Research, education and practice of tele-neurorehabilitation in low and middle-income countries: A Scoping Review

被引:0
作者
Gandhi, Dorcas B. C. [1 ,2 ,3 ]
Kamalakannan, Sureshkumar [4 ]
Dsouza, Jennifer V. [5 ]
Montanaro, Vinicius [6 ]
Chawla, Nistara S. [7 ]
Mahmood, Amreen [8 ]
Ngeh, Etienne [9 ]
Zarreen, Sania [1 ]
Vijayanand, Pranay J. [1 ]
Solomon, John M. [7 ,10 ]
机构
[1] Christian Med Coll & Hosp Ludhiana, Dept Neurol, Ludhiana, India
[2] Christian Med Coll & Hosp Ludhiana, Coll Physiotherapy, Ludhiana 141008, Punjab, India
[3] Manipal Acad Hlth Sci, Manipal, India
[4] Dept Social Work Educ & Community Wellbeing, Northumbria, England
[5] St Johns Med Coll, Dept Physiotherapy, Bengaluru, India
[6] SARAH Network Rehabil Hosp, Brasilia, Brazil
[7] Manipal Coll Hlth Profess MAHE, Dept Physiotherapy, Manipal, India
[8] Manchester Metropolitan Univ, Dept Hlth Profess, Manchester, England
[9] Res Org Hlth Educ & Rehabil Cameroon ROHER CAM, Bamenda, Cameroon
[10] Manipal Acad Higher Educ, Ctr Comprehens Stroke Rehabil & Res, Manipal, India
关键词
Telerehabilitation; neurorehabilitation; low and middle income countries; research; education; practice; PARKINSONS-DISEASE; CARE;
D O I
10.3233/NRE-240053
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
BACKGROUND: Tele-neurorehabilitation (TNR) allows for remote delivery of rehabilitation services for those with neurological disabilities. Despite growing global interest and uptake, its adoption remains challenging in Low-and-Middle-Income-Countries (LMICs).OBJECTIVE: To explore available literature on the nature of training and education, research and practice of TNR in LMICs.METHODS: Following PRISMA-ScR guidelines and predefined selection criteria, four databases were screened. Quality assessment was performed using the Joanna Briggs Institute tools. Relevant data was extracted to using a data extraction form in Microsoft Excel and were narratively synthesised under Education/training, Research and Clinical Practice of TNR.RESULTS: We identified no formal structured training courses/programs for TNR users/providers. Sessions were mainly delivered as part of a research project. The included studies highlighted the need to engage stakeholders in TNR research and improve digital-literacy among healthcare providers/users. Development and use of clinical decision-making-tools, models of TNR suitable for varied populations and prior area-mapping were a few suggestions for clinical/research practice.CONCLUSION: There is an immense need to develop academic/structured programs for TNR to build capacity among providers/users in LMICs. Practice must adhere to principles of safety, effectiveness, and based on high quality clinical-guidelines suitable to the context to ensure optimal uptake and practice of TNR in LMICs.
引用
收藏
页码:48 / 60
页数:13
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