Teleneurology and mobile technologies: the future of neurological care

Dorsey, E. Ray; Glidden, Alistair M.; Holloway, Melissa R.; Birbeck, Gretchen L.; Schwamm, Lee H.

doi:10.1038/nrneurol.2018.31

Cited by 258Telemedicine and Telehealth ImplementationHealthcare Systems and TechnologyTechnology Use by Older Adults

Teleneurology and mobile technologies: the future of neurological care

Dorsey, E. Ray, Glidden, Alistair M., Holloway, Melissa R., Birbeck, Gretchen L., Schwamm, Lee H.·2018·Nature Reviews Neurology

DOI 10.1038/nrneurol.2018.31

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Abstract

Neurological disorders are the leading cause of global disability. However, for most people around the world, current neurological care is poor. In low-income countries, most individuals lack access to proper neurological care, and in high-income countries, distance and disability limit access. With the global proliferation of smartphones, teleneurology - the use of technology to provide neurological care and education remotely - has the potential to improve and increase access to care for billions of people. Telestroke has already fulfilled this promise, but teleneurology applications for chronic conditions are still in their infancy. Similarly, few studies have explored the capabilities of mobile technologies such as smartphones and wearable sensors, which can guide care by providing objective, frequent, real-world assessments of patients. In low-income settings, teleneurology can increase the capacity of local care systems through professional development, diagnostic support and consultative services. In high-income settings, teleneurology is likely to promote the expansion and migration of neurological care away from institutions, incorporate systems of asynchronous communication (such as e-mail), integrate clinicians with diverse skill sets and reach new populations. Inertia, outdated policies and social barriers - especially the digital divide - will slow this progress at considerable cost. However, a future increasingly will be possible in which neurological care can be accessed by anyone, anywhere. Here, we examine the emerging evidence regarding the benefits of teleneurology for chronic conditions, its role and risks in low-income countries and the promise of mobile technologies to measure disease status and deliver care. We conclude by discussing the future trends, barriers and timing for the adoption of teleneurology.

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“Wearable sensors have proven useful to quantitatively assess gait, posture, and tremor in patients with multiple sclerosis, Parkinson disease, Parkinsonism, and Huntington disease (43).”
From Artificial Intelligence in Medicine: Today and Tomorrow (2020) · cites this paper as [43]

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Stephani, V., Opoku, D., & Quentin, W. (2016) · BMC Public Health · doi:10.1186/s12889-016-3226-3 · Cited by 118 · see citing works
Telemedicine: The legal framework (or the lack of it) in Europe
Raposo, V. L. (2016) · PubMed · doi:10.3205/hta000126 · Cited by 111 · see citing works
Neurologic services in the nations of Africa
Bower, J. H., & Zenebe, G. (2005) · Neurology · doi:10.1212/01.wnl.0000150894.53961.e2 · Cited by 111 · see citing works
A randomized trial of telemedicine efficacy and safety for nonacute headaches
Müller, K. I., Alstadhaug, K. B., & Bekkelund, S. I. (2017) · Neurology · doi:10.1212/wnl.0000000000004085 · Cited by 109 · see citing works
ParkinsonNet: A Low-Cost Health Care Innovation With A Systems Approach From The Netherlands
