Publicado

2018-04-01

Development of an information system for teleoperated physical rehab care service via Internet. Pilot case: patients with mild knee injury who live in geographically vulnerable zones

Desarrollo de un sistema de información para el servicio de atención tele-operado de rehabilitación física, vía Internet. Caso piloto: pacientes con lesiones leves de rodilla que viven en zonas de vulnerabilidad geográfica

Palabras clave:

telemedicine, teleoperated rehabilitation, information system (en)
telemedicina, rehabilitación teleoperada, sistema de información (es)

Autores/as

In recent years, new technologies have been implemented for treating and rehabilitating of diseases, such as distance medicine, known as telemedicine. With the participation of an interdisciplinary group of researchers from Universidad del Valle and health professionals, a pilot project was established to test a teleoperated care system with a prototype designed for the rehabilitation of patients with mild knee injury in the of public health network ESE Ladera in Cali, Colombia, to provide physical rehabilitation services from the urban health center to patients living in rural areas of Cali. In order to comprehensively evaluate the functioning of this teleoperated physical rehabilitation system comprenhensively, an information system (IS) was designed that includes a set of indicators that assess the health care system from a mechanical, economic, clinical and social points of view.
En los últimos años, se han implementado nuevas tecnologías para el tratamiento y la rehabilitación de enfermedades, como la medicina a distancia, conocida como telemedicina. Con la participación de un grupo interdisciplinario de investigadores de la Universidad del Valle y profesionales de la salud, se estableció un proyecto piloto para probar un sistema de atención teleoperado con un prototipo diseñado para la rehabilitación de pacientes con lesión leve de rodilla, en la red de salud pública ESE Ladera en Cali, Colombia, para proporcionar servicios de rehabilitación física desde el centro de salud urbano a pacientes que viven en áreas rurales de Cali. Con el fin de evaluar de manera integral el funcionamiento de este sistema de rehabilitación física teleoperado, se diseñó un sistema de información (SI) que incluye un conjunto de indicadores que evalúa el sistema de atención de la salud desde un punto de vista mecánico, económico, clínico y social.

Citas

Castellano, N., Gazquez, J., García, R., Gracia, A., Fernandez, M. and Manzano, F., Design of a real-time emergency telemedicine system for remote medical diagnosis. Biosystems engineering, 38, pp. 23-32, 2015. DOI: 10.1016/j.biosystemseng.2015.03.017

World Health Organization., Telemedicine: opportunities and developments in Member States: report on the second global survey on eHealth, Switzerland, 2010, 94 P.

Brooks, N., Telemedicine is here. World Neurosurgery, 95, pp. 603-604, 2016. DOI: 10.1016/j.wneu.2016.02.113

Masiero, S., Celia, A., Rosati, G. and Armani, M., Robotic-assisted rehabilitation of the upper limb after acute stroke. Archives of Physical Medicine and Rehabilitation, 88(2), pp. 142-149, 2016. DOI: 10.1016/j.apmr.2006.10.032

Ueki, S., Kawasaki, H., Ito, S., Nishimoto, Y., Abe, M., Aoki, T., Ishigure, Y., Ojika, T. and Mouri, T. Development of a Hand-Assist Robot with Multi-Degrees-of-Freedom for Rehabilitation Therapy. IEEE/ASME Transactions on Mechatronics, 17(1), pp. 136-146, 2012. DOI: 10.1109/TMECH.2010.2090353

Lanini, J., Tsuji, T., Wolf, P., Riener, R. and Novak D. Teleoperation of two six-degree-of-freedom arm rehabilitation exoskeletons, IEEE International Conference on Rehabilitation Robotics, pp. 514-519, 2015. DOI: 10.1109/ICORR.2015.7281251

Carpinella, I., Cattaneo, D., Abuarqub, S. and Ferrarin, M. Robot- based rehabilitation of the upper limbs in multiple sclerosis: Feasibility and preliminary results, Journal of Rehabilitation Medicine, 41(12), pp. 966-970, 2009. DOI: 10.2340/16501977-0401.

