Abstract：
UNASSIGNED: Telerehabilitation as a new subdiscipline of telehealth is the application of information technology to support and deliver rehabilitation services via two-way or multipoint interactive online telecommunication technology. This enables the therapist to optimize the timing, intensity, and duration of therapy which is often not possible within the constraints of face-to-face treatment protocols in current health systems.
UNASSIGNED: To review the historical perspective and conceptual framework of telerehabilitation in neurological disorders.
UNASSIGNED: A narrative review of the literature was performed for the historical perspective and a systematic review of the conceptual framework was performed using the PRISMA guidelines on chronic neurological disorders; multiple sclerosis, spinal cord injury, stroke, Parkinson\'s disease, cognitive impairment, and headaches. The search included articles from the past 20 years (2004 to 2024).
UNASSIGNED: Telerehabilitation dates back to the 1960s and early 1970s. Documented effective interventions were mostly on therapies for speech disorders. The conceptual framework consisted of three major components of telerehabilitation programmes including development, implementation, and evaluation. The COVID-19 pandemic suddenly made telerehabilitation come to the limelight because physical distancing became necessary. Out of the 110,000 articles downloaded, 43 met the inclusion criteria for review on the conceptual framework of telerehabilitation in relation to neurological disorders. The articles discussed multiple sclerosis (2), spinal cord disorders (1), stroke (17), Parkinson\'s disease (15), headaches (3), and cognitive disorders (5). All articles reviewed assessed the effectiveness of telemedicine except for the articles on multiple sclerosis and spinal cord disorders which examined the interphase between the technology and the end users.
UNASSIGNED: The future of telerehabilitation looks promising with the subsequent integration of innovative tools and applications. This will require the adaption of technology, continuous capacity building, education, and training of healthcare professionals to ensure that they are adequately equipped with the necessary skills to provide quality virtual reality rehabilitation care.
UNASSIGNED: To review the historical perspective and conceptual framework of telerehabilitation in neurological disorders.
UNASSIGNED: A narrative review of the literature was performed for the historical perspective and a systematic review of the conceptual framework was performed using the PRISMA guidelines on chronic neurological disorders; multiple sclerosis, spinal cord injury, stroke, Parkinson\'s disease, cognitive impairment, and headaches. The search included articles from the past 20 years (2004 to 2024).
UNASSIGNED: Telerehabilitation dates back to the 1960s and early 1970s. Documented effective interventions were mostly on therapies for speech disorders. The conceptual framework consisted of three major components of telerehabilitation programmes including development, implementation, and evaluation. The COVID-19 pandemic suddenly made telerehabilitation come to the limelight because physical distancing became necessary. Out of the 110,000 articles downloaded, 43 met the inclusion criteria for review on the conceptual framework of telerehabilitation in relation to neurological disorders. The articles discussed multiple sclerosis (2), spinal cord disorders (1), stroke (17), Parkinson\'s disease (15), headaches (3), and cognitive disorders (5). All articles reviewed assessed the effectiveness of telemedicine except for the articles on multiple sclerosis and spinal cord disorders which examined the interphase between the technology and the end users.
UNASSIGNED: The future of telerehabilitation looks promising with the subsequent integration of innovative tools and applications. This will require the adaption of technology, continuous capacity building, education, and training of healthcare professionals to ensure that they are adequately equipped with the necessary skills to provide quality virtual reality rehabilitation care.
摘要：
■远程康复作为远程医疗的新分支学科是信息技术的应用，通过双向或多点交互式在线电信技术来支持和提供康复服务。这使治疗师能够优化时机，强度,和治疗的持续时间，这在当前卫生系统的面对面治疗方案的限制下通常是不可能的。
■回顾神经系统疾病中远程康复的历史观点和概念框架。
■从历史角度对文献进行了叙述性回顾，并使用关于慢性神经系统疾病的PRISMA指南对概念框架进行了系统回顾；多发性硬化症，脊髓损伤,中风,帕金森病,认知障碍，和头痛。搜索包括过去20年（2004年至2024年）的文章。
■远程康复可以追溯到20世纪60年代和70年代初。记录在案的有效干预措施主要是针对言语障碍的疗法。概念框架包括远程康复计划的三个主要组成部分，包括发展，实施，和评价。COVID-19大流行突然使远程康复成为人们关注的焦点，因为身体上的距离变得必要。在下载的110,000篇文章中，43符合纳入标准，以审查与神经系统疾病有关的远程康复的概念框架。文章讨论了多发性硬化症(2)，脊髓疾病(1)，stroke(17),帕金森病（15），头痛（3）和认知障碍（5）。所有审查的文章都评估了远程医疗的有效性，但有关多发性硬化症和脊髓疾病的文章除外，这些文章检查了该技术与最终用户之间的间期。
■随着创新工具和应用程序的后续整合，远程康复的未来看起来很有希望。这将需要技术的适应，持续能力建设,教育,并培训医疗保健专业人员，以确保他们充分具备提供优质虚拟现实康复护理的必要技能。
■回顾神经系统疾病中远程康复的历史观点和概念框架。
■从历史角度对文献进行了叙述性回顾，并使用关于慢性神经系统疾病的PRISMA指南对概念框架进行了系统回顾；多发性硬化症，脊髓损伤,中风,帕金森病,认知障碍，和头痛。搜索包括过去20年（2004年至2024年）的文章。
■远程康复可以追溯到20世纪60年代和70年代初。记录在案的有效干预措施主要是针对言语障碍的疗法。概念框架包括远程康复计划的三个主要组成部分，包括发展，实施，和评价。COVID-19大流行突然使远程康复成为人们关注的焦点，因为身体上的距离变得必要。在下载的110,000篇文章中，43符合纳入标准，以审查与神经系统疾病有关的远程康复的概念框架。文章讨论了多发性硬化症(2)，脊髓疾病(1)，stroke(17),帕金森病（15），头痛（3）和认知障碍（5）。所有审查的文章都评估了远程医疗的有效性，但有关多发性硬化症和脊髓疾病的文章除外，这些文章检查了该技术与最终用户之间的间期。
■随着创新工具和应用程序的后续整合，远程康复的未来看起来很有希望。这将需要技术的适应，持续能力建设,教育,并培训医疗保健专业人员，以确保他们充分具备提供优质虚拟现实康复护理的必要技能。
