Telerehabilitation: A Promising Solution for Post-Earthquake Rehabilitation

Yıl 2023, Cilt: 8 Sayı: 2, 647 - 651, 21.06.2023

Yusuf Emük , Zuhal Abasıyanık , Turhan Kahraman

Öz

Telerehabilitation, the use of telecommunication technologies to provide rehabilitation services to individuals remotely, has emerged as a promising solution for post-earthquake rehabilitation. Earthquakes can cause severe physical and psychological damage, and the affected individuals often require rehabilitation services to recover. However, the traditional delivery of rehabilitation services may not be feasible in post-earthquake scenarios due to the destruction of infrastructure and limited availability of healthcare providers. Telerehabilitation offers a cost-effective and accessible alternative for providing rehabilitation services in such situations. This review article explores the current state of telerehabilitation in post-earthquake scenarios. It discusses the advantages and challenges of telerehabilitation and presents examples of successful implementation in earthquake-affected areas. The article also examines the effectiveness of telerehabilitation in various domains. The article highlights the importance of proper planning and infrastructure for successful implementation of telerehabilitation. It also emphasizes the need for training healthcare providers and patients to effectively use telecommunication technologies for rehabilitation services. The advantages of telerehabilitation, including cost-effectiveness and accessibility, make it a viable alternative to traditional rehabilitation services. However, successful implementation requires proper planning, infrastructure, and training. Further research is needed to explore the effectiveness of telerehabilitation in various post-earthquake scenarios and to address its ethical and legal implications.

Anahtar Kelimeler

Telerehabilitation, earthquake, rehabilitation, injury.

Telerehabilitasyon: Deprem Sonrası Rehabilitasyon İçin Umut Vadeden Bir Çözüm

Öz

Bireylere uzaktan rehabilitasyon hizmeti sağlamak için telekomünikasyon teknolojilerinin kullanılması olarak tanımlanan telerehabilitasyon, deprem sonrası rehabilitasyon için umut verici bir çözüm olarak ortaya çıkmıştır. Depremler ciddi fiziksel ve psikolojik hasara neden olabilir ve etkilenen bireylerin iyileşmesi için genellikle rehabilitasyon hizmetlerine ihtiyaç duyulur. Ancak, rehabilitasyon hizmetlerinin geleneksel sunumu, altyapının tahrip olması ve sağlık hizmeti sağlayıcılarının sınırlı mevcudiyeti nedeniyle deprem sonrası durumlarda mümkün olmayabilir. Telerehabilitasyon, bu tür durumlarda rehabilitasyon hizmetleri sağlamak için uygun maliyetli ve erişilebilir bir alternatif sunar. Bu derleme makalesi, deprem sonrası durumlarda telerehabilitasyonun mevcut durumunu incelemektedir. Bu makale, telerehabilitasyonun avantajlarını ve zorluklarını tartışır ve depremden etkilenen bölgelerde başarılı uygulama örnekleri sunar. Makale ayrıca telerehabilitasyonun çeşitli alanlardaki etkinliğini de incelemektedir. Makale, telerehabilitasyonun başarılı bir şekilde uygulanması için uygun planlama ve altyapının önemini vurgulamaktadır. Ayrıca rehabilitasyon hizmetleri için telekomünikasyon teknolojilerini etkin bir şekilde kullanmak üzere sağlık hizmeti sağlayıcılarının ve hastaların eğitilmesi ihtiyacını vurgulamaktadır. Maliyet etkinliği ve erişilebilirlik dahil olmak üzere telerehabilitasyonun avantajları, onu geleneksel rehabilitasyon hizmetlerine uygun bir alternatif haline getirir. Ancak, başarılı uygulama uygun planlama, altyapı ve eğitim gerektirir. Çeşitli deprem sonrası durumlarda telerehabilitasyonun etkinliğini araştırmak ve bunun etik ve yasal sonuçlarını ele almak için daha fazla araştırmaya ihtiyaç vardır.

