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  4. Improving quality of life after spinal cord injury in India with telehealth

Improving quality of life after spinal cord injury in India with telehealth

Spinal Cord Series and Cases, 2019 · DOI: https://doi.org/10.1038/s41394-019-0212-x · Published: July 8, 2019

Spinal Cord InjuryRehabilitationTelehealth & Digital Health

Simple Explanation

Individuals with spinal cord injuries often face challenges at home due to a lack of caregivers, especially in low-to-middle-income countries. Telehealth can help address this by providing remote support and guidance. This case series demonstrates how telehealth, including video calls and messaging, can improve self-care and mobility for SCI patients after they leave the hospital. Consistent guidance and monitoring through telehealth, along with setting achievable goals and training caregivers, can lead to successful community integration for SCI individuals.

Study Duration
4 weeks intervention after initial 4 weeks post discharge
Participants
Two individuals with SCI (one C3 AIS C, one T12 AIS A)
Evidence Level
Case Series

Key Findings

  • 1
    Telehealth intervention improved self-care scores in both patients, with one patient's score increasing from 3 to 15 and the other from 4 to 15.
  • 2
    Mobility scores also improved with telehealth, increasing from 14 to 27 in one patient and from 4 to 16 in the other.
  • 3
    Key factors contributing to successful community integration include identifying individual competencies, assessing performance and capacity, self-assessment, caregiver training, and home integration.

Research Summary

This case series highlights the benefits of telehealth in improving the quality of life and functional status of individuals with spinal cord injuries (SCI) after discharge from the hospital. The study demonstrates that consistent supervision and guidance through telehealth can help SCI patients regain independence in self-care and mobility skills. Successful community integration after SCI involves identifying trainable competencies, assessing performance and capacity, training caregivers, and promoting active participation in the home environment.

Practical Implications

Post-discharge Goal Planning

Implement structured post-discharge goal planning to facilitate a smoother transition from hospital to home for SCI patients.

Telehealth Integration

Incorporate telehealth into SCI aftercare to provide ongoing support, monitor progress, and address emerging challenges.

Caregiver Training

Prioritize caregiver training to ensure they can provide adequate assistance and support for SCI individuals at home.

Study Limitations

  • 1
    Small sample size (two cases)
  • 2
    Lack of control group
  • 3
    Limited generalizability to other populations or healthcare settings

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