei Medical Center, Tainan, Taiwan
- Institute of Physical Education, Health and Leisure Studies, National Cheng Kung University, Tainan, Taiwan
- Department of Nursing, Chung Hwa University, Tainan, Taiwan
| | - Sam Yu-Chieh Ho
- Department of Emergency Medicine, Chi-Mei Medical Center, Tainan, Taiwan
| | - Willy Chou
- Department of Physical Medicine and Rehabilitation, Chiali Chi-Mei Hospital, Tainan, Taiwan
- Department of Physical Medicine and Rehabilitation, Chung San Medical University Hospital, Taichung, Taiwan
| | - Chia-Liang Tsai
- Institute of Physical Education, Health and Leisure Studies, National Cheng Kung University, Tainan, Taiwan
| |
Collapse
|
2
|
Lal H, Mohanta S, Kumar J, Patralekh MK, Lall L, Katariya H, Arya RK. Telemedicine-Rehabilitation and Virtual Reality in Orthopaedics and Sports Medicine. Indian J Orthop 2023; 57:7-19. [PMID: 36660485 PMCID: PMC9789228 DOI: 10.1007/s43465-022-00766-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/25/2021] [Accepted: 10/18/2022] [Indexed: 11/25/2022]
Abstract
Introduction Tele-rehabilitation is a method of delivering rehabilitation services using information, technology and communication to everyone, irrespective of their geographic location. National zeal for competitive sports and COVID pandemic has led to an increase in its demand and popularity worldwide. The athletes need immediate treatment and correct rehabilitation to keep them in their game. This review aims to bring into perspective the importance of telemedicine and telerehabilitation in orthopaedics and sports medicine with a focus on virtual reality. Methods Articles were searched based on suitable keywords 'telemedicine', 'telerehabilitation' 'orthopedics', 'orthopaedics', 'sports' and 'India*' which were combined using suitable boolean operators in PubMed, Scopus and Web of Science. Government guidelines and laws were also reviewed in view of telehealth and telemedicine. Conclusion Tele-rehabilitation and virtual physical therapy are innovative and cost-effective ways to provide the best rehabilitative services to the patients at their doorstep. Virtual reality should be incorporated into the Indian telehealth delivering system with a special focus on the remote athlete population.
Collapse
Affiliation(s)
- Hitesh Lal
- Sports Injury Centre, Vardhman and Mahavir Medical College, Safdarjung Hospital, New Delhi, India
| | - Shwetasri Mohanta
- Sports Injury Centre, Vardhman and Mahavir Medical College, Safdarjung Hospital, New Delhi, India
| | - Jaswant Kumar
- Sports Injury Centre, Vardhman and Mahavir Medical College, Safdarjung Hospital, New Delhi, India
| | - Mohit Kumar Patralekh
- Central Institute of Orthopaedics, Vardhman and Mahavir Medical College, Safdarjung Hospital, New Delhi, India
| | - Lavanya Lall
- Netaji Subhas University of Technology, Dwarka, New Delhi, India
| | - Himanshu Katariya
- Sports Injury Centre, Vardhman and Mahavir Medical College, Safdarjung Hospital, New Delhi, India
| | - R. K. Arya
- Sports Injury Centre, Vardhman and Mahavir Medical College, Safdarjung Hospital, New Delhi, India
| |
Collapse
|
3
|
Saeki M, Oyama S, Yoneda H, Shimoda S, Agata T, Handa Y, Kaneda S, Hirata H. Demonstration experiment of telemedicine using ultrasonography and telerehabilitation with 5G communication system in aging and depopulated mountainous area. Digit Health 2022; 8:20552076221129074. [PMID: 36262932 PMCID: PMC9575445 DOI: 10.1177/20552076221129074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2022] [Accepted: 09/10/2022] [Indexed: 11/04/2022] Open
Abstract