Anahtar Kelimeler

Telerehabilitasyon, deprem, rehabilitasyon, yaralanma.

Kaynakça

• Sami F, Ali F, Zaidi S, Rehman H, Ahmad T, Siddiqui MI. The October 2005 earthquake in Northern Pakistan: patterns of injuries in victims brought to the Emergency Relief Hospital, Doraha, Mansehra. Prehosp Disaster Med. 2009;24(6):535-9.
• Mateen FJ. Neurological disorders in complex humanitarian emergencies and natural disasters. Annals of neurology. 2010;68(3):282- 94.
• Rathore FA, Gosney JE, Reinhardt JD, Haig AJ, Li J, DeLisa JA. Medical rehabilitation after natural disasters: why, when, and how? Archives of Physical Medicine and Rehabilitation. 2012;93(10):1875-81.
• Ahrari M, Zangiabadi N, Asadi A. Prevalence and distribution of peripheral nerve injuries in victims of Bam earthquake. Electromyography and clinical neurophysiology. 2006;46(1):59-62.
• Rathore M, Rashid P, Butt A, Malik A, Gill Z, Haig AJ. Epidemiology of spinal cord injuries in the 2005 Pakistan earthquake. Spinal cord. 2007;45(10):658-63.
• Bhatti SH, Ahmed I, Qureshi NA, Akram M, Khan J. Head trauma due to earthquake October, 2005—experience of 300 cases at the Combined Military Hospital Rawalpindi. J Coll Physicians Surg Pak. 2008;18(1):22-6.
• Zhang L, Li H, Carlton JR, Ursano R. The injury profile after the 2008 earthquakes in China. Injury. 2009;40(1):84-6.
• Dai Z, Li Y, Lu M, Chen L, Jiang D. Clinical profile of musculoskeletal injuries associated with the 2008 Wenchuan earthquake in China. Ulusal travma ve acil cerrahi dergisi= Turkish journal of trauma & emergency surgery: TJTES. 2010;16(6):503-7.
• Pang H-N, Lim W, Chua W-C, Seet B. Management of musculoskeletal injuries after the 2009 western Sumatra earthquake. Journal of Orthopaedic Surgery. 2011;19(1):3-7.
• Kuwagata Y, Oda J, Tanaka H, Iwai A, Matsuoka T, Takaoka M, et al. Analysis of 2,702 traumatized patients in the 1995 Hanshin-Awaji earthquake. Journal of Trauma and Acute Care Surgery. 1997;43(3):427- 32.
• Li Y, Pan F, Li Y. Analysis of rehabilitation needs, measures taken, and their effectiveness for the wounded following the Wenchuan Earthquake. Journal of Evidence‐Based Medicine. 2009;2(4):258-64.
• Rathore FA, Farooq F, Muzammil S, New PW, Ahmad N, Haig AJ. Spinal cord injury management and rehabilitation: highlights and shortcomings from the 2005 earthquake in Pakistan. Archives of physical medicine and rehabilitation. 2008;89(3):579-85.
• Hu X, Zhang X, Gosney JE, Reinhardt JD, Chen S, Jin H, et al. Analysis of functional status, quality of life and community integration in earthquake survivors with spinal cord injury at hospital discharge and one-year follow-up in the community. Journal of rehabilitation medicine. 2012;44(3):200-5.
• Zhang X, Hu X-r, Reinhardt JD, Zhu H-j, Gosney JE, Liu S-g, et al. Functional outcomes and health-related quality of life in fracture victims 27 months after the Sichuan earthquake. Journal of Rehabilitation Medicine. 2012;44(3):206-9.
• Nicogossian AE, Doarn CR. Armenia 1988 earthquake and telemedicine: lessons learned and forgotten. Telemedicine and e-Health. 2011;17(9):741-5.
• Kahraman T. Koronavirüs hastalığı (COVID-19) pandemisi ve telerehabilitasyon. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi. 2020;5(2):87-92.
