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Influence of tele-rehabilitation on the outcomes of surgery for uncomplicated lumbar discopathy: randomized control trial methodology
Author(s): ,
U. Ulasavets
Affiliations:
Jagiellonian University Medical College, Kraków, Poland; Department of Neurosurgery and Neurotraumatology, Kraków, Poland
,
J. Polak
Affiliations:
Jagiellonian University Medical College, Kraków, Poland; Department of Neurosurgery and Neurotraumatology, Kraków, Poland
,
E. Grzywna
Affiliations:
Jagiellonian University Medical College, Kraków, Poland; Department of Neurosurgery and Neurotraumatology, Kraków, Poland
,
K. Proniewska
Affiliations:
Jagiellonian University Medical College, Kraków, Poland; Department of Bioinformatics and Telemedicine, Kraków, Poland
,
P. Adamkiewicz
Affiliations:
The University of Physical Education, Kraków, Poland
,
I. Roterman-Konieczna
Affiliations:
Jagiellonian University Medical College, Kraków, Poland; Department of Bioinformatics and Telemedicine, Kraków, Poland
M. Moskała
Affiliations:
Jagiellonian University Medical College, Kraków, Poland; Department of Neurosurgery and Neurotraumatology, Kraków, Poland
EANS Academy. Ulasavets U. Oct 21, 2018; 226072; EP12011
Mr. Uladzislau Ulasavets
Mr. Uladzislau Ulasavets
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Abstract
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Unequivocally assess of the post-operative impact procedures wasn´t confirmed in the literature, in particular early rehabilitation on the final outcome patients treatment after lumbar disc herniation. Staffing and financial shortages make it impossible for most patients to undergo rehabilitation after surgery. Telemedicine can be a solution on a large scale, giving patients comfortable, safe access to information and exercises improving physical fitness, psychological comfort and reducing the time to return to 'normal' everyday functioning and work after spinal surgery.
The main research hypothesis is that prolonged continuous monitoring of patients in the period after the operation, supported by efficient algorithms of medical data interpretation and harmonized with medical advice, contributes to better treatment effects. The aim of the project is to create the theoretical assumptions of a tele-rehabilitation program and design a randomized control trial evaluating the influence of tele-rehabilitation on the results of patients treatment after disc herniation surgery in the lumbar-sacral spine.
Accordingly to our results 80% of the surveyed patients indicated their willingness to use of permanent contact with a specialist in the form of chat with a rehabilitant and the possibility of having an e-consultation after a surgery. Theoretical foundations of the tele-rehabilitation program based on a multidisciplinary cooperation involving neurosurgeon, physiotherapist and informatics will be presented. We believe that treatment management using tele-rehabilitaion by achieving best compliance should include: weekly reports, sport activities, undesirable effects; security zone for patients: platform for doctors with the list of the priority consultation; online chat with a specialist; calendar of monitoring visits. Estimated number of patients required for trial, evaluation methods and outcomes will be granted for creating a potential publicly available internet based platform for tele-rehabilitation.
We believe that constant monitoring and successive motivational alerts to continue treatment/rehabilitation contribute to obtaining better treatment effects in the studied group.
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