Bloem, B. R., Rompen, L., de Vries, N. M., Klink, A., Munneke, M., & Jeurissen, P. (2017) · Health Affairs · doi:10.1377/hlthaff.2017.0832 · Cited by 109 · see citing works
Differential diagnosis between Parkinson's disease and essential tremor using the smartphone's accelerometer
Barrantes, S., Sánchez Egea, A. J., González Rojas, H. A., Martí, M. J., Compta, Y., Valldeoriola, F., Simo Mezquita, E., Tolosa, E., & Valls-Solè, J. (2017) · PLoS ONE · doi:10.1371/journal.pone.0183843 · Cited by 106 · see citing works
Randomised controlled trial of telemedicine for new neurological outpatient referrals
Chua, R. (2001) · Journal of Neurology, Neurosurgery & Psychiatry · doi:10.1136/jnnp.71.1.63 · Cited by 105 · see citing works
Teleneurology: Successful Delivery of Chronic Neurologic Care to 354 Patients Living Remotely in a Rural State
Davis, L. E., Coleman, J. K., Harnar, J., & King, M. K. (2014) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2013.0217 · Cited by 104 · see citing works
Shortening time to stroke treatment using ambulance telemedicine: TeleBAT
LaMonte, M. P., Xiao, Y., Hu, P. F.-M., Gagliano, D. M., Bahouth, M. N., Gunawardane, R. D., Mackenzie, C. F., Gaasch, W. R., & Cullen, J. (2004) · Journal of Stroke and Cerebrovascular Diseases · doi:10.1016/j.jstrokecerebrovasdis.2004.03.004 · Cited by 102 · see citing works
A Web-based Telestroke System Facilitates Rapid Treatment of Acute Ischemic Stroke Patients in Rural Emergency Departments
Switzer, J. A., Hall, C. E., Gross, H., Waller, J. L., Nichols, F. T., Wang, S. C., Adams, R. J., & Hess, D. C. (2008) · Journal of Emergency Medicine · doi:10.1016/j.jemermed.2007.06.041 · Cited by 100 · see citing works
Minority enrollment in Parkinson's disease clinical trials
Schneider, M. G., Swearingen, C. J., Shulman, L. M., Ye, J., Baumgarten, M., & Tilley, B. C. (2008) · Parkinsonism & Related Disorders · doi:10.1016/j.parkreldis.2008.06.005 · Cited by 93 · see citing works
ECHO-AGE: An Innovative Model of Geriatric Care for Long-Term Care Residents With Dementia and Behavioral Issues
Catic, A., Mattison, M. L. P., Bakaev, I., Morgan, M., Monti, S. M., & Lipsitz, L. A. (2014) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2014.08.014 · Cited by 91 · see citing works
Depression, fatigue, and health-related quality of life among people with advanced multiple sclerosis: Results from an exploratory telerehabilitation study
Egner, A., Phillips, V., Vora, R., & Wiggers, E. (2003) · Neurorehabilitation · doi:10.3233/nre-2003-18205 · Cited by 86 · see citing works
The history and future of telestroke
Hess, D. C., & Audebert, H. J. (2013) · Nature Reviews Neurology · doi:10.1038/nrneurol.2013.86 · Cited by 84 · see citing works
Clinical assessment of gait in individuals with multiple sclerosis using wearable inertial sensors: Comparison with patient-based measure
Pau, M., Caggiari, S., Mura, A., Corona, F., Leban, B., Coghe, G., Lorefice, L., Marrosu, M. G., & Cocco, E. E. (2016) · Multiple Sclerosis and Related Disorders · doi:10.1016/j.msard.2016.10.007 · Cited by 82 · see citing works
l-DOPA and Freezing of Gait in Parkinson’s Disease: Objective Assessment through a Wearable Wireless System
Suppa, A., Kita, A., Leodori, G., Zampogna, A., Nicolini, E., Lorenzi, P., Rao, R., & Irrera, F. (2017) · Frontiers in Neurology · doi:10.3389/fneur.2017.00406 · Cited by 81 · see citing works
Measuring the Lifespace of People With Parkinson’s Disease Using Smartphones: Proof of Principle