• Russell TG. Physical rehabilitation using telemedicine. Journal of telemedicine and telecare. 2007;13(5):217-20.
• Carey JR, Durfee WK, Bhatt E, Nagpal A, Weinstein SA, Anderson KM, et al. Comparison of finger tracking versus simple movement training via telerehabilitation to alter hand function and cortical reorganization after stroke. Neurorehabilitation and neural repair. 2007;21(3):216-32.
• Peretti A, Amenta F, Tayebati SK, Nittari G, Mahdi SS. Telerehabilitation: review of the state-of-the-art and areas of application. JMIR rehabilitation and assistive technologies. 2017;4(2):e7511.
• Parmanto B, Saptono A. Telerehabilitation: state-of-the-art from an informatics perspective. International Journal of Telerehabilitation. 2009;1(1):73.
• Raissi GR. Earthquakes and rehabilitation needs: experiences from Bam, Iran. The journal of spinal cord medicine. 2007;30(4):369-72.
• Khan F, Amatya B, Lee SY, Vasudevan V. Rehabilitation in disaster relief. Physical Medicine and Rehabilitation Clinics. 2019;30(4):723-47.
• Mohammadzadeh N, Saeedi S, Rezayi S. Telemedicine and natural disasters: various services, requirements, challenges, and general framework. Frontiers in Emergency Medicine. 2022;6(4):1-10.
• O'Connell C. Telerehabilitation in Disasters. Telerehabilitation: Elsevier; 2022. p. 377-89.
• Kheyrati L, Keshvari H, Fatehi F, Hemmati M, Khankeh H, Habibisaravi R, et al. Presenting a model for telemedicine in earthquake for Iran. Health in Emergencies and Disasters Quarterly. 2019;4(3):157-64.
• Anwar S, Prasad R, Chowdhary BS, Anjum MR. A telemedicine platform for disaster management and emergency care. Wireless Personal Communications. 2019;106:191-204.
• restoreyoureconomy.org [Internet]. USA: International Economic Development Council Phases of Disaster: Disaster preparedness and economic recovery; 2023 [cited 2023 March 8]. Available from: https:// restoreyoureconomy.org/pages/phases-of-disaster/
• Amatya B, Galea M, Li J, Khan F. Medical rehabilitation in disaster relief: Towards a new perspective. Journal of rehabilitation medicine. 2017;49(8):620-8.
• Reinhardt J, Zhang X, Chen S, Li J, Zhou M, Khan F. Long-term effectiveness of rehabilitation services delivery for Wenchuan earthquake survivors with impairments over a 4-year period: a prospective cohort study. BMJ Open. 2022;12(8):e057158.
• Cottrell MA, Galea OA, O’Leary SP, Hill AJ, Russell TG. Real-time telerehabilitation for the treatment of musculoskeletal conditions is effective and comparable to standard practice: a systematic review and meta-analysis. Clinical rehabilitation. 2017;31(5):625-38.
• Laver KE, Adey‐Wakeling Z, Crotty M, Lannin NA, George S, Sherrington C. Telerehabilitation services for stroke. Cochrane Database of Systematic Reviews. 2020(1).
• Rogante M, Grigioni M, Cordella D, Giacomozzi C. Ten years of telerehabilitation: A literature overview of technologies and clinical applications. NeuroRehabilitation. 2010;27(4):287-304.
• Šago D, Martić V, Šmida D, Mayer N, Lovretić V, Filipčić I. Telepsychiatry in the time of the COVID-19 and earthquake in zagreb as odysseus between scylla and Charybdis. Psychiatria Danubina. 2020;32(3-4):478- 81.
• Qadir TF, Fatima H, Usmani MH, Hussain SA. Telepsychiatry in Pakistan after natural disasters. The Lancet Psychiatry. 2016;3(11):1016