Abstract
Objectives
The impairment of activities of daily living (ADL) has brought a heavy burden to the
life of patients after stroke. Timely and accurate assessment of patients' activities
of daily living is very necessary, which determines the whole process of diagnosis,
rehabilitation and prognosis of patients. However, the patients with limited mobility
or transportation are difficulted to gain high quality assessment services. This study
aimed to explore the reliability of remote Longshi Assessment Scale of Activities
of Daily Life (Longshi Scale) with smartphone video calls by comparing the consistency
of remote assessment and bedside assessment, as well as the test-retest reliability
of the remote assessment. The evaluation duration of these two methods was recorded
and the level of satisfaction of patients was investigated.
Methods
In this prospective study, a total of 129 stroke survivors were recruited and accepted
a bedside face-to-face assessment and a remote assessment by video calls. The Longshi
Scale was used for both bedside and remote assessment and conducted with the inquiry
between patients and evaluators. A satisfaction questionnaire was also launched.
Results
The result of disability level evaluated from the bedside and remote assessments was
highly consistent. The intraclass correlation coefficient with weighted kappa (wK)
value was 0.86 (95% confidence interval, 0.80∼0.92). And test-retest of the remote
assessment indicated an excellent agreement beyond chance, and its correlation coefficient
with wK value was 0.96 (95% confidence interval, 0.92∼1.00). It took 74.44±55.3 s
to complete the bedside assessment and 90.86±63.30 s to complete the remote assessment
of Longshi Scale. There was no statistical significance in the assessment duration
between these two methods (P = 0.056). Satisfaction surveys showed more than 85% of participants were satisfied
or very satisfied with remote Longshi scale assessment.
Conclusions
The remote assessment of Longshi Scale with smartphone video calls is reliable and
has high acceptance. This method can be readily implemented to evaluate the ADL of
stroke patients to improve the capacity of rehabilitation and health services in remote
areas.
Keywords
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References
- China Stroke Statistics 2019: A Report From the National Center for Healthcare Quality Management in Neurological Diseases, China National Clinical Research Center for Neurological Diseases, the Chinese Stroke Association, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention and Institute for Global Neuroscience and Stroke Collaborations.Stroke Vasc Neurol. 2020; 5 (2020/08/23): 211-239https://doi.org/10.1136/svn-2020-000457
- Heart disease and stroke statistics-2020 update: a report from the American Heart Association.Circulation. 2020; 141 (2020/01/30): e139-e596https://doi.org/10.1161/cir.0000000000000757
- Stroke rehabilitation.Lancet. 2011; 377 (London, England)2011/05/17: 1693-1702https://doi.org/10.1016/s0140-6736(11)60325-5
- A novel Longshi Scale measured activity of daily living disability in elderly patients affected by neurological diseases: a multi-center cross-sectional study in China.BMC Geriatr. 2021; 21 (2021/06/07): 348https://doi.org/10.1186/s12877-021-02296-6
- Evaluation of the disability assessment Longshi scale: a multicenter study.J Int Med Res. 2020; 48 (3000605209342992020/07/23)https://doi.org/10.1177/0300060520934299
- User testing of the psychometric properties of pictorial-based disability assessment Longshi scale by healthcare professionals and non-professionals: a Chinese study in Shenzhen.Clin Rehabil. 2019; 33 (2019/05/14): 1479-1491https://doi.org/10.1177/0269215519846543
- Telemedicine in rehabilitation.Phys Med Rehabil Clin N Am. 2019; 30 (2019/04/08): 473-483https://doi.org/10.1016/j.pmr.2018.12.002
