Telerehabilitation: information and technological support, experience of application

Abstract

Introduction. Telerehabilitation is a complex of rehabilitation exercises and training programs provided to the patient remotely using telecommunication computer technologies, mainly at the outpatient stage of treatment. Telerehabilitation must be accompanied by appropriate software. The purpose of the work. To give an idea of the high-tech platform for telerehabilitation, which is being created at the Institute of Cybernetics named after V. M. Glushkov National Academy of Sciences of Ukraine. Methods. Work is being carried out under a project of the National Research Foundation of Ukraine, which is called «Transdisciplinary Intelligent Information and Analytical System for Supporting Rehabilitation Processes in a Pandemic (TISP)». The peculiarity of the system is that it is based on knowledge-oriented technology, ontological engineering and trans-disciplinary paradigm. The cognitive services of the system implement structuring. and classification. information, synthesize the necessary documents based on semantic analysis, identify the characteristic properties of information processes and provide support for decision-making at all stages of their life cycle. Results. The absence of specialized scales for functional assessment of the cardiorespiratory system, suitable for use during telereha-bilitation, was revealed. The proposed technology of objective functional assessment of the patient at home, based on the use of several portable devices and an innovative system for scaling small ECG changes. The technology was tested in the process of rehabilitation of patients with PTSD in the Center for Psychological Counseling and Trauma Therapy «Open Doors» as a means of control in the process of psychodiagnostics and psychotherapy. Conclusion. 1. Telerehabilitation is the most modern type of rehabilitation, which is rapidly developing. 2. The V. M. Glushkov Insti-tute of Cybernetics of the National Academy of Sciences of Ukraine is creating a transdisciplinary intelligent information and analytical system for supporting rehabilitation processes in a pandemic (TISP), based on cognitive information technology, which fully provides the process of analyzing large volumes of information resources. 3. The technology of objective functional assessment of a patient at home, based on the use of portable devices and an original ECG scaling system, is an important component of telerehabilitation. Key words: Telerehabilitation; Novel coronavirus disease COVID-19; Post-traumatic stress disorder; Intelligent information and analytical system; Functional assessment; Scaling of the electrocardiogram and heart rate variability.