Teleneurology – broadening the horizon of neurological care across the globe

Shilpi Mittal, Raghu P Upender, Patricia Commiskey, Kenneth J Gaines

Abstract


Telemedicine has helped significantly in improving care for the underserved areas in the United States and the other parts of the world. Teleneurology, a subdivision of telemedicine, is filling up this gap for the neurological care in the regions with limited resources. Time is crucial for the outcomes in the neurological conditions. Teleneurology is breaking this time sensitive barrier in the rural areas where the specialist care is short. This modern medicine marvel which combines the traditional medicine with latest technology, is increasingly gaining importance for providing clinical care irrespective of economic limitations. It also assists in extending the neurological expertise to the clinic patients when they are unable to visit their providers due to disability concerns. We review various aspects of teleneurology including the delivery modes and teleneurology software. The discussion regarding the teleneurology subspecialties like tele-stroke and tele-epilepsy emphasizes the extent of its impact in the field of neurology. The psychosocial influence is an important feature of teleneurology in today’s world when the care burden for elderly population needs to be equitably distributed across the globe. There is research and education related opportunities that are being explored with telemedicine. The weaknesses of telemedicine could be improvised with enhanced technological proficiency. We discuss the salient attributes of teleneurology and its effects in modern world neurology practice.


Keywords


teleneurology; stroke; neurology; epilepsy

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References


Field MJ, Editor. Institute of Medicine (US) Committee on Evaluating Clinical Applications of Telemedicine; Telemedicine: A Guide to Assessing Telecommunications in Health Care. Washington (DC): National Academies Press (US); 1996. 2, Evolution and Current Applications of Telemedicine.

Stood S et al. What is telemedicine? A collection of 104 peer-reviewed perspectives and theoretical underpinnings. Telemed J E Health. 2007 Oct;13(5):573-90.

Ekeland AG et al. Effectiveness of telemedicine: a systematic review of reviews. Int J Med Inform. 2010 Nov;79(11):736-71.

Neurology workforce data. American Academy of Neurology.

Qureshi et al. Outcome of the 'Drip-and-Ship' Paradigm among Patients with Acute Ischemic Stroke: Results of a Statewide Study. Cerebrovasc Dis Extra. 2012 Winter;2(1):1-8.

Levine SR et al. "Telestroke" : the application of telemedicine for stroke. Stroke. 1999 Feb;30(2):464-9.

http://www.augustahealth.org/neuroscience-center/stroke/reach-program/stroke-care-center-reach-program

Patterson V. Telemedicine for epilepsy support in resource-poor settings. Front Public Health. 2014 Aug 21;2:120. doi: 10.3389/fpubh.2014.00120. eCollection 2014.

Hailey D, Roine R, Ohinmaa A. The effectiveness of telemental health applications: A review. Can J Psychiatry. 2008;53(11):769–78.of speciality and subspecialty -our goals for inified ntually help us overcome all the hurdles in this

Velasquez SE, Chaves-Carballo E, Nelson EL. Pediatric teleneurology: A model of epilepsy care for rural populations. Pediatr Neurol. 2016 Nov;64:32-7. doi: 10.1016/j.pediatrneurol.2016.08.001. Epub 2016 Aug 10.

Cullum CM, Hynan LS, Grosch M, et al. Teleneuropsychology: Evidence for Video Teleconference Based Neuropsychological Assessment. J Int Neuropsychol Soc. 2014 Nov;20(10):1028–33. doi:10.1017/S1355617714000873.

Aldehaim AY, Alotaibi FF, Uphold CR, et al. The impact of technology-based interventions on informal caregivers of stroke survivors: A systematic review. Telemed E Hlth. 2016;22(3):223-31.

Timpano F, Bonanno L, Bramanti A, et al. Tele-Health and neurology: what is possible? Neurol Sci. 2013 Dec;34(12):2263-70. doi: 10.1007/s10072-012-1285-5. Epub 2013 Feb 21.

Richardson LK, Frueh C, Grubaugh AL. Current directions in videoconferencing tele-mental health research. Clin Psychol. 2009;16(3):323–338. doi:10.1111/j.1468-2850.2009.01170.

