Functional Mobility Outcomes in Telehealth and In-Person Assessments for Wheeled Mobility Devices
The purpose of this study was to compare telehealth and in-person service delivery models for wheeled mobility devices in terms of functional outcomes. We hypothesized that clinically significant improvements in functional mobility measured by the Functional Mobility Assessment (FMA) will occur in i...
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| Format: | Article |
| Language: | English |
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Hawaii Pacific University Library
2020-12-01
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| Series: | International Journal of Telerehabilitation |
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| Online Access: | http://telerehab.pitt.edu/ojs/index.php/Telerehab/article/view/6335 |
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| author | Mitchell Bell Richard M. Schein Joseph Straatmann Brad E. Dicianno Mark R. Schmeler |
| author_facet | Mitchell Bell Richard M. Schein Joseph Straatmann Brad E. Dicianno Mark R. Schmeler |
| author_sort | Mitchell Bell |
| collection | DOAJ |
| description | The purpose of this study was to compare telehealth and in-person service delivery models for wheeled mobility devices in terms of functional outcomes. We hypothesized that clinically significant improvements in functional mobility measured by the Functional Mobility Assessment (FMA) will occur in individuals receiving both telehealth and in-person clinic evaluations. A total of 27 Veterans receiving telehealth visits were compared to 27 individuals seen in clinic, selected from a database, matching for age, gender, and primary diagnosis. All mean individual item and total FMA scores in both groups increased from Time 1 to Time 2. Within the telehealth group, all changes in individual item and total FMA scores were statistically significant, with changes in 8 of 10 items meeting threshold for clinical significance (change >1.85 points). Within the clinic group, changes in 7 of 10 individual items and total FMA scores were statistically significant, and these same 7 items met threshold for clinical significance. Change scores for individual item and total FMA scores did not differ significantly between the two groups. A larger and clinically significant change in transfer score was seen in the telehealth group, suggesting telehealth visits may confer an advantage in being able to assess and address transfer issues in the home. |
| format | Article |
| id | doaj-art-7e21c7f6de0248d8a4e431d60f2210c5 |
| institution | OA Journals |
| issn | 1945-2020 |
| language | English |
| publishDate | 2020-12-01 |
| publisher | Hawaii Pacific University Library |
| record_format | Article |
| series | International Journal of Telerehabilitation |
| spelling | doaj-art-7e21c7f6de0248d8a4e431d60f2210c52025-08-20T02:08:42ZengHawaii Pacific University LibraryInternational Journal of Telerehabilitation1945-20202020-12-01122273410.5195/ijt.2020.63356089Functional Mobility Outcomes in Telehealth and In-Person Assessments for Wheeled Mobility DevicesMitchell BellRichard M. ScheinJoseph StraatmannBrad E. DiciannoMark R. SchmelerThe purpose of this study was to compare telehealth and in-person service delivery models for wheeled mobility devices in terms of functional outcomes. We hypothesized that clinically significant improvements in functional mobility measured by the Functional Mobility Assessment (FMA) will occur in individuals receiving both telehealth and in-person clinic evaluations. A total of 27 Veterans receiving telehealth visits were compared to 27 individuals seen in clinic, selected from a database, matching for age, gender, and primary diagnosis. All mean individual item and total FMA scores in both groups increased from Time 1 to Time 2. Within the telehealth group, all changes in individual item and total FMA scores were statistically significant, with changes in 8 of 10 items meeting threshold for clinical significance (change >1.85 points). Within the clinic group, changes in 7 of 10 individual items and total FMA scores were statistically significant, and these same 7 items met threshold for clinical significance. Change scores for individual item and total FMA scores did not differ significantly between the two groups. A larger and clinically significant change in transfer score was seen in the telehealth group, suggesting telehealth visits may confer an advantage in being able to assess and address transfer issues in the home.http://telerehab.pitt.edu/ojs/index.php/Telerehab/article/view/6335assessmentevaluationfunctional mobilitytelehealthwheeled mobility device |
| spellingShingle | Mitchell Bell Richard M. Schein Joseph Straatmann Brad E. Dicianno Mark R. Schmeler Functional Mobility Outcomes in Telehealth and In-Person Assessments for Wheeled Mobility Devices International Journal of Telerehabilitation assessment evaluation functional mobility telehealth wheeled mobility device |
| title | Functional Mobility Outcomes in Telehealth and In-Person Assessments for Wheeled Mobility Devices |
| title_full | Functional Mobility Outcomes in Telehealth and In-Person Assessments for Wheeled Mobility Devices |
| title_fullStr | Functional Mobility Outcomes in Telehealth and In-Person Assessments for Wheeled Mobility Devices |
| title_full_unstemmed | Functional Mobility Outcomes in Telehealth and In-Person Assessments for Wheeled Mobility Devices |
| title_short | Functional Mobility Outcomes in Telehealth and In-Person Assessments for Wheeled Mobility Devices |
| title_sort | functional mobility outcomes in telehealth and in person assessments for wheeled mobility devices |
| topic | assessment evaluation functional mobility telehealth wheeled mobility device |
| url | http://telerehab.pitt.edu/ojs/index.php/Telerehab/article/view/6335 |
| work_keys_str_mv | AT mitchellbell functionalmobilityoutcomesintelehealthandinpersonassessmentsforwheeledmobilitydevices AT richardmschein functionalmobilityoutcomesintelehealthandinpersonassessmentsforwheeledmobilitydevices AT josephstraatmann functionalmobilityoutcomesintelehealthandinpersonassessmentsforwheeledmobilitydevices AT bradedicianno functionalmobilityoutcomesintelehealthandinpersonassessmentsforwheeledmobilitydevices AT markrschmeler functionalmobilityoutcomesintelehealthandinpersonassessmentsforwheeledmobilitydevices |