Telerehabilitation for
Geriatrics
Mooyeon Oh-Park, MD, MS
a,
*, Henry L. Lew, MD, PhD
b,c
, Preeti Raghavan, MD
d
INTRODUCTION
Advancements in medical science and technology, along with global increases in life
expectancy, are changing the way health care services are delivered to the aging so-
ciety.
1
Telerehabilitation is a specific area of telehealth that refers to clinical rehabilita-
tion services involving evaluation, diagnosis, and treatment.
2
It is an attractive option
for older adults who may have multiple comorbidities and challenges in commuting to
clinicians’ offices. The coronavirus disease 2019 (Covid-19) pandemic required clini-
cians to modify the way rehabilitation care is delivered to patients, particularly to
the geriatric population, because of their increased risk of developing serious illness.
Limited access to in-person services and the concern about potential exposure to se-
vere acute respiratory syndrome coronavirus-2 (SARS-CoV-2) also accelerated the
acceptance of telerehabilitation by many patients. In addition, recent changes in rules,
a
Department of Rehabilitation Medicine, Albert Einstein College of Medicine, Montefiore
Health System, Burke Rehabilitation Hospital, 785 Mamaroneck Avenue, White Plains, NY
10605, USA;
b
Department of Communication Sciences and Disorders, University of Hawai’i at
M anoa, John A. Burns School of Medicine, 677 Ala Moana Boulevard, Suite 625, Honolulu, HI
96813, USA;
c
Department of Physical Medicine and Rehabilitation, Virginia Commonwealth
University School of Medicine, Richmond, Virginia, USA;
d
Department of Physical Medicine
and Rehabilitation and Neurology, Johns Hopkins University School of Medicine, 600 North
Wolfe Street, Baltimore, MD 21287, USA
* Corresponding author.
E-mail address: MOhPark@Burke.org
KEYWORDS
Telehealth Social isolation Quality of life Patient and caregiver centeredness
KEY POINTS
Telehealth use was accelerated by the coronavirus disease 2019 pandemic and became
an essential part of the rehabilitation service.
Telehealth has a great potential in alleviating social isolation as well as addressing the
medical needs of older individuals.
Challenges to effective and efficient implementation include willingness to adapt to the
technology by older adults, reliable Internet connections, identifying the area where tele-
health is most effective, and evaluating the patients and administrative outcomes of tele-
health interventions.
Phys Med Rehabil Clin N Am 32 (2021) 291–305
https://doi.org/10.1016/j.pmr.2021.01.003 pmr.theclinics.com
1047-9651/21/ª 2021 Elsevier Inc. All rights reserved.
Descargado para Biblioteca Medica Hospital México (bibliomexico@gmail.com) en National Library of Health
and Social Security de ClinicalKey.es por Elsevier en mayo 11, 2021. Para uso personal exclusivamente. No se
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