Liddle, J., Ireland, D., McBride, S. J., Brauer, S., Hall, L., Ding, H., Karunanithi, M., Hodges, P. W., Theodoros, D., Silburn, P. A., et al. (2014) · JMIR mhealth and uhealth · doi:10.2196/mhealth.2799 · Cited by 81 · see citing works
The Ontario Telemedicine Network: A Case Report
Brown, E. M. (2013) · Telemedicine and e-Health · doi:10.1089/tmj.2012.0299 · Cited by 78 · see citing works
Distribution of neurologists and neurosurgeons in India and its relevance to the adoption of telemedicine
Ganapathy, K. (2015) · Neurology India · doi:10.4103/0028-3886.156274 · Cited by 77 · see citing works
Functional and Clinical Outcomes of Telemedicine in Patients With Spinal Cord Injury
Dallolio, L., Menarini, M., China, S., Ventura, M., Stainthorpe, A., Soopramanien, A., Rucci, P., & Fantini, M. P. (2008) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2008.06.012 · Cited by 75 · see citing works
Clinical Telemedicine Utilization in Ontario over the Ontario Telemedicine Network
O'Gorman, L. D., Hogenbirk, J. C., & Warry, W. (2016) · Telemedicine and e-Health · doi:10.1089/tmj.2015.0166 · Cited by 75 · see citing works
Telemedicine — The Way Ahead for Medicine in the Developing World
Graham, L. E., Zimmerman, M., Vassallo, D., Patterson, V., Swinfen, P., Swinfen, R., & Wootton, R. (2003) · Tropical Doctor · doi:10.1177/004947550303300118 · Cited by 73 · see citing works
Association of specialist involvement and quality of care for Parkinson's disease
Cheng, E. M., Swarztrauber, K., Siderowf, A. D., Eisa, M., Lee, M., Vassar, S. D., Jacob, E. L., & Vickrey, B. G. (2007) · Movement Disorders · doi:10.1002/mds.21311 · Cited by 72 · see citing works
The Future History of Home Care and Physician House Calls in the United States
Leff, B. A., & Burton, J. (2001) · The Journals of Gerontology Series A · doi:10.1093/gerona/56.10.m603 · Cited by 71 · see citing works
Move for Change Part I: a European survey evaluating the impact of the EPDA Charter for People with Parkinson’s disease
Bloem, B. R., & Stocchi, F. (2011) · European Journal of Neurology · doi:10.1111/j.1468-1331.2011.03532.x · Cited by 68 · see citing works
Dopaminergic-induced dyskinesia assessment based on a single belt-worn accelerometer
Pérez‐López, C., Samà, A., Rodríguez-Martín, D., Aróstegui, J. M. M., Cabestany, J., Bayés, À., Mestre, B., Alcaine, S., Quispe, P., OLaighin, G. M., et al. (2016) · Artificial Intelligence in Medicine · doi:10.1016/j.artmed.2016.01.001 · Cited by 66 · see citing works
Comparison of office‐based versus home web‐based clinical assessments for Parkinson's disease
Cubo, E., Trejo-Gabriel-Galan, J. M., Seco, J., Alcubilla, C. R., Yang, C., Fernández-Arconada, O., & Pérez, N. M. (2011) · Movement Disorders · doi:10.1002/mds.24028 · Cited by 65 · see citing works
Wrist sensor reveals sympathetic hyperactivity and hypoventilation before probable SUDEP
Picard, R. W., Migliorini, M., Caborni, C., Onorati, F., Regalia, G., Friedman, D. J., & Devinsky, O. (2017) · Neurology · doi:10.1212/wnl.0000000000004208 · Cited by 65 · see citing works
Telestroke in resource-poor developing country model
Sharma, S., Padma, M., Bhardwaj, A., Sharma, A., Sawal, N., & Thakur, S. (2016) · Neurology India · doi:10.4103/0028-3886.190243 · Cited by 63 · see citing works
The Convenience Revolution for Treatment of Low-Acuity Conditions
Mehrotra, A. (2013) · JAMA · doi:10.1001/jama.2013.6825 · Cited by 61 · see citing works
Validation of a smartphone-based EEG among people with epilepsy: A prospective study
