Category: Technology (e.g. robotics, assistive technology, mHealth); Brain Injury
Objective(s) : This scoping review was conducted to explore how remote supervision is being used in moderate or severe TBI rehabilitation and to identify the current gaps in the field of physical rehabilitation. Remote supervision may be used as an alternative method of rehabilitation when traditional face-to-face services cannot be accessed by patients.
Data Sources : Four databases were searched (Medline-OVID, PsychINFO, CINAHL, Cochrane Library) without any publication year restriction, either French or English, with a last search on May 7, 2018.
Study Selection : This scoping review followed the EQUATOR Network recommendations for screening and data extraction. The PICO principles helped identify the following key concepts and search terms: moderate or severe traumatic brain injury, remote supervision and/or telemedicine, rehabilitation and/or physical intervention. After duplicates were removed, 166 studies were independently screened by two researchers, and 26 were included.
Data Extraction : Implementation characteristics such as type of supervision, frequency, intensity of remote supervision, and types of outcomes were imbedded into the extraction form and piloted. This form guided the independent extraction completed by both reviewers for all included studies. Intervention reporting quality was assessed using TIDieR checklist to further identify gaps in knowledge.
Data Synthesis : A gap analysis was performed on the twenty-six included studies and demonstrated overall poor reporting of implementation characteristics as well as expanding on rehabilitation types (50%). Only 33.3% of the studies reported tailoring of intervention and 22.2% modifications of intervention which demonstrates little standardization of remote supervision. A hundred and six outcome measures were reported showing large diversity in types of measures used.
Conclusions : Future study must improve reporting of intervention parameters and further explore the use of remote supervision for mobility, balance and physical activity.
Jennifer O'Neil– Physiotherapist and PhD Candidate, University of Ottawa, Ottawa, Ontario
Jacquie van Ierssel– Physiotherapist and PhD Candidate, University of Ottawa, Ottawa, Ontario
Heidi Sveistrup– Full professor, CEO and Chief Scientific Officer of the Bruyère Research Institute, VP, Research and Academic Affairs, University of Ottawa, Ontario, Canada, Ottawa,, Ontario