TELEREHABILITATION. CURRENT OPPORTUNITIES AND PROBLEMS OF REMOTE PATIENT MONITORING

In the last five years, against the background of the appearance of COVID-19 in the world, the direction of remote telerehabilitation is intensively developing, which requires the improvement and implementation of new approaches to the patients conditions` synchronous monitoring with the involvement of the latest technical developments. The purpose of the study. To explore the latest publications on the possibilities of remote monitoring of patients during rehabilitation examinations and synchronous telerehabilitation procedures. Research material and methods. Publications of foreign scientists in the fields of clinical, physical and rehabilitation medicine, biometrics, digital technologies on the implementation of synchronous monitoring technologies for the condition of patients with various pathologies The results. Research of modern publications has shown that conducting synchronous sessions of remote examination of patients allows with a high degree of probability to conduct a general examination of the patient, conduct anthropometric and some functional studies. Among the latest –studies of changes in heart rate, blood pressure, respiratory rate, oxygen saturation, ECG and EEG data. Their results can be transmitted for direct evaluation by a doctor. There are certain problems during synchronous performance of tests with physical load to failure due to the impossibility of observing safety conditions. Technical solutions have been found for the transmission of bimetric signals during the telerehabilitation procedure. Thus, the combination of virtual reality or augmented reality with devices such as robots, sensors and wearables can be used for remote monitoring, assessment and diagnosis. These advanced methods pave the way for the transition from traditional to personalized rehabilitation by identifying the needs of each patient and tailoring the rehabilitation process to their individual characteristics. Conclusions. The development of modern technologies and digital medicine has led to the emergence of the remote provision of services in the rehabilitation system, which on the one hand significantly increases the possibilities of access to the rehabilitation system, and on the other hand significantly increases the requirements for their implementation. First of all, this concerns the safety of telerehabilitation procedures. Adherence to basic safety requirements should be given due attention, which can be achieved, first of all, with the use of remote synchronous monitoring of the patient's condition, when the PhRM doctor can objectify changes in the patient's body under the direct influence of telerehabilitation tools.