- Advances and challenges in stroke rehabilitation.Lancet Neurol. 2020; 19 (2020/02/01): 348-360https://doi.org/10.1016/s1474-4422(19)30415-6
- Health care after the COVID-19 pandemic and the influence of telemedicine.Mayo Clin Proc. 2020; 95 (2020/09/20): S66-s68https://doi.org/10.1016/j.mayocp.2020.06.052
- Remote rehabilitation for patients with COVID-19.J Rehabil Med. 2020; 52 (2020/09/02): jrm00095https://doi.org/10.2340/16501977-2731
- The need for structured strategies to improve stroke care in a rural telestroke network in Northern New South Wales, Australia: an observational study.Front Neurol. 2021; 12 (2021/04/27)645088https://doi.org/10.3389/fneur.2021.645088
- Validation of a smartphone application in the evaluation and treatment of acute stroke in a comprehensive stroke center.Stroke. 2020; 51 (2019/12/19): 240-246https://doi.org/10.1161/strokeaha.119.026727
- Telemedicine platform COVIDREHAB for remote rehabilitation of patients after COVID-19.Eur J Transl Myol. 2021; 31 (2021/05/15)https://doi.org/10.4081/ejtm.2021.9783
- Remote assessment of stroke using the iPhone 4.J Stroke Cerebrovasc Dis Off J Natl Stroke Assoc. 2013; 22 (2011/10/25): 340-344https://doi.org/10.1016/j.jstrokecerebrovasdis.2011.09.013
- A review of the evidence for the use of telemedicine within stroke systems of care: a scientific statement from the American Heart Association/American Stroke Association.Stroke. 2009; 40 (2009/05/09): 2616-2634https://doi.org/10.1161/strokeaha.109.192360
- Telemedicine in prehospital acute stroke care.J Am Heart Assoc. 2019; 8 (2019/03/19)e011729https://doi.org/10.1161/jaha.118.011729
- Validity and reliability of a performance evaluation tool based on the modified Barthel Index for stroke patients.BMC Med Res Method. 2017; 17 (2017/08/27): 131https://doi.org/10.1186/s12874-017-0409-2
- Efficacy of telemedicine for stroke: pooled analysis of the Stroke Team Remote Evaluation Using a Digital Observation Camera (STRokE DOC) and STRokE DOC Arizona telestroke trials.Telemed J E Health. 2012; 18 (2012/03/10): 230-237https://doi.org/10.1089/tmj.2011.0116
- Physiotherapy assessment and diagnosis of musculoskeletal disorders of the knee via telerehabilitation.J Telemed Telecare. 2017; 23 (2016/03/18): 88-95https://doi.org/10.1177/1357633x15627237
- Telemedicine in neurological disorders: opportunities and challenges.Telemed J E Health. 2019; 25 (2018/08/24): 541-550https://doi.org/10.1089/tmj.2018.0101
- Telemedicine can replace the neurologist on a mobile stroke unit.Stroke. 2017; 48 (2017/01/14): 493-496https://doi.org/10.1161/strokeaha.116.015363
- Reliability of real-time video smartphone for assessing National Institutes of Health Stroke Scale scores in acute stroke patients.Stroke. 2012; 43 (2012/11/20): 3271-3277https://doi.org/10.1161/strokeaha.112.669150
- Phone and video-based modalities of central blinded adjudication of modified rankin scores in an endovascular stroke trial.Stroke. 2015; 46 (2015/11/07): 3405-3410https://doi.org/10.1161/strokeaha.115.010909
- Stroke rehabilitation after hospital discharge: a randomized trial comparing domiciliary and day-hospital care.Age Ageing. 2001; 30 (2001/08/18): 303-310https://doi.org/10.1093/ageing/30.4.303
- Telemedicine for developing countries. A survey and some design issues.Appl Clin Inform. 2016; 7 (2016/11/03): 1025-1050https://doi.org/10.4338/aci-2016-06-r-0089
- Effectiveness of telemedicine: a systematic review of reviews.Int J Med Inform. 2010; 79 (2010/10/05): 736-771https://doi.org/10.1016/j.ijmedinf.2010.08.006
Tencent Holdings Ltd. Tencent holdings LTD 2021 interim report. Shenzhen: Shenzhen Tencent Holdings Ltd., 2021.
Article info
Publication history
Published online: December 19, 2022
Accepted:
December 13,
2022
Received in revised form:
December 11,
2022
Received:
September 5,
2022
Identification
DOI: https://doi.org/10.1016/j.jstrokecerebrovasdis.2022.106950
Copyright
© 2022 Elsevier Inc. All rights reserved.
