EXAMINING THE RELATIONSHIP BETWEEN THE POPULATION CHARACTERISTICS AND TELEREHABILITATION REQUIREMENT- TURKEY STUDY

Objective: This study was planned in order to determine the people who need physiotherapy and rehabilitation in Turkey and who may encounter obstacles in accessing services by investigating the population characteristics and to discuss the appropriateness of telerehabilitation services for these people and the need to integrate them into the health system. Method: In October 2020, information pages of official institutions and organizations in Turkey were scanned. The general demographic indicators of the Turkish people by years, addiction and mobilization levels, major diseases in the population and the number of hospital admissions were investigated and recorded. Results: In Turkey, the elderly population is increasing every year, and with the increase in the elderly population, the dependency ratio and the incidence of chronic diseases increase. While hospital admissions have increased each year, they have decreased during the COVID 19 period. According to the characteristics of the Turkish population, the number of people who need physiotherapy and rehabilitation is high. It is expected that the need will increase and there will be problems in accessing rehabilitation services in the coming years. Conclusion: In societies that are aging and have barriers to access to health services, the need for telerehabilitation applications will increase. In these societies, telerehabilitation practices should be integrated into the health system

Keywords:

population characteristics, telerehabilitation COVID-19, health system,

PDF

___

Aguirre, L. E., & Villareal, D. T. (2015). Physical Exercise as Therapy for Frailty. Nestle Nutrition Institute Workshop Series, 83, 83–92. https://doi.org/10.1159/000382065
Brennan, D. M., Mawson, S., & Brownsell, S. (2009). Telerehabilitation: Enabling the remote delivery of healthcare, rehabilitation, and self management. Studies in Health Technology and Informatics, 145(February), 231–248. https://doi.org/10.3233/978-1-60750-018-6-231
Calvo-Muñoz, I., Gómez-Conesa, A., & Sánchez-Meca, J. (2013). Physical therapy treatments for low back pain in children and adolescents: a meta-analysis. BMC Musculoskeletal Disorders, 14. https://doi.org/10.1186/1471-2474-14-55
Covert, L. T., Slevin, J. T., & Hatterman, J. (2018). The Effect of Telerehabilitation on Missed Appointment Rates. International Journal of Telerehabilitation, 10(2), 65–72. https://doi.org/10.5195/ijt.2018.6258
Cox, N. S., McDonald, C. F., Alison, J. A., Mahal, A., Wootton, R., Hill, C. J., Bondarenko, J., Macdonald, H., O’Halloran, P., Zanaboni, P., Clarke, K., Rennick, D., Borgelt, K., Burge, A. T., Lahham, A., Wageck, B., Crute, H., Czupryn, P., Nichols, A., & Holland, A. E. (2018). Telerehabilitation versus traditional centre-based pulmonary rehabilitation for people with chronic respiratory disease: Protocol for a randomised controlled trial. BMC Pulmonary Medicine, 18(1), 1–9. https://doi.org/10.1186/s12890-018-0646-0
D. Leochico, C. F. (2020). Adoption of telerehabilitation in a developing country before and during the COVID-19 pandemic. Annals of Physical and Rehabilitation Medicine. https://doi.org/https://doi.org/10.1016/j.rehab.2020.06.001
Fatoye, F., Gebrye, T., Fatoye, C., Mbada, C. E., Olaoye, M. I., Odole, A. C., & Dada, O. (2020). The clinical and cost-effectiveness of telerehabilitation for people with nonspecific chronic low back pain: Randomized controlled trial. JMIR MHealth and UHealth, 8(6). https://doi.org/10.2196/15375
Frederix, I., Vanhees, L., Dendale, P., & Goetschalckx, K. (2015). A review of telerehabilitation for cardiac patients. Journal of Telemedicine and Telecare, 21(1), 45–53. https://doi.org/10.1177/1357633X14562732
Frogner, B. K., Harwood, K., Andrilla, C. H. A., Schwartz, M., & Pines, J. M. (2018). Physical Therapy as the First Point of Care to Treat Low Back Pain: An Instrumental Variables Approach to Estimate Impact on Opioid Prescription, Health Care Utilization, and Costs. Health Services Research, 53(6), 4629–4646. https://doi.org/10.1111/1475-6773.12984
Galloza, J. (2017). B e n e f i t s o f E x e rc i s e i n t h e O l d e r Po p u l a t i o n. 28, 365067.
