Journal of Rehabilitation Research & Development (JRRD)

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Volume 52 Number 3, 2015
   Pages 39 — 50

Abstract — Effects of physical therapy delivery via home video telerehabilitation on functional and health–related quality of life outcomes

Charles E. Levy, MD;1–3* Erin Silverman, PhD;1–2,4, Huanguang Jia, PhD;1 Meghan Geiss, MS;5 David Omura, DPT, MHA1–2

1Center of Innovation on Disability and Rehabilitation Research and 2Physical Medicine and Rehabilitation Service, North Florida/South Georgia Veterans Health System, Gainesville, FL; 3Department of Occupational Therapy, College of Public Health and Health Professions, and 4Department of Physiological Sciences, College of Veterinary Medicine, University of Florida, Gainesville, FL; 5Department of Counseling, Educational Psychology and Research, College of Education, Health and Human Sciences, The University of Memphis, Memphis, TN

Abstract — This study examined functional outcomes, health-related quality of life (HRQoL), and satisfaction in a group of Veterans who received physical therapy via an in-home video telerehabilitation program, the Rural Veterans TeleRehabilitation Initiative (RVTRI). A retrospective, pre–post study design was used. Measures obtained from 26 Veterans who received physical therapy in the RVTRI program between February 22, 2010, and April 1, 2011, were analyzed. Outcomes were the Functional Independence Measure (FIM); Quick Disabilities of the Arm, Shoulder, and Hand measure; Montreal Cognitive Assessment (MoCA); and the 2-minute walk test (2MWT). HRQoL was assessed using the Veterans RAND 12-Item Health Survey (VR-12), and program satisfaction was evaluated using a telehealth satisfaction scale. Average length of participation was 99.2 +/– 43.3 d and Veterans, on average, received 15.2 +/– 6.0 therapeutic sessions. Significant improvement was shown in the participants' FIM (p < 0.001, r = 0.63), MoCA (p = 0.01, r = 0.44), 2MWT (p = 0.006, r = 0.73), and VR-12 (p = 0.02, r = 0.42). All Veterans reported satisfaction with their telerehabilitation experiences. Those enrolled in the RVTRI program avoided an average of 2,774.7 +/– 3,197.4 travel miles, 46.3 +/– 53.3 hr of driving time, and $1,151.50 +/– $1,326.90 in travel reimbursement. RVTRI provided an effective real-time, home-based, physical therapy.

Key words: functions, health-related quality of life, home-based physical therapy, mobility, physical therapy, satisfaction, telehealth, telerehabilitation, Veteran, Veteran rehabilitation.


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This article and any supplementary material should be cited as follows:
Levy CE, Silverman E, Jia H, Geiss M, Omura D. Effects of physical therapy delivery via home video telerehabilitation on functional and health-related quality of life outcomes. J Rehabil Res Dev. 2015;52(3):361–70.
http://dx.doi.org/10.1682/JRRD.2014.10.0239
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