HOME REHABILITATION

Home rehabilitation, a chimera or a real need to develop physiotherapy?

 

s increasing talk of home rehabilitation due to the simple fact that rehabilitation facilities (whether private or public) have less and less space and time to keep patients in the clinic who have to undergo a physiotherapy cycle after a traumatic event or surgery.

But if for the most serious patients there are structures and organizations that bring a real home hospital to the patient’s home, for all those simpler and lighter cases, such as hip and knee prosthesis or stroke, it has not yet been expected almost nothing.

In most cases, the best and most diligent physiotherapists do their best to give the patient a list of exercises to do or rely on software that allows you to scroll through the daily program through an app. Some structures have provided the patient’s home visit services with real physiotherapists of the area. Or, there are places like Israel where telemedicine also applied to rehabilitation is becoming a concrete reality.

But they are isolated cases or partial solutions, and we are still far from a real systemic solution to a problem that will become increasingly important and impactful.

 

Tele-rehabilitation in fact cannot be the solution for how it is conceived now, because it forces the physiotherapist to tele-presence anyway and therefore to devote all his time to a patient who works from home in a dedicated environment, moreover physically separated from the gym . In addition to debasing the professionalism of the physiotherapist, this method is not scalable because while it lightens the structures, on the other it limits the action of the practitioner even more than in face-to-face rehabilitation.

Telerehabilitation is therefore only a partial response to the problem. It is also true that a patient staying at home does not occupy space and resources in the clinic and allows a considerable saving, but at the same time, in the remote rehabilitation for an hour of exercise it is necessary to allocate an hour of time for the physiotherapist.

The problem of compliance, that is the adherence to the program assigned by the physiotherapist, is serious and it is difficult to overcome with basic techniques such as those described above unless there is a continuous presence of the physical or remote physiotherapist.

Currently, following an accident or surgery, many patients receive specific exercises to do without supervision at home to promote their recovery. These exercises are specifically targeted at certain muscle groups or joints, and are extremely repetitive and boring.

Numerous studies suggest that the non-adherence to these home exercise programs can be between 30% and 50%, which is a significant problem: poor compliance entails an additional burden for patients and healthcare professionals and is also responsible for poor clinical results.

It is then evident that a method must be found whereby the patient does the exercises independently and is checked at a la

In short, an asynchronous remote rehabilitation, which we can also call remote rehabilitation.

In this scenario, which inevitably represents the natural evolution of home rehabilitation, how can technology support physiotherapists and patients?

Exercise is the predominant part of the rehabilitation process of many injuries and problems.

     “At CoRehab we believe that exercise is the best medicine and we develop the technologies that allow patients to do their exercises with the simple supervision of the competent professional.”

    In Italy there are already several structures from north to south that use Riablo in the clinic and that, very often at the request of the patient, suggest the use of the home version of the product.

    There are patients who for over 12 months have been using Riablo Home at least 4 days a week 30 ‘a day, to perform remotely controlled exercises. Physiotherapists or physiatrists correct the exercise program through the back office, making it easier or more difficult depending on the results obtained by the patient.

     “Time spent by the professional? Approximately 10 minutes of verification and assignment of the exercises for at least a week of work at home.”

    If the patient has not done the exercises for a few days, the notification is sent to the reference professional, who can then send the patient to stimulate him to resume the assigned program or understand what is happening.

    In short, the patient feels absolutely accompanied and not abandoned. And this is the greatest stimulus that can be received, along with the final scores and compliments (or bland reproaches) that the software can make to it: my physiotherapist, my doctor, continues to follow me even while I am at home. The patient is encouraged to improve, to show that he is doing well and “not to cheat”, as is usually the case.

    Kari is a further evolution of CoRehab that makes it possible to make this connection between movement professional and patient even more simple and economic when it is at home. Kari is designed for short-term rehabilitation, while Riablo is suitable for all those patients who need to rehabilitate themselves for a long time and take care of the movement of each individual exercise in detail.

    There are patients who for over 12 months have been using Riablo Home at least 4 days a week 30 ‘a day, to perform remotely controlled exercises. Physiotherapists or physiatrists correct the exercise program through the back office, making it easier or more difficult depending on the results obtained by the patient.

     “Whatever the problem, CoRehab offers professionals the ideal solution to continue to follow patients at home and increase compliance and satisfaction.”

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    CoRehab srl
    via Kufstein 4
    38121, Trento, Italia
    +39 0461 960157

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