Evidence map›Paper›PMID 36278119›Full record

ArticleRehabilitation process and outcome2022

TEleRehabilitation Nepal (TERN) for People With Spinal Cord Injury and Acquired Brain Injury: A Feasibility Study.

Raju Dhakal, Mandira Baniya, Rosie M Solomon, Chanda Rana, Prajwal Ghimire, Ram Hariharan, Sophie G Makower, Wei Meng, Stephen Halpin, Sheng Quan Xie and 3 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Rehabilitation process and outcome, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04914650 (TEleRehabilitation Nepal), which is not on this map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
1.1field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04914650 nacompletednot on this map

TEleRehabilitation Nepal (TERN) to Improve Quality of Life of People With Spinal Cord Injury and Acquired Brain Injury. A Proof-of-concept Study

TypeinterventionalSponsorUniversity of LeedsRan2019 to 2021Enrolled100ConditionsSpinal Cord Injuries, Traumatic Brain Injury, Acquired Brain Injury, StrokeArmsTelerehabilitation
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 3 institutions in 1 country.

Raju DhakalSpinal Injury Rehabilitation Center, Kavre, Nepal.
Mandira BaniyaSpinal Injury Rehabilitation Center, Kavre, Nepal.
Rosie M SolomonSchool of Medicine, University of Leeds, Leeds, UK.ORCID https://orcid.org/0000-0002-4913-6246
Chanda RanaSpinal Injury Rehabilitation Center, Kavre, Nepal.
Prajwal GhimireSpinal Injury Rehabilitation Center, Kavre, Nepal.
Ram HariharanSheffield Teaching Hospitals NHS Trust, Sheffield, UK.
Sophie G MakowerLeeds Community Healthcare NHS Trust, Leeds, UK.
Wei MengSchool of Electronic and Electrical Engineering, University of Leeds, Leeds, UK.
Stephen HalpinNational Demonstration Centre in Rehabilitation Medicine, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
Sheng Quan XieSchool of Electronic and Electrical Engineering, University of Leeds, Leeds, UK.
Rory J O'ConnorNational Demonstration Centre in Rehabilitation Medicine, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
Matthew J AllsopLeeds Institute of Health Science, University of Leeds, Leeds, UK.ORCID https://orcid.org/0000-0002-7399-0194
Manoj SivanNational Demonstration Centre in Rehabilitation Medicine, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
University of Leeds · GBLeeds Community Healthcare NHS Trust · GBSheffield Teaching Hospitals NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSpinal Cord Injury (SCI) or Acquired Brain Injury (ABI) leads to disability, unemployment, loss of income, decreased quality of life and increased mortality. The impact is worse in Low-and Middle-Income Countries (LMICs) due to a lack of efficient long-term rehabilitative care. This study aims to explore the feasibility and acceptability of a telerehabilitation programme in Nepal.

methodsProspective cohort feasibility study in a community setting following discharge from a specialist rehabilitation centre in Nepal. Patients with SCI or ABI who had previously accessed specialist rehabilitation were connected to a specialist Multidisciplinary Team (MDT) in the centre through a video conference system for comprehensive remote assessments and virtual individualised interventions. Data were captured on recruitment, non-participation rates, retention, acceptability (via end-of-study in-depth interviews with a subset of participants) and outcome measures including the Modified Barthel Index (MBI), Depression Anxiety Stress Scale (DASS) and EuroQol-5D (EQ-5D), completed pre- and post-programme.

results97 participants with SCI (n = 82) or ABI (n = 15) discharged from the centre during an 18-month period were approached and enrolled on the study. The telerehabilitation programme facilitated the delivery of support around multiple aspects of rehabilitation care, such as spasticity treatments and pain management. Outcome measures indicated a significant improvement in functional independence (

conclusionThis is the first study in Nepal to identify telerehabilitation as a feasible and acceptable approach to augment the provision of specialist rehabilitation. Future research is needed to assess the suitability of the programme for other conditions requiring specialist rehabilitation and determine the mechanisms underpinning improved outcomes for people with SCI or ABI.

trial registrationClinicalTrials.gov Identifier: NCT04914650.

Indexed as

chronic conditionsdisabilityhealth servicesLMIClong-term conditionsrehabilitationTelemedicine

Identifiers

PMID36278119
PMCPMC9583203
OpenAlexW4307229999

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.