McKenzie, E. D., Lim, A. S. P., Leung, E., Cole, A. J., Lam, A. D., Eloyan, A., Nirola, D. K., Tshering, L., Thibert, R. L., Zepeda, R., et al. (2017) · Scientific Reports · doi:10.1038/srep45567 · Cited by 61 · see citing works
National Randomized Controlled Trial of Virtual House Calls for People with Parkinson's Disease: Interest and Barriers
Dorsey, E. R., Achey, M. A., Beck, C. A., Beran, D. B., Biglan, K., Boyd, C. M., Schmidt, P. N., Simone, R. B., Willis, A. W., Galifianakis, N. B., et al. (2016) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2015.0191 · Cited by 60 · see citing works
Self-citation
Virtual visits for Parkinson disease
Venkataraman, V., Donohue, S., Biglan, K., Wicks, P. J., & Dorsey, E. R. (2014) · Neurology Clinical Practice · doi:10.1212/01.cpj.0000437937.63347.5a · Cited by 53 · see citing works
Self-citation
Telestroke—the promise and the challenge. Part one: growth and current practice
Akbik, F., Hirsch, J. A., Chandra, R. V., Frei, D., Patel, A. B., Rabinov, J. D., Rost, N. S., Schwamm, L. H., & Leslie‐Mazwi, T. M. (2016) · Journal of NeuroInterventional Surgery · doi:10.1136/neurintsurg-2016-012291 · Cited by 53 · see citing works
Self-citation
Victorian S troke T elemedicine P roject: implementation of a new model of translational stroke care for A ustralia
Bladin, C. F., Molocijz, N., Ermel, S., Bagot, K. L., Kilkenny, M. F., Vu, M., Cadilhac, D. A.-M., & VST program investigators (2015) · Internal Medicine Journal · doi:10.1111/imj.12822 · Cited by 53 · see citing works
Impact of a Videoconference Educational Intervention on Physical Restraint and Antipsychotic Use in Nursing Homes: Results From the ECHO-AGE Pilot Study
Gordon, S. E., Dufour, A. B., Monti, S. M., Mattison, M. L. P., Catic, A., Thomas, C. P., & Lipsitz, L. A. (2016) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2016.03.002 · Cited by 52 · see citing works
A Pilot Study of Virtual Visits in Huntington Disease
Bull, M. T., Darwin, K. C., Venkataraman, V., Wagner, J. D., Beck, C. A., Dorsey, E. R., & Biglan, K. (2014) · Journal of Huntington s Disease · doi:10.3233/jhd-140102 · Cited by 52 · see citing works
Self-citation
The effects of telemedicine on racial and ethnic disparities in access to acute stroke care
Lyerly, M. J., Wu, T.-C., Mullen, M. T., Albright, K. C., Wolff, C., Boehme, A. K., Branas, C. C., Grotta, J. C., Savitz, S. I., & Carr, B. G. (2016) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x15589534 · Cited by 52 · see citing works
Telemedicine in neurology: Underutilized potential
Misra, U. K., Kalita, J., Mishra, S., & Yadav, R. (2005) · Neurology India · doi:10.4103/0028-3886.15047 · Cited by 49 · see citing works
What Are Wait Times to See a Specialist? An Analysis of 26,942 Referrals in Southwestern Ontario
Thind, A., Stewart, M., Manuel, D. G., Freeman, T., Terry, A. L., Chevendra, V., Maddocks, H. L., & Marshall, N. (2012) · Healthcare policy · doi:10.12927/hcpol.2012.23004 · Cited by 48 · see citing works
Validation of a Smartphone Application Measuring Motor Function in Parkinson’s Disease
Lee, W., Evans, A. H., & Williams, D. R. (2016) · Journal of Parkinson s Disease · doi:10.3233/jpd-150708 · Cited by 47 · see citing works
The cost‐effectiveness of a web‐based multimodal therapy for unilateral cerebral palsy: the Mitii randomized controlled trial
Comans, T. A., Mihala, G., Sakzewski, L., Boyd, R. N., & Scuffham, P. (2017) · Developmental Medicine & Child Neurology · doi:10.1111/dmcn.13414 · Cited by 47 · see citing works
Translating rare-disease therapies into improved care for patients and families: what are the right outcomes, designs, and engagement approaches in health-systems research?
