Turkiye Klinikleri Journal of Health Sciences

.: REVIEW
Ortopedik Fizyoterapi Alanında Güncel Telerehabilitasyon Yaklaşımları
Current Telerehabilitation Approaches in Orthopaedic Physiotherapy
Fatih ÖZDENa, Ahmet Furkan ARIKb, Nazan TUĞAYc
aMuğla Sıtkı Koçman Üniversitesi Köyceğiz Sağlık Hizmetleri Meslek Yüksekokulu, Yaşlı Bakımı Bölümü, Muğla, TÜRKİYE
bÖzel Algomed Hastanesi, Fizik Tedavi ve Rehabilitasyon Kliniği, Adana, TÜRKİYE
cMuğla Sıtkı Koçman Üniversitesi Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümü, Muğla, TÜRKİYE
Turkiye Klinikleri J Health Sci. 2020;5(2):354-60
doi: 10.5336/healthsci.2019-70990
Article Language: TR
Full Text
ÖZET
 Telerehabilitasyon, teletıp hizmetlerinin son yıllarda öne çıkan popüler alanlarından biridir. Uzaktan gerçekleştirilen bu rehabilitasyon hizmetleriyle klinikte çalışan sağlık profesyonellerinin, hastalarını uzun mesafelere rağmen değerlendirmeleri, izlemeleri ve tedavi programlarına müdahale edebilmeleri mümkün olabilmektedir. Bilgi ve iletişim teknolojilerinde meydana gelen gelişmelerle birlikte, rehabilitasyon hizmetlerinin uzaktan gerçekleştirilmesi için çeşitli araç ve protokoller geliştirilmektedir. Son birkaç yılda mobil cihaz tabanlı sağlık hizmetleri, telerehabilitasyon pratiğine devrim niteliğinde bir yaklaşım olarak karşımıza çıkmakta, kırsal alanda sağlık hizmetlerine ulaşmakta sıkıntı çeken hastaların rehabilitasyon süreçlerinin uygun şekilde devam ettirilebilmesine yardımcı olmaktadır. Üzerinde durulması gereken en önemli noktalardan birkaçı ise, bu platformlar sayesinde hastanın sağlık profesyonelleri ile iletişim devamlılığının sağlanması, rehabilitasyon sürecinin başarılı kılınması ve maliyet ile ilgili elde edilebilecek kazanımlardır. Yaşlanan nüfusla birlikte ortopedik fizyoterapi ve rehabilitasyon hizmetlerine olan talebin artmasına bağlı olarak telerehabilitasyon yöntemlerinin fazlasıyla başvurulan metotlardan biri hâline geldiği belirtilmektedir. Web tabanlı video takip uygulamaları, video konferans yöntemi ile uzaktan egzersiz izlemi, yapay zekâ teknolojisi ile geliştirilen web platformları gibi egzersiz izlem teknolojileri son yıllarda sıklıkla kullanılan popüler telerehabilitasyon yöntemleridir. Bu derlemede, güncel telerehabilitasyon yaklaşımlarını ele almak amaçlanmıştır. Ayrıca bu güncel uygulamaların avantaj ve dezavantajlarını teknik, mali, iş gücü, zaman tasarrufu açısından ele almanın yanında günümüzün en popüler ve ilgi çekici teknolojik rehabilitasyon yöntemlerinden olan yapay zekâ uygulamalarının da ne düzeyde kullanıldığına ışık tutulacaktır.

Anahtar Kelimeler: Ortopedi; telerehabilitasyon; fizyoterapi
ABSTRACT
 Telerehabilitation is one of the popular areas of telemedicine services in recent years. With these remote rehabilitation services, it is possible for health professionals working in the clinic to evaluate, monitor and intervene with the treatment programs of their patients despite long distances. Along with the developments in information and communication technologies, various tools and protocols are developed for the remote realization of rehabilitation services. In the last few years, mobile-based health services have emerged as a revolutionary approach to the practice of telerehabilitation, helping to maintain the rehabilitation process of patients who have difficulty accessing health services in rural areas. One of the most essential points to be emphasized is the continuity of the communication with the health professionals of the patient through these platforms and the success of the rehabilitation process and the costs that can be obtained. Telerehabilitation methods become one of the most commonly used methods due to the increasing demand for orthopaedic physiotherapy and rehabilitation services with the ageing population. Exercise monitoring technologies such as web-based video monitoring applications, remote exercise monitoring with video conferencing method, and web platforms developed with artificial intelligence technology are the popular telerehabilitation methods used frequently in recent years. In this review, we aimed to discuss current telerehabilitation approaches. Besides, the advantages and disadvantages of these existing applications in terms of technical, financial, labour, time-saving, as well as today's most popular and exciting technological rehabilitation methods, artificial intelligence applications are used to shed light on the level.

Keywords: Orthopaedics; telerehabilitation; physiotherapy
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