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Revista Cubana de Información en Ciencias de la Salud (ACIMED)

2019, Number 3

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Revista Cubana de Información en Ciencias de la Salud (ACIMED) 2019; 30 (3)

Telemedicine in rehabilitation processes in patients with paraplegia under the context of Primary Health Care

Hernández-Rincón EH, Leaño-Ramírez C, Fuentes-Barreiro YV, Barrera-Orduz MF, Blanco-Mejia JA

Language: Spanish
References: 42
Page: 1-24
PDF size: 380.04 Kb.


ABSTRACT

Finding cost-effective strategies for the rehabilitation and education of patients with paraplegia, based on their needs, is necessary for their comprehensive approach, as well as for the reduction of direct and indirect costs. The objective of this work was to perform a critical review of the literature on the usefulness of telemedicine for the rehabilitation and management of patients with paraplegia, in the context of Primary Health Care. A review of the literature in the PubMed, Medline and EMBASE databases was performed with MeSH and DeCS type descriptors. No filter of temporality, language or age group was applied. 134 articles were collected. The searching and selection criteria were based on the PICO elements; after the content analysis of each one, 29 articles were chosen. The critical analysis of the literature was carried out through the PRISMA elements. Telemedicine and telerehabilitation are tools that could be useful for paraplegic or quadriplegic patients; however, there is no literature or evidence on this type of interventions in this population. Interventions in patients with neurological diseases other than paraplegia show that telemedicine could potentially have benefits and reduce rehabilitation costs. The technological and telemedicine tools in paraplegic patients could potentially favor their rehabilitation and efficient use of resources; however, studies in the area are necessary to determine the real benefit of telemedicine as a care strategy primary health in the patient with paraplegia and quadriplegia.


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