Bruyneel M. Technical developments and clinical use of telemedicine in sleep medicine. JClinMed. 2016;5(12): 116.

Hui E. Telemedicine in neurorehabilitation. ACNR. 2009;9(3):23-5.

Patterson V. Teleneurology. J Telemed Telecare. 2005;11(2):55-9.

Larner AJ. Teleneurology: an overview of current status. Pract Neurol. 2011 Oct;11(5):283-8.

Wechsler LR et al. Teleneurology applications. Report of the Telemedicine Work Group of the American Academy of Neurology. Neurology. 2013 Feb 12;80(7):670-6

Patterson V et al. Store-and-Forward Teleneurology in Developing Countries. Journal of Telemedicine and Telecare. Vol 7, Issue 1_suppl, pp. 52 - 53.

https://www.vidyo.com/. Accessed November 23, 2017.

https://vsee.com/. Accessed November 23, 2017.

https://reachhealth.com/. Accessed November 23, 2017.

https://www.intouchhealth.com/. Accessed November 23, 2017.

http://www.tytocare.com/. Accessed November 23, 2017. Accessed November 23, 2017.

https://www.globalmed.com/solutions/connected-devices/other-devices/. Accessed November 23, 2017.

https://www.wsj.com/articles/fcc-outlines-plan-to-roll-back-internet-rules-1511282167. Accessed November 23, 2017

Chumbler NR et al.Effects of Telerehabilitation on Physical Function and Disability for Stroke Patients. Stroke. 2012; STROKEAHA.111.646943

Bernochhi P et al. Home based telemedicine intervention for patients with uncontrolled hypertension: --a real life non-randomized study. BMC Medical informatics and Decision Making 2014; 14: 52.

Tappenden P et al. The clinical effectiveness and cost-effectiveness of hone-based, nurse-led health promotion for older people: a systematic review. Health Technol Assess 2012; 16: 1-72.

Telling K et al. A family support organizer for stroke patients and their caregivers: a randomized controlled trial. Cerebrovascular Dis 2005; 20: 85-91.

Olson DM et al. Agency for Healthcare Research Quality. Transitions of Care for Acute Stroke and Myocardial Infarction Patients: From Hospitalization to Rehabilitation, Recovery, and Secondary Prevention. Evidence Report Technology Assessment (Full Rep) 2011; 202: 1-197. AHRQ Publication # 11(12)-E011, October, 2011. www.ahrq.gov

Ray CD et al. Experiences with telemetry of biomedical data by telephone cable and satellite, domestic and international. Medical and Biological Engineering. 3(1965)

Healey PD et al. Web-based Remote Monitoring of Live EEG. Computer-Based Medical Systems (CBMS), 2011 24th International Symposium on. IEEE, 2011

Laisserra N et al. Experience of a real-time tele-EEG service. Conf Proc IEEE Eng Med Biol Soc. 2009;2009:5211-4.

Holder D et al. Tele-EEG in epilepsy: review and initial experience with software to enable EEG review over a telephone link. Seizure. Volume 12, Issue 2 March 2003, Pages 85-91

Ahmed SN at al. Experiences from an international tele-epilepsy collaboration. Can J Neurol Sci. 2009 Sep;36(5):582-6.

Castanho TC et al. Telephone-based screening tools for mild cognitive impairment and dementia in aging studies: a review of validated instruments. Front Aging Neurosci. 2014; 6: 16.

Lewis ML, Hobday JV, Hepburn KW. Internet-based program for dementia caregivers. Am J Alzheimers Dis Other Demen. 2010;25:674–9.

Schopp L, Johnstone B, Merrell D. Telehealth and neuropsychological assessment: New opportunities for psychologists. Professional Psychology: Research and Practice. 2000;31(2):179-83.

Poon P, Hui E, Dai D, et al. Cognitive intervention for community-dwelling older persons with memory problems: telemedicine versus face-to-face treatment. Int J Geriatr Psychiatry. 2005 Mar;20(3):285.

