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Association Between System Usage Pattern and Impact of Web-Based Telerehabilitation in Patients with Multiple Sclerosis

机译:系统使用模式与基于Web的患者的系统使用模式与影响多发性硬化症患者的影响

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Patients with multiple sclerosis (PwMS) increasingly use online services for managing their healthcare. The objective of this study was to investigate web log data (weblogs) generated by PwMS in the process of web-based telerehabilitation and correlate them with rehabilitation progress. The weblogs from 17 patients (female: 15, male 2; mean age: 60.1 ± 11.4 years) were tracked for an average period of 153.6±38.3 days with the total number of log events and page visit records of 1,457 and 37,030, respectively. The time and frequency of patients' web visits were investigated as well as their adherence to prescribed exercise regimen. Rehabilitation progress was gauged by changes in quality of life, mobility, and sleep ascertained by measuring MSQOL, 2MWT and PSQI respectively. The changes in these metrics were correlated with system usage patterns. On average, PwMS visited 30 pages a day for 26.5 minutes, with a single login amounting for 27 pages in duration of 22.0 minutes. The average exercise program comprised 6.9 sets and 29.1 repetitions with average set and repetition completion rates of 46.5% and 72.6% respectively. A statistically significant association has been found between time spent in the online exercise mode and clinical improvements. The results of the study demonstrate that the patients had more pronounced outcome improvements when they increased the time of using the telerehabilitation system for home-based exercise. The results of this study could contribute to the development of more efficient home-based telerehabilitation systems.
机译:多发性硬化症(PWMS)的患者越来越多地使用在线服务来管理他们的医疗保健。本研究的目的是调查PWMS在基于Web的Telerehilitation过程中产生的网络日志数据(Weblogs),并将它们与康复进展相关联。从17名患者(女性:15,男性2;平均年龄:60.1±11.4岁)的博客平均为153.6±38.3天,分别与1,457和37,030的总数分别进行了153.6±38.3天。调查了患者网站访问的时间和频率以及遵守规定的锻炼方案。通过测量MSQOL,2MWT和PSQI,通过测量MSQOL,2MWT和PSQI的生命,移动性和睡眠变化来衡量康复进展。这些指标的变化与系统使用模式相关联。平均而言,PWMS每天访问30页,持续26.5分钟,其中单个登录量为27页,持续时间为22.0分钟。平均运动计划包括6.9套和29.1重复,平均设法和重复完成率分别为46.5%和72.6%。在在线运动模式和临床改进中花费的时间之间发现了一种统计学上的重要关联。该研究的结果表明,当患者增加了使用基于家庭运动的Telerehilitation系统的时间时,患者的结果更加明显。本研究的结果可能有助于开发更高效的家庭的Telerehilitation系统。

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