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Development of an integrated telerehabilitation model in children with cerebral visual impairment in South India during the COVID-19 pandemic - A pilot study.
Philip, Jannet; Sethuraman, Saranya; Hussaindeen, Jameel R; Jacob, Namita; Swaminathan, Meenakshi.
  • Philip J; Graduate Research Scholar, Elite School of Optometry Affiliated to SASTRA Deemed to be University, Thanjavur and Sankara Nethralaya, Unit of Medical Research Foundation, Chennai, Tamil Nadu, India.
  • Sethuraman S; Vision Enhancement Clinic, Sankara Nethralaya, Unit of Medical Research Foundation, Chennai, Tamil Nadu, India.
  • Hussaindeen JR; Binocular Vision and Vision Therapy Clinic, Sankara Nethralaya, Unit of Medical Research Foundation, Chennai, Tamil Nadu, India.
  • Jacob N; Director-Chetana Charitable Trust, Chennai, Tamil Nadu, India.
  • Swaminathan M; Senior Pediatric Ophthalmologist, Department of Pediatric Ophthalmology, Sankara Nethralaya, Unit of Medical Research Foundation, Chennai, Tamil Nadu, India.
Indian J Ophthalmol ; 71(5): 2181-2187, 2023 05.
Article in English | MEDLINE | ID: covidwho-2325545
ABSTRACT

Purpose:

Coronavirus disease 2019 (COVID-19) pandemic affected the in-person rehabilitation/habilitation services in families with children with cerebral visual impairment (CVI) in India. This study aimed to develop a structured and family-centered telerehabilitation model alongside conventional in-person intervention in children with CVI to observe its feasibility in the Indian population.

Methods:

This pilot study included 22 participants with a median age of 2.5 years (range 1-6) who underwent a detailed comprehensive eye examination followed by functional vision assessment. The visual function classification system (VFCS) was administered to the children and the structured clinical question inventory (SCQI) to the parents. Every participant underwent 3 months of telerehabilitation including planning, training, and monitoring by experts. At 1 month, the parental care and ability (PCA) rubric was administered to the parents. After 3 months, in an in-person follow-up, all the measures were reassessed for 15 children.

Results:

After 3 months of Tele-rehabilitation there were significant improvements noted in PCA rubric scores (P<0.05). Also, statistically significant improvements were noted in functional vision measured using SCQI and VFCS scores (P<0.05) compared to baseline.

Conclusion:

The outcomes of the study provide the first steps towards understanding the use of a novel tele-rehabilitation model in childhood CVI along-side conventional face-to-face intervention. The added role of parental involvement in such a model is highly essential.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Telerehabilitation / COVID-19 Type of study: Cohort study / Diagnostic study / Observational study / Prognostic study Limits: Child / Child, preschool / Humans / Infant Country/Region as subject: Asia Language: English Journal: Indian J Ophthalmol Year: 2023 Document Type: Article Affiliation country: Ijo.IJO_1764_22

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Telerehabilitation / COVID-19 Type of study: Cohort study / Diagnostic study / Observational study / Prognostic study Limits: Child / Child, preschool / Humans / Infant Country/Region as subject: Asia Language: English Journal: Indian J Ophthalmol Year: 2023 Document Type: Article Affiliation country: Ijo.IJO_1764_22