Potter, B. K., Khangura, S. D., Tingley, K., Chakraborty, P. K., & Little, J. (2015) · Genetics in Medicine · doi:10.1038/gim.2015.42 · Cited by 46 · see citing works
Validity of the Instrumented Push and Release Test to Quantify Postural Responses in Persons With Multiple Sclerosis
El‐Gohary, M., Peterson, D. S., Gera, G., Horak, F. B., & Huisinga, J. M. (2017) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2017.01.030 · Cited by 45 · see citing works
Development of a Chronic Care Model for Neurological Conditions (CCM-NC)
Jaglal, S. B., Guilcher, S. J. T., Bereket, T., Kwan, M., Munce, S., Conklin, J., Versnel, J., Packer, T. L., Verrier, M. C., Marras, C., et al. (2014) · BMC Health Services Research · doi:10.1186/1472-6963-14-409 · Cited by 44 · see citing works
Systematic Review of Telestroke for Post-Stroke Care and Rehabilitation
Rubin, M. N., Wellik, K. E., Channer, D. D., & Demaerschalk, B. M. (2013) · Current Atherosclerosis Reports · doi:10.1007/s11883-013-0343-7 · Cited by 44 · see citing works
The Return of the House Call
Daschle, T. A., & Dorsey, E. R. (2015) · Annals of Internal Medicine · doi:10.7326/m14-2769 · Cited by 41 · see citing works
Self-citation
User satisfaction with realtime teleneurology
Craig, J. J., Russell, C., Patterson, V., & Wootton, R. (1999) · Journal of Telemedicine and Telecare · doi:10.1258/1357633991933774 · Cited by 40 · see citing works
Neurocritical Care in Developing Countries
Mateen, F. J. (2011) · Neurocritical Care · doi:10.1007/s12028-011-9623-7 · Cited by 38 · see citing works
A Multidisciplinary Model of Dementia Care in an Underserved Retirement Community, Made Possible by Telemedicine
Tso, J., Farinpour, R., Chui, H. C., & Liu, C. Y. (2016) · Frontiers in Neurology · doi:10.3389/fneur.2016.00225 · Cited by 37 · see citing works
A Systematic Review of Telestroke
Rubin, M. N., Wellik, K. E., Charmer, D. D., & Demaerschalk, B. M. (2013) · Postgraduate Medicine · doi:10.3810/pgm.2013.01.2623 · Cited by 36 · see citing works
Store-and-Forward Teleneurology in Developing Countries
Patterson, V., Hoque, F., Vassallo, D., Roberts, M., Swinfen, P., & Swinfen, R. (2001) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x010070s121 · Cited by 36 · see citing works
A web-based telemedicine system for low-resource settings 13 years on: insights from referrers and specialists
Patterson, V., & Wootton, R. (2013) · Global Health Action · doi:10.3402/gha.v6i0.21465 · Cited by 34 · see citing works
Telemedically Provided Stroke Expertise beyond Normal Working Hours
Vatankhah, B., Schenkel, J., Fürst, A., Haberl, R. L., & Audebert, H. J. (2008) · Cerebrovascular Diseases · doi:10.1159/000118378 · Cited by 33 · see citing works
Mobile medical applications in neurology
Cohen, A. B., Nahed, B. V., & Sheth, K. N. (2013) · Neurology Clinical Practice · doi:10.1212/cpj.0b013e318283ff4f · Cited by 32 · see citing works
The Hidden Economics of Telemedicine
Asch, D. A. (2015) · Annals of Internal Medicine · doi:10.7326/m15-1416 · Cited by 31 · see citing works
Investigation of anticipatory postural adjustments during one-leg stance using inertial sensors: evidence from subjects with parkinsonism
