Overview
- Motivation and Aims
- Additional Reading Materials: Chapters from Emerging and Accessible Telecommunications, Information and healthcare Technologies (Winters et al, eds.), RESNA Press, 2002; parts of some journal articles
- History
- Telemedicine in the 1960's and 70's
- Telemedicine in the 1980's
- Societal technology: POTS phone, broadcast TV, LAN, computer modem
- Telemedicine/Telehealth and Telerehab in the 1990's
- Societal technology: Internet, 2G cellphone, wireless, broadband, instant messaging
- Telehealth and Telerehab in the 2000's
- Societal technology: now cable modem/DSL, cellphone, VoIP, merging!
Universal Access and Telerehab
- Vision of and Perspectives on Universal Access
- Technology and Changes in Societal Perspectives on Access
- "Universal Access" Defined
- US Access Board, Office for Adv. of Telehealth, ITU & FCC, Rehab
- Federal/State laws Mandating Accessibility
- Section 255 of Telecom Act of 1996
- Section 508 of Rehab Act of 1973/1998
- Perspective on Universal Access
- Universal Usability plus consideration of the barriers of distance and socioeconomic status
- example: RERC-AMI Projects D3.1 (telerehab focus) and D3.2 (multimodal accessibility focus)
- Universal Access and Universal Design Market Potential (15% have functional limitation; aging society; similar prices with front-end design)
- Telehealth as a Tool for Improving Univeral Access
- Engineering perspective: maximizing access, with telehealth changing constraints
- Healthcare systems perspective: maximizing outcomes by adding alternatives to and timely integration within the plan of care
- So why isn't telerehab flourishing?
- Telecom/Information Technology Access
- Definitions
- RERC Telecom Access: distinctions between tele-conversation, tele-messaging, alerting
- RERC Information Access: Electronic and Information Technology Interface Technology Categories and Emerging Trends
- RERC Augmentative and Alternative Communciation
- Components of such systems
- Perspectives on a Tele-Encounter
- Perspectives
- illusion of telepresence, remote access to information and services, task-oriented
- Systems for video teleconferencing:
- group, rollabout, desktop, mobile
- Key "...abilities"
- accessibility/usability, interoperability, reliability, scalability/flexibility
- Practical Aspects in Designing Telerehab Systems
- Room-based systems (desktop, group)
- Key implications and considerations (group vs individual, cameras, mics, lighting, background)
- Mobile systems (wireless, wearable)
- Key advantages
- Key challenges
Models for Telerehab
Telehealth Technologies
- General Considerations (e.g., telerehab and rehab optimization strategies)
- Areas of Large-Scale Need (and Potential Opportunity)
- Adult neurorehabilitation from trauma
- Children with neuromotor Impairment
- Cardiopulmonary rehabiltiation
- Supportive telehomecare
- Clinical Telerehabilitation Research Involving Rehabilitation Practitioners
- Telemedicine: Rehab Teleconsults (examples from physiatrist, PT, OT, SLP)
- Telehomecare/telemonitoring (e.g., cardiopulmonary rehab)
- Telehomecare/telemonitoring (e.g., wound care (pressure ulcer) management)
- Telemonitoring/teletherapy (e.g., stroke)
- Insights from review of research presented at Telerehab State of the Science conference
New Paradigms for Clinical Telerehab Research?
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