Turkiye Klinikleri Journal of Health Sciences

.: REVIEW
Ergoterapi Alanında Telerehabilitasyon Uygulamalarının Etkinliği
Effectiveness of Telerehabilitation Practices in Occupational Therapy
Remziye AKARSUa, Gonca BUMİNb
aBiruni Üniversitesi Sağlık Bilimleri Fakültesi, Ergoterapi Bölümü, İstanbul, TÜRKİYE
bHacettepe Üniversitesi Sağlık Bilimleri Fakültesi, Ergoterapi Bölümü, Ankara, TÜRKİYE
Turkiye Klinikleri J Health Sci. 2021;6(3):682-94
doi: 10.5336/healthsci.2020-77309
Article Language: TR
Full Text
ÖZET
 Telerehabilitasyon, telesağlık hizmetleri kapsamında rehabilitasyon profesyonelleri tarafından gerçekleştirilen önemli bir uygulamadır. Telerehabilitasyon, danışanların sağlık hizmetlerine ulaşım seçeneklerini artırmak, daha verimli hizmetler sunmak ve sağlık hizmetlerine erişimdeki coğrafi engelleri aşmak amacıyla teknoloji kullanılarak, rehabilitasyon hizmetlerinin sunulduğu bir hizmet modelidir. Popüler olmakla birlikte, etkinliği konusunda çelişkili kanıtlar söz konusudur. Telerehabilitasyon, ergoterapi hizmetleri için uygun bir sunum modeli olup; danışanların becerilerini geliştirmelerine yardımcı olmak, yardımcı teknoloji ve adaptif yaklaşımları önermek, iş, ev veya okul ortamlarını değiştirmek, sağlığı geliştirici alışkanlıklar ve rutinler yaratmak amacıyla kullanılmaktadır. Danışanlar ve bakım verenler açısından telerehabilitasyon kullanımına dair olumlu tutumlar mevcuttur. Ergoterapide telerehabilitasyon kullanımıyla ilgili literatür incelendiğinde, çeşitli patolojiler ve bozukluklarda, her yaş grubunda yüz yüze rehabilitasyon hizmetleriyle benzer klinik sonuçlara sahip olduğu görülmektedir. Bu derlemede, ergoterapi alanında yapılmış güncel telerehabilitasyon çalışmaları ve bu uygulamaların etkinliği konusunda bilgi verilmesi, telerehabilitasyonun gelecekteki ihtiyaçlara yönelik uygulanabilirliği konusunda tartışılması amaçlanmıştır. Bu derlemenin, sürekli gelişim ve değişim gösteren dünyada ve ülkemizde, rehabilitasyon hizmetlerine her şartta ulaşımı mümkün kılacak sistemlerin etkinliği, kullanım sıklığı, kullanımı etkileyen faktörler ve gelecekte daha uygulanabilir yöntemler konusundaki tartışmalara ışık tutacağı düşünülmektedir.

Anahtar Kelimeler: Telerehabilitasyon; telesağlık; ergoterapi; teknoloji
ABSTRACT
 Telerehabilitation is an important practice performed by rehabilitation professionals within the scope of tele-health services. Telerehabilitation is a service model that provides rehabilitation services using technology in order to increase the options of clients access to health services, to provide more efficient services and to overcome geographical barriers in accessing health services. Although popular, there is contradictory evidence for its effectiveness. Tele-rehabilitation is a appropriate model for occupational therapy services, helping clients to improve their skills; proposing assistive technology and adaptive approaches; modifying working, home or school environments; used to create health-improving habits and routines. There are positive attitudes towards the use of tele-rehabilitation for clients and caregivers. When the literature on the use of tele-rehabilitation in occupational therapy is examined, it is seen that it has similar clinical results with face to face rehabilitation services in various age groups in various pathologies and disorders. In this review, it is aimed to provide information about current tele-rehabilitation studies in occupational therapy and the effectiveness of these practices, and to discuss the feasibility of tele-rehabilitation for future needs. It is thought that this review will shed light on the discussions on the effectiveness of the systems, frequency of use, factors affecting usage, and more feasible methods in the future, in the world and our country, which are constantly developing and changing.

Keywords: Telerehabilitation; telehealth; occupational therapy; technology
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