Bonora, G., Mancini, M., Carpinella, I., Chiari, L., Ferrarin, M., Nutt, J. G., & Horak, F. B. (2017) · Frontiers in Neurology · doi:10.3389/fneur.2017.00361 · Cited by 31 · see citing works
Development of a Portable Tool for Screening Neuromotor Sequelae From Repetitive Low-Level Blast Exposure
Rhea, C. K., Kuznetsov, N. A., Ross, S. E., Long, B. L., Jakiela, J. T., Bailie, J. M., Yanagi, M. A., Haran, F. J., Wright, W. G., Robins, R. K., et al. (2017) · Military Medicine · doi:10.7205/milmed-d-16-00140 · Cited by 29 · see citing works
Improving Access and Mobility — The Interstate Medical Licensure Compact
Chaudhry, H. J., Robin, L. A., Fish, E. M., Polk, D. H., & Gifford, J. D. (2015) · New England Journal of Medicine · doi:10.1056/nejmp1502639 · Cited by 29 · see citing works
The Medical Education Partnership Initiative (MEPI), a collaborative paradigm for institutional and human resources capacity building between high- and low- and middle-income countries: the Mozambique experience
Noormahomed, E. V., Carrilho, C., Ismail, M. R., Noormahomed, S., Nguenha, A., Benson, C. A., Mocumbi, A. O., & Schooley, R. T. (2017) · Global Health Action · doi:10.1080/16549716.2017.1272879 · Cited by 29 · see citing works
Remote Assessment of Cognitive Function in Juvenile Neuronal Ceroid Lipofuscinosis (Batten disease)
Ragbeer, S. N., Augustine, E. F., Mink, J. W., Thatcher, A. R., Vierhile, A., & Adams, H. (2015) · Journal of Child Neurology · doi:10.1177/0883073815600863 · Cited by 27 · see citing works
Comparing the supply of pediatric subspecialists and child neurologists
Werner, R. M., & Polsky, D. (2005) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2004.08.061 · Cited by 27 · see citing works
Systematic Review of Teleneurology
Rubin, M. N., Wellik, K. E., Channer, D. D., & Demaerschalk, B. M. (2013) · The Neurohospitalist · doi:10.1177/1941874413483754 · Cited by 26 · see citing works
Outcomes and Lessons Learned From a Randomized Controlled Trial to Reduce Health Care Utilization During the First Year After Spinal Cord Injury Rehabilitation: Telephone Counseling Versus Usual Care
Mackelprang, J. L., Hoffman, J. M., Garbaccio, C., & Bombardier, C. H. (2016) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2016.03.002 · Cited by 23 · see citing works
Quantitative biomechanical assessment of trunk control in Huntington's disease reveals more impairment in static than dynamic tasks
Kegelmeyer, D. A., Kostyk, S. K., Fritz, N. E., Fiumedora, M. M., Chaudhari, A. M. W., Palettas, M. S., Young, G. S., & Kloos, A. (2017) · Journal of the Neurological Sciences · doi:10.1016/j.jns.2017.02.054 · Cited by 23 · see citing works
Telemedicine for distance education in neurology: preliminary experience in India
Misra, U. K., Kalita, J., Mishra, S. K., & Yadav, R. (2004) · Journal of Telemedicine and Telecare · doi:10.1258/1357633042602044 · Cited by 22 · see citing works
Teleneurology by email
Patterson, V., Humphreys, J., & Chua, R. (2003) · Journal of Telemedicine and Telecare · doi:10.1258/135763303322596237 · Cited by 21 · see citing works
