Telerehabilitation: Expanding access to rehabilitation expertise

The potential of modern telecommunications and computing technologies as tools in the delivery and evaluation of assistive technology (AT) has been discussed and has been termed telerehabilitation. The problems of providing AT in rural areas parallels the delivery of health care to rural areas where the proportion of people with chronic illnesses is higher and the means to pay for them is reduced. Large distances mean long travel times, increasing costs associated with any service delivery, and consuming valuable time skilled professionals could be using to provide services elsewhere. The technology available for practising telerehabilitation is significant and expanding at a rapid rate. Currently, plain old telephone systems (POTS) and broad-band videoconferencing equipment, Internet and World Wide Web, and embedded processor systems are most widely available. These technologies continue to evolve as well as emerging technologies such as wearable sensors that will have telehabilitation applications. Issues of payment, safety liability, and licensure need to be resolved, as legislation lags the development of new technologies.