Groeneweg, R., van Assen, L., Kropman, H., Leopold, H., Mulder, J., Smits-Engelsman, B. C. M., Ostelo, R. W. J. G., Oostendorp, R. A. B., & van Tulder, M. W. (2017). Manual therapy compared with physical therapy in patients with non-specific neck pain: A randomized controlled trial. Chiropractic and Manual Therapies, 25(1), 1–12. https://doi.org/10.1186/s12998-017-0141-3
Hwang, R., Bruning, J., Morris, N. R., Mandrusiak, A., & Russell, T. (2017). Home-based telerehabilitation is not inferior to a centre-based program in patients with chronic heart failure: a randomised trial. Journal of Physiotherapy, 63(2), 101–107. https://doi.org/10.1016/j.jphys.2017.02.017
Ihrig, C. (2019). Travel Cost Savings and Practicality for Low-Vision Telerehabilitation. Telemedicine and E-Health, 25(7), 649–654. https://doi.org/10.1089/tmj.2018.0092
Iles, R., Taylor, N. F., Davidson, M., & O’Halloran, P. (2011). Telephone coaching can increase activity levels for people with non-chronic low back pain: A randomised trial. Journal of Physiotherapy, 57(4), 231–238. https://doi.org/10.1016/S1836-9553(11)70053-4
Leochico, C. F. D., & Valera, M. J. S. (2020). Follow-up consultations through telerehabilitation for wheelchair recipients with paraplegia in a developing country: a case report. Spinal Cord Series and Cases, 6(1). https://doi.org/10.1038/s41394-020-0310-9
Liang, Y., Song, A., Du, S., Guralnik, J. M., & Qiu, C. (2015). Trends in disability in activities of daily living among Chinese older adults, 1997-2006: the China Health and Nutrition Survey. The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 70(6), 739–745. https://doi.org/10.1093/gerona/glu204
Marzetti, E., Cesari, M., Calvani, R., Msihid, J., Tosato, M., Rodriguez-Mañas, L., Lattanzio, F., Cherubini, A., Bejuit, R., Di Bari, M., Maggio, M., Vellas, B., Dantoine, T., Cruz-Jentoft, A. J., Sieber, C. C., Freiberger, E., Skalska, A., Grodzicki, T., Sinclair, A. J., … Landi, F. (2018). The “Sarcopenia and Physical fRailty IN older people: multi-componenT Treatment strategies” (SPRINTT) randomized controlled trial: Case finding, screening and characteristics of eligible participants. Experimental Gerontology, 113(September), 48–57.
Negrini, S., Donzelli, S., Negrini, A., Negrini, A., Romano, M., & Zaina, F. (2020). Feasibility and acceptability of telemedicine to substitute outpatient rehabilitation services in the COVID-19 emergency in Italy: an observational everyday clinical-life study. Archives of Physical Medicine and Rehabilitation, 1–6. https://doi.org/10.1016/j.apmr.2020.08.001
Nelson, M., Russell, T., Crossley, K., Bourke, M., & McPhail, S. (2019). Cost-effectiveness of telerehabilitation versus traditional care after total hip replacement: A trial-based economic evaluation. Journal of Telemedicine and Telecare. https://doi.org/10.1177/1357633X19869796
Peretti, A., Amenta, F., Tayebati, S. K., Nittari, G., & Mahdi, S. S. (2017). Telerehabilitation: Review of the State-of-the-Art and Areas of Application. JMIR Rehabilitation and Assistive Technologies, 4(2), e7. https://doi.org/10.2196/rehab.7511
Rushton, A., Heneghan, N. R., Calvert, M., Heap, A., White, L., & Goodwin, P. C. (2015). Physiotherapy post lumbar discectomy: Prospective feasibility and pilot randomised controlled trial. PLoS ONE, 10(11), 1–22. https://doi.org/10.1371/journal.pone.0142013
Sarfo, F. S., Ulasavets, U., Opare-Sem, O. K., & Ovbiagele, B. (2018). Tele-Rehabilitation after Stroke: An Updated Systematic Review of the Literature. Journal of Stroke and Cerebrovascular Diseases, 27(9), 2306–2318. https://doi.org/10.1016/j.jstrokecerebrovasdis.2018.05.013
Soopramanien, A., Jamwal, S., & Thomas, P. W. (2020). Digital health rehabilitation can improve access to care in spinal cord injury in the UK: A proposed solution. International Journal of Telerehabilitation, 12(1), 3–16. https://doi.org/10.5195/ijt.2020.6312
Vos, T., Allen, C., Arora, M., Barber, R. M., Brown, A., Carter, A., Casey, D. C., Charlson, F. J., Chen, A. Z., Coggeshall, M., Cornaby, L., Dandona, L., Dicker, D. J., Dilegge, T., Erskine, H. E., Ferrari, A. J., Fitzmaurice, C., Fleming, T., Forouzanfar, M. H., … Zuhlke, L. J. (2016). Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015. The Lancet, 388(10053), 1545–1602.
Wiley, D., & Cory, A. (2013). Behavioral Health Services: Evaluation. Encyclopedia of School Health. https://doi.org/10.4135/9781452276250.n28