EFFECT OF TELE-REHABILITATION IN BREAKING BARRIERS WITH MOBILITY IMPAIRMENTS IN RURAL AREAS: A RANDOMIZED CONTROLLED TRIAL

Abstract

Background: Tele-rehabilitation utilizes telecommunication technologies to deliver healthcare services remotely, addressing the challenges faced by patients with mobility impairments, especially in rural areas where traditional rehabilitation services are limited. It offers a viable solution to improve access to care, particularly for individuals in underserved locations.

Objective: This study aimed to evaluate the effectiveness of tele-rehabilitation in improving mobility, functional independence, and quality of life for individuals with mobility impairments residing in rural areas.

Methods: A randomized controlled trial was conducted with 92 participants, equally divided into an intervention group and a control group. The intervention group participated in a six-month tele-rehabilitation program, which included video consultations, home visits, structured phone calls, and text message reminders. The control group received standard care without additional interventions. Outcome measures included the Barrier to Care Questionnaire, the Berg Balance Scale, the Functional Independence Measure (FIM), and the WHO Quality of Life-BREF. Baseline and post-intervention assessments were conducted.

Results: The intervention group showed significant improvements in all outcome measures. Quality of life scores increased from a mean of 51.64 to 65.63, and functional independence improved from 76.90 to 97.14. Barriers to care decreased from a mean score of 4 to 2.56. Statistically significant differences were observed in mobility, functional independence, and quality of life between the intervention and control groups.

Conclusion: Tele-rehabilitation was effective in improving mobility, functional independence, and quality of life, while reducing barriers to care for rural residents with mobility impairments. These results underscore the potential of tele-rehabilitation as a viable alternative to traditional rehabilitation methods. Future studies should focus on expanding tele-rehabilitation programs to further underserved populations.