Loh PK, Maher S, Goldswain P, et al. Diagnostic accuracy of telehealth community dementia assessments. J Am Geriatr Soc. 2005 Nov;53(11):2043-4.

Scotia et al. Applying telecare in dementia: what psychiatrists need to know. Advances in Psychiatric Treatment Aug 2008, 14 (5) 382-388

https://clinicaltrials.gov/ct2/show/NCT02038959

Klein, Kate E. et al. Teleneurocritical Care and Telestroke. Critical Care Clinics , Volume 31 , Issue 2 , 197 - 224

Zissman K, Lejbkowicz I, Miller A. Telemedicine for multiple sclerosis patients: assessment using Health Value Compass. Mult Scler. 2012 Apr;18(4):472-80. doi: 10.1177/1352458511421918. Epub 2011 Sep 30.

Lai JC, Woo J, Hui E, Chan WM. Telerehabilitation—a new model for community-based stroke rehabilitation. J Telemed Telecare. 2004:10:199–205.

Sola-Valls N, Blanco Y, Sepulveda M, et al. Telemedicine for monitoring MS activity and progression. Curr Treat Options Neurol. 2015;17:47.

James LC, Folen RA. Behavioral telehealth: Using telemedicine to expand behavioral medicine services. Healthcare Information and Management Systems Society. 2013 Feb 13. Accessed Nov 21, 2017. http://www.himss.org/behaviorial-telehealth-using-telemedicine-expand-behavioral-medicine-services

Smith GC, Egbert N, Dellman-Jenkins M, et al. Reducing depression in stroke survivors and their informal caregivers: a randomized clinical trial of a Web-based intervention. Rehabil Psychol. 2012 Aug;57(3):196-206. doi: 10.1037/a0029587.

Pierce LL, Steiner VL, Khuder SA, et al. The effect of a Web-based stroke intervention on carers' well-being and survivors' use of healthcare services. Disability and Rehabilitation. 2009;31(20):1676-84.

Stone K. Enhancing preparedness and satisfaction of caregivers of patients discharged from an inpatient rehabilitation facility using an interactive website. Rehabil Nurs. 2014 Mar-Apr;39(2):76-85. doi: 10.1002/rnj.123. Epub 2013 Aug 28.

Marziali E, Donahue P. Caring for others: Internet video-conferencing group intervention for family caregivers of older adults with neurodegenerative disease. Gerontologist. 2006 Jun;46(3):398-403.

Shah SP, Glenn GL, Hummel EM, Caregiver tele-support group for Parkinson's Disease: A pilot study. Geriatr Nurs. 2015 May-Jun;36(3):207-11. doi: 10.1016/j.gerinurse.2015.02.002. Epub 2015 Mar 3.

Bramanti A, Bonanno L, Celona A, et al. GIS and spatial analysis for costs and services optimization in neurological telemedicine. Conf Proc IEEE Eng Med Biol Soc. 2010;2010:2204-7. doi: 10.1109/IEMBS.2010.5627147.

Nelson EL, Barnard M, Cain S. Feasibility of telemedicine intervention for childhood depression. Counselling and Psychotherapy Research. 2006;6:191–5.

Nelson EL, Barnard M, Cain S. Treating childhood depression over videoconferencing. Telemedicine Journal and e-Health. 2003;9:49–55.

Wechsler LR. Advantages and Limitations of Teleneurology. JAMA Neurol. 2015;72(3):349-354. doi:10.1001/jamaneurol.2014.3844

Wechsler LR, Tsao JW, Levine SR, et al. Teleneurology applications: Report of the Telemedicine Work Group of the American Academy of Neurology. Neurology. 2013;80(7):670-676. doi:10.1212/WNL.0b013e3182823361.

DavisLE,ColemanJ,HarnarJ,KingMK. Teleneurology:successfuldeliveryofchronic neurologic care to 354 patients living remotely in a ruralstate.TelemedJEHealth.2014;20(5):473-477.

Rubin M et al. Teleneurology in Practice pp 175-181

Anderson ER. Teleneurology in Practice pp 183-187




DOI: http://dx.doi.org/10.18103/imr.v4i1.644

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