The redesign and re-evaluation of an internet-based telerehabilitation system for the assessment of dysarthria in adults

Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association
Anne Jane HillElizabeth C Ward

Abstract

A previous study revealed that reliable assessment of dysarthria was feasible. However, that study also revealed a number of system limitations and suggested that technological enhancements and improvements in study design and clinical assessment protocols were needed before validity and reliability of assessment of dysarthria via telerehabilitation could be confirmed. In the current study, improvements in technology, study design, and clinical assessment protocols were implemented in order to re-examine the validity and reliability of assessing and diagnosing dysarthria via the telerehabilitation medium. The aim of this study was to explore the validity and reliability of assessing dysarthria using both formal standardized and informal assessments via a purpose-built telerehabilitation system. Twenty-four participants with an acquired dysarthria were assessed simultaneously via telerehabilitation and face-to-face (FTF) on a battery of assessments. A custom-built telerehabilitation system enabled real-time telerehabilitation assessment over a 128 Kbps Internet connection. Data analysis included an analysis of strength of agreement between the two methods using percentage agreement and weighted ? statistics. Inter-rater and intr...Continue Reading

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Citations

Aug 2, 2012·Seminars in Speech and Language·Leora R Cherney, Sarel van Vuuren
Apr 16, 2011·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Michel TousignantJessica Simard
Nov 26, 2010·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Jane Hart
Sep 3, 2011·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Shobha SharmaTrevor Russell
Feb 27, 2013·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Daniele GiansantiMauro Grigioni
Jan 22, 2014·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Elizabeth C WardTrevor G Russell
May 14, 2014·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Casey Stewart Keck, Charles R Doarn
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