Objective The challenges of an aging population worldwide are the increased number of people needing medical and nursing care and inadequate medical resources. Information and communication technologies have progressed remarkably, leading to innovations in various areas. 5G communication systems are capable of high-capacity, high-speed communication with low latency and are expected to transform medicine. We aimed to report a demonstration experiment of telerehabilitation and telemedicine using a mobile ultrasound system in a depopulated area in a mountainous terrain, where 32% of the population are 65 years or older. Methods At the core hospital, a physician or physical therapist remotely performed ultrasonography or rehabilitation on a subject in a clinic. Five general residents participated in the telerehabilitation as subjects. The delay time and video quality transmitted with 5G and long-term evolution (LTE) communication systems were compared. The physician or physical therapist subjectively evaluated the quality and delay of the transmitted images and subject acceptability. Results Of seven physical therapists, six and three responded that the video quality was "good" for telerehabilitation with 5G/4K resolution and LTE, respectively. Five physical therapists and one physical therapist reported that the delay time was "acceptable" with 5G/4K resolution and LTE, respectively. For telemedicine using a mobile ultrasound system, the responses for 5G were "the delay was acceptable" and "rather acceptable." In contrast, both respondents' responses for LTE were "not acceptable." Conclusions Multiple high-definition images can be transmitted with lower latency in telerehabilitation and telemedicine using mobile ultrasound imaging systems with a 5G communication system. These differences affected the subjective evaluation of the doctors and physical therapists.
Collapse
Affiliation(s)
- Masaomi Saeki
- Department of Hand Surgery, Nagoya University Graduate School of
Medicine, Nagoya, Japan,Center for Advanced Medicine and Clinical Research,
Nagoya
University Hospital, Nagoya, Japan,Masaomi Saeki, Graduate School of Medicine,
Nagoya University, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, Japan.
| | - Shintaro Oyama
- Department of Hand Surgery, Nagoya University Graduate School of
Medicine, Nagoya, Japan,Medical IT center, Nagoya University
Hospital, Nagoya, Japan
| | - Hidemasa Yoneda
- Department of Hand Surgery, Nagoya University Graduate School of
Medicine, Nagoya, Japan
| | - Shingo Shimoda
- RIKEN Center of Brain Science-TOYOTA Collaboration Center, Nagoya,
Japan
| | - Tsukasa Agata
- Department of Medical Technology, Shinshiro Municipal
Hospital, Shinshiro, Japan
| | - Yutaka Handa
- Department of Medical Technology, Shinshiro Municipal
Hospital, Shinshiro, Japan
| | - Satoshi Kaneda
- Info-Future
Innovation Center, NTT Data Institute of Management
Consulting, Inc., Tokyo, Japan
| | - Hitoshi Hirata
- Department of Hand Surgery, Nagoya University Graduate School of
Medicine, Nagoya, Japan
| |
Collapse
|
4
|
Annaswamy TM, Pradhan GN, Chakka K, Khargonkar N, Borresen A, Prabhakaran B. Using Biometric Technology for Telehealth and Telerehabilitation. Phys Med Rehabil Clin N Am 2021; 32:437-449. [PMID: 33814068 DOI: 10.1016/j.pmr.2020.12.007] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
This article discusses the use of physical and biometric sensors in telerehabilitation. It also discusses synchronous tele-physical assessment using haptics and augmented reality and asynchronous physical assessment using remote pose estimation. The article additionally focuses on computational models that have the potential to monitor and evaluate changes in kinematic and kinetic properties during telerehabilitation using biometric sensors such as electromyography and other wearable and noncontact sensors based on force and speed. And finally, the article discusses how virtual reality environments can be facilitated in telerehabilitation.
