Telehealth-based exercise in amyotrophic lateral sclerosis

被引:1
|
作者
Kudritzki, Virginia [1 ]
Howard, Ileana M. [1 ,2 ]
机构
[1] VA Puget Sound Healthcare Syst, Rehabil Care Serv, Seattle, WA 98108 USA
[2] Univ Washington, Dept Rehabil Med, Seattle, WA 98195 USA
来源
FRONTIERS IN NEUROLOGY | 2023年 / 14卷
关键词
amyotrophic lateral sclerosis; telehealth; telemedicine; rehabilitation; exercise; TELEREHABILITATION;
D O I
10.3389/fneur.2023.1238916
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The Veterans Health Administration (VHA) has served as a leader in the implementation of telerehabilitation technologies and continues to expand utilization of non-traditional patient encounters to better serve a geographically and demographically diverse population. Amyotrophic Lateral Sclerosis (ALS) is a progressive neurodegenerative disease impacting Veterans at a higher rate than the civilian population and associated with high levels of disability and limited access to subspecialized care. There is growing evidence supporting exercise-based interventions as an independent or adjunctive treatment to maintain or restore function for this patient population; many of these interventions can be delivered remotely by telehealth. The recent advancements in disease-modifying therapies for neuromuscular disorders will likely increase the importance of rehabilitation interventions to maximize functional outcomes. Here, we review the evidence for specific exercise interventions in ALS and the evidence for telehealth-based exercise in neuromuscular disorders. We then use this existing literature to propose a framework for telehealth delivery of these treatments, including feasible exercise interventions and remote outcome measures, recommended peripheral devices, and an example of a current remote group exercise program offered through VHA.
引用
收藏
页数:6
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