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Bell M, Schein RM, Straatmann J, et al. Functional Mobility Outcomes in Telehealth and In-Person Assessments for Wheeled Mobility Devices. Int J Telerehabil. 2020;12(2):27-34doi: 10.5195/ijt.2020.6335.
Bell, M., Schein, R. M., Straatmann, J., Dicianno, B. E., & Schmeler, M. R. (2020). Functional Mobility Outcomes in Telehealth and In-Person Assessments for Wheeled Mobility Devices. International journal of telerehabilitation, 12(2), 27-34. https://doi.org/10.5195/ijt.2020.6335
Bell, Mitchell, et al. "Functional Mobility Outcomes in Telehealth and In-Person Assessments for Wheeled Mobility Devices." International journal of telerehabilitation vol. 12,2 (2020): 27-34. doi: https://doi.org/10.5195/ijt.2020.6335
Bell M, Schein RM, Straatmann J, Dicianno BE, Schmeler MR. Functional Mobility Outcomes in Telehealth and In-Person Assessments for Wheeled Mobility Devices. Int J Telerehabil. 2020 Dec 08;12(2):27-34. doi: 10.5195/ijt.2020.6335. PMID: 33520092; PMCID: PMC7757644.
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Int J Telerehabil. 2020 Dec 08;12(2):27-34. doi: 10.5195/ijt.2020.6335.

Functional Mobility Outcomes in Telehealth and In-Person Assessments for Wheeled Mobility Devices.

International journal of telerehabilitation

Mitchell Bell, Richard M Schein, Joseph Straatmann, Brad E Dicianno, Mark R Schmeler

Affiliations

  1. Department of Rehabilitation Science and Technology, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
  2. Human Engineering Research Laboratories, VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania, USA.
  3. Department of Physical Medicine and Rehabilitation, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.

PMID: 33520092 PMCID: PMC7757644 DOI: 10.5195/ijt.2020.6335

Abstract

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.

Copyright © 2020 Mitchell Bell, Richard M Schein, Joseph Straatmann, Brad E Dicianno, Mark R Schmeler.

Keywords: Assessment; Evaluation; Functional mobility; Telehealth; Wheeled mobility device

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