Assessment of communication and swallowing post-laryngectomy: a telerehabilitation trial

Ward, Elizabeth, Crombie, Jane, Trickey, Megan, Hill, Anne, Theodoros, Deborah and Russell, Trevor (2009) Assessment of communication and swallowing post-laryngectomy: a telerehabilitation trial. Journal of Telemedicine and Telecare, 15 5: 232-237.


Author Ward, Elizabeth
Crombie, Jane
Trickey, Megan
Hill, Anne
Theodoros, Deborah
Russell, Trevor
Title Assessment of communication and swallowing post-laryngectomy: a telerehabilitation trial
Journal name Journal of Telemedicine and Telecare  (ERA 2012 Listed)    (ERA 2010 Rank B)   Check publisher's open access policy
Publication date 2009-07
Sub-type Article
DOI 10.1258/jtt.2009.081204
Volume number 15
Issue number 5
ISSN 1357-633X; 1758-1109
Start page 232
End page 237
Total pages 6
Editor Wootton, R.
Place of publication United Kingdom
Publisher Royal Society of Medicine Press Ltd.
Collection year 2010
Language eng
Subject C1
920107 Hearing, Vision, Speech and Their Disorders
110321 Rehabilitation and Therapy (excl. Physiotherapy)
Abstract Ten laryngectomy patients were assessed using a purpose-designed, multimedia videoconferencing system incorporating a freestanding, self-focusing camera. Swallowing, stoma and communication status were assessed simultaneously by a remote clinician and face-to-face, by a second clinician at the patient's site. The remote trial took place over a distance of approximately 1700 km using a commercial 3G phone network. A satisfaction questionnaire was also completed. There was excellent agreement between the two assessing clinicians. Image quality obtained via the freestanding camera was rated as lower than direct observation, but it was sufficient to assess the stoma and status of the voice prosthesis. During the trial, occasional difficulties with audio delays and image distortion were experienced, although these were manageable. Both patient and clinician satisfaction with remote assessment was high. The results provide further evidence to support the use of telerehabilitation for evaluating the speech and swallowing status of laryngectomy patients following discharge from acute care.
Q-Index Code C1
Q-Index Status Confirmed Code

 
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Created: Mon, 07 Dec 2009, 16:19:22 EST by Kathleen Reinhardt on behalf of School of Health & Rehabilitation Sciences