Collapse
Affiliation(s)
- Thiru M Annaswamy
- PM&R Service, Department of PM&R, VA North Texas Health Care System, UT Southwestern Medical Center, 4500, South Lancaster Road, Dallas, TX-75216, USA.
| | - Gaurav N Pradhan
- Biomedical Informatics, Mayo Clinic College of Medicine, 13400, East Shea Boulevard, Scottsdale, AZ-85259, USA
| | - Keerthana Chakka
- UT Southwestern Medical School, 5323, Harry Hines Boulevard, Dallas, TX-75390, USA
| | - Ninad Khargonkar
- Department of Computer Science, University of Texas at Dallas, 800, West Campbell Road, Richardson, TX-75080, USA
| | - Aleks Borresen
- Department of Physical Medicine and Rehabilitation, University of Alabama at Birmingham, 157 Spain Rehabilitation Center, 1717 6th Avenue South, Birmingham, AL 35249, USA
| | - Balakrishnan Prabhakaran
- Department of Computer Science, University of Texas at Dallas, 800, West Campbell Road, Richardson, TX-75080, USA
| |
Collapse
|
5
|
Pastora-Bernal JM, Martín-Valero R, Barón-López FJ, Estebanez-Pérez MJ. Evidence of Benefit of Telerehabitation After Orthopedic Surgery: A Systematic Review. J Med Internet Res 2017; 19:e142. [PMID: 28455277 PMCID: PMC5429438 DOI: 10.2196/jmir.6836] [Citation(s) in RCA: 125] [Impact Index Per Article: 17.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2016] [Revised: 01/10/2017] [Accepted: 03/18/2017] [Indexed: 12/27/2022] Open
Abstract
BACKGROUND In addition to traditional physiotherapy, studies based on telerehabilitation programs have published the results of effectiveness, validity, noninferiority, and important advantages in some neurological, cognitive, and musculoskeletal disorders, providing an opportunity to define new social policies and interventions. OBJECTIVES The aim of this systematic review is to investigate the effects of telerehabilitation after surgical procedures on orthopedic conditions as well as to describe how interventions are designed and to determine whether telerehabilitation is comparable with conventional methods of delivery. This systematic review summarizes the levels of evidence and grades of recommendation regarding telerehabilitation intervention (synchronous or asynchronous provided via the telerehabilitation medium, either in conjunction with, or in isolation of, other treatment interventions) after surgical procedures on orthopedic conditions. METHODS Study quality was assessed using the Physiotherapy Evidence Database (PEDro) scores and grade of recommendation following the recommendation of the Oxford Centre for Evidence-Based Medicine. RESULTS We found 3 studies with PEDro scores between 6 and 8, which is considered as level 1 evidence (good; 20% [3/15]), 4 studies with a score of 5, which is considered as level 2 evidence (acceptable; 27% [4/15]), and the remaining 8 studies had scores of 4 or less, which is considered (poor; 53% [8/15]). A total of 1316 participants received telerehabilitation intervention in the selected studies, where knee and hip replacement were 75% of all the studies. Strong and moderate grades of evidence (grade of recommendation A-B) were found in knee and hip replacement interventions. Studies on the upper limb were 25% of the studies, but only 1 study presented a moderate grade of evidence (grade of recommendation B) and the rest were of poor methodological quality with weak evidence (grade of recommendation C). CONCLUSIONS Conclusive evidence on the efficacy of telerehabilitation for treatment after an orthopedic surgery, regardless of pathology, was not obtained. We found strong evidence in favor of telerehabilitation in patients following total knee and hip arthroplasty and limited evidence in the upper limb interventions (moderate and weak evidence). Future research needs to be more extensive and conclusive. To the best of the authors' knowledge, this is the first attempt at evaluating the quality of telerehabilitation intervention research after surgical procedures on orthopedic conditions in a systematic review. Clinical messages and future research recommendations are included in the review.
Collapse
Affiliation(s)
| | - Rocio Martín-Valero
- Faculty of Nursery and Physiotherapy, Department of Nursery and Physiotherapy, University of Cadiz, Cadiz, Spain
| | | | | |
Collapse
|