Browsing by Author "Jull, Gwendolen A"
Now showing 1 - 6 of 6
Results Per Page
Sort Options
- ItemThe diagnostic reliability of Internet-based observational kinematic gait analysis.(2004-01-19) Russell, Trevor G; Jull, Gwendolen A; Wootton, RichardWe investigated the accuracy and reliability of observational kinematic gait assessments performed via a low bandwidth Internet link 18 kbit s and a higher speed Internet link 128 kbit s Twenty four subjects were randomized to either bandwidth group Gait was assessed with the Gait Assessment Rating Scale GARS in the traditional manner which is from video recordings and with repeated measurements via the online method Online assessment was found to provide as accurate a measure of gait performance as the traditional assessment limits of agreementUnder1 GARS point intraclass correlation coefficient ICC 0 96 regardless of the speed of the Internet connection The online assessment also demonstrated high intra rater ICC 0 96 and inter rater ICC 0 92 reliability Low bandwidth telerehabilitation applications appear to be feasible via the Internet
- ItemInternet-based outpatient telerehabilitation for patients following total knee arthroplasty: a randomized controlled trial.(2011-01-20) Russell, Trevor G; Buttrum, Peter; Wootton, Richard; Jull, Gwendolen Atotal knee arthroplasty is an effective means for relieving the symptoms associated with degenerative arthritis of the knee Rehabilitation is a necessary adjunct to surgery and is important in regaining optimum function Access to high quality rehabilitation services is not always possible especially for those who live in rural or remote areas The aim of this study was to evaluate the equivalence of an Internet based telerehabilitation program compared with conventional outpatient physical therapy for patients who have had a total knee arthroplasty
- ItemLow-bandwidth telerehabilitation for patients who have undergone total knee replacement: preliminary results.(2004-01-19) Russell, Trevor G; Buttrum, Peter; Wootton, Richard; Jull, Gwendolen AWe have developed a low bandwidth Internet based telerehabilitation system to provide outpatient rehabilitation to patients who have undergone total knee arthroplasty The preliminary efficacy of this treatment programme in terms of both physical and functional objective outcome measures was assessed on 21 patients Subjects receiving a six week rehabilitation programme were randomized to the telerehabilitation system or the usual face to face method The physical and functional improvements in the telerehabilitation group were similar to those in the control group There was a non significant trend for greater improvements in the telerehabilitation group for most outcome measurements The telerehabilitation programme was well received by patients The results of this study provide evidence for the efficacy of low bandwidth telerehabilitation consultations
- ItemPhysical outcome measurements via the Internet: reliability at two Internet speeds.(2003-00-03) Russell, Trevor G; Wootton, Richard; Jull, Gwendolen AWe have developed a software application to enable interactive rehabilitation via the Internet The reliability of the telemedicine application was examined by comparing it with face to face assessment The physical outcome measures assessed were knee range of motion quadriceps muscle strength limb girth and an assessment of gait One therapist performed both in person and Internet based measurements of all outcome measures on 20 normal subjects There was good agreement between the two techniques the 95 limits of agreement included zero for all the variables studied Internet assessments were conducted at two bandwidths ISDN at 128 kbit s and the telephone network at 17 kbit s Bandwidth had no significant influence on any of the measures This study suggests that Internet based physiotherapy interventions delivered to the home are suitable for further development
- ItemPhysical outcome measurements via the Internet: reliability at two Internet speeds.(2003-03-28) Russell, Trevor G; Wootton, Richard; Jull, Gwendolen AWe have developed a software application to enable interactive rehabilitation via the Internet The reliability of the telemedicine application was examined by comparing it with face to face assessment The physical outcome measures assessed were knee range of motion quadriceps muscle strength limb girth and an assessment of gait One therapist performed both in person and Intemet based measurements of all outcome measures on 20 normal subjects There was good agreement between the two techniques the 95 limits of agreement included zero for all the variables studied Internet assessments were conducted at two bandwidths ISDN at 128 kbit s and the telephone network at 17 kbit s Bandwidth had no significant influence on any of the measures This study suggests that Internet based physiotherapy interventions delivered to the home are suitable for further development
- ItemRehabilitation after total knee replacement via low-bandwidth telemedicine: the patient and therapist experience.(2004-12-17) Russell, Trevor G; Buttrum, Peter; Wootton, Richard; Jull, Gwendolen AAfter a total knee replacement inadequate rehabilitation is associated with poor physical outcomes and a reduced longevity of the knee prosthesis We have developed a low bandwidth telemedicine system to enable rehabilitation services to be delivered directly to the home of patients in rural and remote areas We have examined the experience of clinical physiotherapists and of 31 participants who received treatment via the system High levels of satisfaction were reported by participants mean responses 7 on a 10 cm visual analogue scale The service was found to be effective safe and easy to use and it integrated well into current clinical practice The study demonstrates the potential for delivering physiotherapy services via low bandwidth Internet connections