A new telerehabilitation with an educational program for caregivers using teleconferencing is feasible for the prevention of falls in the elderly: a case series

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Medicine (Baltimore). 2022 Feb 11;101(6):e27451. doi: 10.1097/MD.0000000000027451.

ABSTRACT

BACKGROUND: The importance of rehabilitations for the prevention of falls is well recognized. Recently, telerehabilitation has been developed, however, there have been no reports of telerehabilitation with direct support from specialists for the prevention of falls in the elderly. We have reported here telerehabilitation by caregivers educated by our new educational program.

METHODS: Caregivers were trained in our educational program using a teleconferencing system and assisted telerehabilitation following the instructions of rehabilitation specialists at our university using the telemedicine system every two to four weeks During three months. Caregivers were assessed with our original questionnaire before and after the teleconference. Participants were assessed by the Berg Balance Scale (BBS), Timed Up & Go Test (TUG test), Handheld Dynamometer (HHD), and Mini Mental State Examination (MMSE) before and after telerehabilitation. The Wilcoxon signed rank test was used for statistical analysis. A value of P

RESULTS: Nine seniors were enrolled. The mean age was 84.7 (78-90) years and the sex ratio was 1:8 (male:female). The average number of telerehabilitation sessions was 4.7. The average score of nineteen caregivers before the conference was 15.3, while that after the conference was 18.3. Caregivers’ understanding was significantly improved after the teleconference (P<.001 no adverse events occurred during the study period. median values bbs tug test right and left hhd mmse before after months of telerehabilitation were confidence interval ci: at respectively. although approximately half participants showed improvement in significant changes observed p="0.3446," respectively>

CONCLUSIONS: Our telerehabilitation program showed significant effects in the elderly and improved the level of understanding regarding rehabilitation among caregivers in institutions for the aged.

PMID:35147084 | DOI:10.1097/MD.0000000000027451

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