title: Low-bandwidth telemedicine for remote orthotic assessment.
abstract: A model for performing remote orthotic assessments using low-bandwidth computer communication technology (video conferencing) was developed, tested, and evaluated. System evaluation involved comparing a series of remote assessments with on-site assessments. While most on-site and on-line results were similar, discrepancies which occurred were attributed to between-clinician differences, measurement technique differences, technical and learning obstacles at the start of the project, and within subject variations during the day. On-line assessment efficiency improved with each on-line session and corresponded with increased confidence in the system, easier system use, and better overall satisfaction. An on-line debriefing session was held with all project clinicians. These clinicians supported continued use of the communication system for rehabilitation consultation and education. Clinically. preliminary face-to-face meetings and a regular practice schedule were recommended. Technically, the system was considered good; however, suggested improvements included using a high quality speaker-phone system, streamlining the video capture process, and providing more reliable telecommunication connections.
authors.affiliation: The Rehabilitation Centre, Ottawa, Ontario, Canada.
authors.forename: E D
authors.initials: ED
authors.lastname: Lemaire
authors.forename: Y
authors.initials: Y
authors.lastname: Jeffreys
mesh_terms: D003201:Computers; D005069:Evaluation Studies as Topic; D005684:Gait; D006801:Humans; D020407:Internet; D009989:Orthotic Devices; D019114:Remote Consultation