Pull test estimation in Parkinson's disease patients using wearable sensor technology
Pasluosta, C. F., Barth, J., Gaßner, H., Klucken, J., & Eskofier, B. M. (2015) · Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) · doi:10.1109/embc.2015.7319050 · Cited by 21 · see citing works
Tele-transmission of EEG recordings
Lemesle, M., Kubis, N., Sauleau, P., Tich, S. N. T., & Villepin, A. T.-D. (2015) · Neurophysiologie Clinique · doi:10.1016/j.neucli.2014.12.001 · Cited by 19 · see citing works
Telemedicine for Monitoring MS Activity and Progression
Solà‐Valls, N., Blanco, Y., Sepúlveda, M., Martínez‐Hernández, E., & Saiz, A. (2015) · Current Treatment Options in Neurology · doi:10.1007/s11940-015-0377-y · Cited by 18 · see citing works
Intravenous thrombolysis guided by a telemedicine consultation system for acute ischaemic stroke patients in China: the protocol of a multicentre historically controlled study
Yuan, Z., Wang, B., Li, F., Wang, J., Zhi, J., Luo, E., Liu, Z.-R., & Zhao, G. (2015) · BMJ Open · doi:10.1136/bmjopen-2014-006704 · Cited by 17 · see citing works
MotorBrain: A mobile app for the assessment of users’ motor performance in neurology
Vianello, A., Chittaro, L., Burigat, S., & Budai, R. (2017) · Computer Methods and Programs in Biomedicine · doi:10.1016/j.cmpb.2017.02.012 · Cited by 17 · see citing works
International Issues: Teleneurology in humanitarian crises
Saadi, A., & Mateen, F. J. (2017) · Neurology · doi:10.1212/wnl.0000000000004114 · Cited by 17 · see citing works
The progress of telestroke in China
Zhao, G., Huang, H., & Yang, F. (2017) · Stroke and Vascular Neurology · doi:10.1136/svn-2017-000084 · Cited by 16 · see citing works
Disregard of neurological impairments associated with neglected tropical diseases in Africa
Quansah, E., Sarpong, E., & Karikari, T. K. (2015) · eNeurologicalSci · doi:10.1016/j.ensci.2015.11.002 · Cited by 16 · see citing works
Helmsley Trust Support For Telehealth Improves Access To Care In Rural And Frontier Areas
Stingley, S., & Schultz, H. (2014) · Health Affairs · doi:10.1377/hlthaff.2013.1278 · Cited by 16 · see citing works
Telehealth: a perspective approach for visceral leishmaniasis (kala-azar) control in India
Bhunia, G. S., Kesari, S., Chatterjee, N., Kumar, V., & Das, P. K. (2012) · Pathogens and Global Health · doi:10.1179/2047773212y.0000000014 · Cited by 14 · see citing works
Right tech, wrong time
Adner, R., & Kapoor, R. (2017) · IEEE Engineering Management Review · doi:10.1109/emr.2017.8233298 · Cited by 13 · see citing works
The neurology map of the Arab world
Benamer, H. T. S., & Shakir, R. A. (2009) · Journal of the Neurological Sciences · doi:10.1016/j.jns.2009.05.012 · Cited by 10 · see citing works
Setting up a Neuroscience Stroke and Rehabilitation Centre in Brunei Darussalam by a transcontinental on-site and telemedical cooperation
Meyding‐Lamadé, U., Bassa, B., Craemer, E. M., Jacobi, C., Chan, C., Hacke, W., & Kress, B. (2016) · International Journal of Stroke · doi:10.1177/1747493016672086 · Cited by 9 · see citing works
Subjective perception of sleep benefit in Parkinson's disease: Valid or irrelevant?