Jackson, J., Ely, E., Morey, M., Anderson, V., Denne, L., Clune, J., Siebert, C., Archer, K., Torres, R., Janz, D., Schiro, E., Jones, J., Shintani, A., Levine, B., Pun, B., Thompson, J., Brummel, N. and Hoenig H. Cognitive and Physical Rehabilitation of intensive care unit Survivors: Results of the RETURN randomized, controlled pilot investigation, Critical Care Medicine 40(4), pp. 1088-1097, 2012. DOI: 10.1097/CCM.0b013e3182373115.

Odole, A. and Ojo, O. Is Telephysiotherapy an Option for Improved Quality of Life in Patients with Osteoarthritis of the Knee? International Journal of Telemedicine and Applications, vol. 2014, pp. 1-9, 2014. DOI: 10.1155/2014/903816

Russell, T., Blumke, R., Richardson, B. and Truter, P., Telerehabilitation mediated physiotherapy assessment of ankle disorders, physiotherapy. Research International, 15(3), pp.167-175, 2010. DOI: 10.1002/pri.471.

Moffet, H., Tousignant, M., Nadeau, S., Mérette, C., Boissy, P., Corriveau, H., Marquis, F., Cabana, F., Ranger, P., Belzile, E. and Dimentberg, R., In-home telerehabilitation compared with face-to-face rehabilitation after total knee arthroplasty: A non inferiority randomized controlled trial, The Journal of Bone & Joint Surgery 97(14), pp.1129-1141, 2015. DOI: 10.2106/JBJS.N.01066.

Zampolini, M., Todeschini, E., Bernabeu, M., Hermens, H., Ilsbroukx, S., Macellari, V., Magni, R., Rogante, M., Scattareggia, S., Vollenbroek, M. and Giacomozzi, C., Tele-rehabilitation: present and future, Ann Ist Super Sanità [online]. 44(2), pp.125-134, 2008. [date of reference July 27th of 2017]. Available at: http://www.iss.it/publ/anna/2008/2/442125.pdf

Farkhatdinov, L. and Ryu, J., Teleoperation of multi-robot and multi-property systems, The IEEE International Conference on Industrial informatics, pp. 1453-1458, 2008. DOI: 10.1109/INDIN.2008.4618333

Kifle, M., Mbarika, V. and Datta, P., Telemedicine in sub-Saharan Africa: the case of teleophthalmology and eye care in Ethiopia, Journal of the American Society for Information Science and Technology 57(10), pp. 1383-1393, 2006. DOI: 10.1002/asi.20448

Sirintrapun, S. and Artz, D., Health Information Systems, Clinics in Laboratory Medicine, 36(1), pp. 133-152, 2016. DOI: 10.1016/j.cll.2015.09.012.

Lenz, R. and Kuhn, K., Toward a continuous evolution and adaptation of information systems in healthcare, International Journal Medical Informatics, 73(1), pp. 75-89, 2004.DOI: 10.1016/j.ijmedinf.2003.09.003

Teixeira, L., Ferreira, C. and Sousa, B., User-centered requirements engineering in health information systems: A study in the hemophilia field, Computer Methods and Programs in Biomedicine, 106(3), pp.160-174, 2012. DOI: 10.1016/j.cmpb.2010.10.007

Eguzkiza, A., Trigo, J., Martínez, M., Serrano, L. and Andonegui, J., Formalize clinical processes into electronic health information systems: Modelling a screening service for diabetic retinopathy, Journal of Biomedical Informatics, 56, pp.112-126, 2015. DOI: 10.1016/j.jbi.2015.05.017

Red de Salud de Ladera. Area of influence [Online], [consulted, February 07th of 2005]. Available at: http://www.saludladera.gov.co/ nosotros/area-de-influencia