Lee, W., Evans, A. H., & Williams, D. R. (2017) · Parkinsonism & Related Disorders · doi:10.1016/j.parkreldis.2017.06.026 · Cited by 7 · see citing works
Stroke Telemedicine: State of Affairs–Reply–I
Demaerschalk, B. M., & Meschia, J. F. (2009) · Mayo Clinic Proceedings · doi:10.1016/s0025-6196(11)60568-5 · Cited by 6 · see citing works
The novel quantitative measures of gait and posture in Parkinson’s disease: cross-sectional analysis
Mano, T., Nishi, R., Kobayashi, Y., Matsuo, K., Kobayashi, Y., & Kakehi, A. (2015) · Rinsho Shinkeigaku · doi:10.5692/clinicalneurol.55.259 · Cited by 4 · see citing works
Alzheimer’s test may undermine drug trials
Cressey, D. (2012) · Nature · doi:10.1038/nature.2012.12079 · Cited by 1 · see citing works
How NYP Used Its Innovation Stack to Launch a Telehealth Program
Gordon, J. T., Tsay, D., Coyne, S., Barchi, D. J., Fleischut, P. M., & Deland, E. L. (2017) · NEJM Catalyst · Cited by 1 · see citing works

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The global burden of neurological disorders: translating evidence into policy
Feigin, V. L., Vos, T., Nichols, E., Owolabi, M. O., Carroll, W. M., Dichgans, M., Deuschl, G., Parmar, P., Brainin, M., & Murray, C. (2020) · The Lancet Neurology · doi:10.1016/s1474-4422(19)30411-9 · Cited by 1,303 · see citing works
Artificial Intelligence in Medicine: Today and Tomorrow
Briganti, G., & Le Moine, O. (2020) · Frontiers in Medicine · doi:10.3389/fmed.2020.00027 · Cited by 743 · see citing works
Long-term unsupervised mobility assessment in movement disorders
Warmerdam, E., Hausdorff, J. M., Atrsaei, A., Zhou, Y., Mirelman, A., Aminian, K., Espay, A. J., Hansen, C., Evers, L. J. W., Keller, A., et al. (2020) · The Lancet Neurology · doi:10.1016/s1474-4422(19)30397-7 · Cited by 306 · see citing works
Improving Access to Care: Telemedicine Across Medical Domains
Barbosa, W. A., Zhou, K., Waddell, E. M., Myers, T. L., & Dorsey, E. R. (2021) · Annual Review of Public Health · doi:10.1146/annurev-publhealth-090519-093711 · Cited by 302 · see citing works
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Integrated and patient-centred management of Parkinson's disease: a network model for reshaping chronic neurological care
Bloem, B. R., Henderson, E. J., Dorsey, E. R., Okun, M. S., Okubadejo, N. U., Chan, P., Andrejack, J., Darweesh, S. K. L., & Munneke, M. (2020) · The Lancet Neurology · doi:10.1016/s1474-4422(20)30064-8 · Cited by 260 · see citing works
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Advances in Neurodegenerative Diseases
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The Role of Digital Navigators in Promoting Clinical Care and Technology Integration into Practice
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Authors: Dorsey, E. R., Glidden, A. M., Holloway, M. R., Birbeck, G. L., & Schwamm, L. H.
Affiliations: University of Rochester Medicine (US)
Massachusetts General Hospital (US)
Corresponding author: Dorsey, E. Ray
ORCID: Dorsey, E. Ray
Glidden, Alistair M.
Holloway, Melissa R.
Birbeck, Gretchen L.
Schwamm, Lee H.
Venue: Nature Reviews Neurology
Publisher: Springer Science and Business Media LLC
Published: 2018-04-06
Volume: 14
Issue: 5
Pages: 285-297
ISSN: 1759-4758 (ISSN-L)
1759-4766
DOI: 10.1038/nrneurol.2018.31
OpenAlex: W2795761008
Cited by: 258
References: 169
Citations by year: 2026: 22 · 2025: 22 · 2024: 39 · 2023: 32 · 2022: 27 · 2021: 50 · 2020: 43 · 2019: 19 · 2018: 4
FWCI: 5.20
Type: journal article
Language: en
Open access: closed
Licence: www.springer.com/tdm (tdm)
Locations: Nature Reviews Neurology (publishedVersion)
PubMed (publishedVersion)
Funders: National Institute of Neurological Disorders and Stroke (R01NS094037, U10NS086729, P20NS092529, U01NS077179)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Healthcare Systems and Technology
Social Sciences › Demography › Technology Use by Older Adults
Keywords: teleneurology, mobile health, smartphones, wearable sensors, telestroke, Parkinson's disease, epilepsy, multiple sclerosis, chronic neurological disease, low-income countries, digital divide, telehealth adoption, remote patient monitoring
MeSH terms: Humans, Nervous System Diseases, Neurology, Telemedicine, Monitoring, Ambulatory, Mobile Applications

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Teleneurology and mobile technologies: the future of neurological care

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