Challenges of tele-rehabilitation in children with disabilities in initial education

María L. Aguilar-Carlos, Jaime Muñoz-Arteaga, Angel E. Muñoz-Zavala, Gabriela C. López-Torres


This research deals with the tele-rehabilitation service for children with disabilities in a post-Covid-19 era. There has been a boom with new working models and adaptation to new challenges and experiences of professionals in rehabilitation therapies. With such services as the most effective way to treat psychomotor deficits in children with disabilities, Rehabilitation Centers have reconfigured their planning by offering hybrid care, but there is a lack of integration of ICT for the delivery of these services through agile approaches. Under an Action-Design methodology, a survey was designed and applied to therapists from five Rehabilitation Centers in Mexico; focused on knowing four relevant aspects: Rehabilitation Teleworking; ICT in therapeutic activity; Communication between parents and Rehabilitation centers; and Patients. From the result, it can be inferred that there is a high level of interest at THE initial education in technological training and a need for higher quality stimulation tools and resources.

Texto completo:

PDF (English)


Arora, M.; Quel De Oliveira, C. (2022). Telephysical Therapy. In Telerehabilitation (pp. 281-295). Elsevier. doi:10.1016/B978-0-323-82486-6.00019-8.

Asana (n.d.). Asana, el software para gestión de proyectos. Los equipos no pierden de vista el trabajo gracias a Asana. (

Barriga, A.; Conejero, J. M.; Hernández, J.; Jurado, E.; Moguel, E.; Sánchez-Figueroa, F.; Adrian Postolache, O.; Casson, A.; Chandra Mukhopadhyay, S. (2016). A Vision-Based Approach for Building Telecare and Telerehabilitation Services. doi:10.3390/s16101724.

Berardi, N.; Sale, A. (2019). Ambiente, plasticidad y desarrollo cerebral. Los efectos del entorno en la construcción del individuo. Emse Edapp S.L., Ed.

Camden, C.; Pratte, G.; Fallon, F.; Couture, M.; Berbari, J.; Tousignant, M. (2020). Diversity of practices in telerehabilitation for children with disabilities and effective intervention characteristics: results from a systematic review. Disability and Rehabilitation, 42(24), 3424-3436. doi:10.1080/09638288.2019.1595750.

Camden, C.; Silva, M. (2021). Pediatric Teleheath: Opportunities Created by the COVID-19 and Suggestions to Sustain Its Use to Support Families of Children with Disabilities. Physical and Occupational Therapy in Pediatrics, 41(1), 1-17. doi:10.1080/01942638.2020.1825032/SUPPL_FILE/IPOP_A_1825032_SM3273.PDF.

Caprì, T.; Nucita, A.; Iannizzotto, G.; Stasolla, F.; Romano, A.; Semino, M.; Giannatiempo, S.; Canegallo, V.; Fabio, R. A. (2021). Telerehabilitation for Improving Adaptive Skills of Children and Young Adults with Multiple Disabilities: a Systematic Review. Review Journal of Autism and Developmental Disorders, 8(2), 244-252. doi:10.1007/S40489-020-00214-X.

Consejo Nacional de Prestación de Servicios para la Atención, C. y D. I. I. (2018, July). Educación Inicial, Secretaría de Educación Pública | Consejo Nacional de Prestación de Servicios para la Atención, Cuidado y Desarrollo Integral Infantil | Gobierno | (

Fernández Mayoralas, D. M.; Fernández Jaén, A.; Fernández Perrone A. L.; Calleja Pérez, B.; Muñoz-Jareño, N. (2015). Detección y manejo del retraso psicomotor en la infancia.

George, D.; Mallery, P. (2010). SPSS for Windows step by step: A simple guide and reference. Boston: Allyn&Bacon, Ed.

Groeneveld, S.; Tummers, L.; Bronkhorst, B.; Ashikali, T.; van Thiel, S. (2015). Quantitative Methods in Public Administration: Their Use and Development Through Time. International Public Management Journal, 18(1), 61-86. doi:10.1080/10967494.2014.972484.

Hosseiniravandi, M.; Kahlaee, A. H.; Karim, H.; Ghamkhar, L.; Safdari, R. (2020). Home-based telerehabilitation software systems for remote supervising: A systematic review. International Journal of Technology Assessment in Health Care, 36(2), 113-125. doi:10.1017/S0266462320000021.

Ibarra Núñez, M. M. (2016). Las TIC y Discapacidad Intelectual, una búsqueda para generar nuevas estrategias que permitan mejorar los procesos de enseñanza y aprendizaje.

Instituto Mexicano del Seguro Social (2014). Guía de práctica clínica gpc trastorno específico del desarrollo psicomotor en Niños de 0 a 3 años. (

Jakubowska, L.; Kazimierska-Zając, M.; Nowak, K. (2019). The interdisciplinarity and innovativeness of methods in rehabilitation of children with cerebral palsy. Journal of Education Culture and Society, 10(1), 125-135. doi:10.15503/jecs20191.125.135.

Jesus, T. S.; Landry, M. D.; Jacobs, K. (2020). A “new normal” following COVID-19 and the economic crisis: Using systems thinking to identify challenges and opportunities in disability, telework, and rehabilitation. Work, 67, 37-46. doi:10.3233/WOR-203250.

Jira | Issue & Project Tracking Software | Atlassian. (n.d.). Jira. (

Koenig, S. T.; Krch, D.; Chiaravalloti, N.; Lengenfelder, J.; Nikelshpur, O.; Lange, B. S.; Deluca, J.; Rizzo, A. A. (n.d.). Agile development of a virtual reality cognitive assessment. CC jacces, 2014.

Lidström, H.; Ahlsten, G.; Hemmingsson, H. (2011). The influence of ICT on the activity patterns of children with physical disabilities outside school. Child: Care, Health and Development, 37(3), 313-321. doi:10.1111/J.1365-2214.2010.01168.X.

Márquez Noriego, B. E. (2016). Procesos de Plasticidad Cerebral en pacientes con daño adquirido. Universidad de Sevilla. (

Michaud, L. J. (2004a). American academy of pediatrics clinical report. Guidance for the Clinician in Rendering Pediatric Care Prescribing Therapy Services for Children With Motor Disabilities. (

Michaud, L. J. (2004b). Prescribing Therapy Services for Children with Motor Disabilities. Pediatrics, 113(6), 1836-1838. doi:10.1542/peds.113.6.1836.

Moradi, V.; Babaee, T.; Esfandiari, E.; Lim, S. B.; Kordi, R. (2021). Telework and telerehabilitation programs for workers with a stroke during the COVID-19 pandemic: A commentary. Work, 68(1), 77-80. doi:10.3233/WOR-203356.

Mullarkey, M. T.; Hevner, A. R. (2019). An elaborated action design research process model. European Journal of Information Systems, 28(1), 6-20. doi:10.1080/0960085X.2018.1451811.

Murphy, A.; Pinkerton, L. M.; Bruckner, E.; Risser, H. J. (2021). The Impact of the Novel Coronavirus Disease 2019 on Therapy Service Delivery for Children with Disabilities. The Journal of Pediatrics, 231, 168-177.e1. doi:10.1016/j.jpeds.2020.12.060.

Novak, I.; McIntyre, S.; Morgan, C.; Campbell, L.; Dark, L.; Morton, N.; Stumbles, E.; Wilson, S. A.; Goldsmith, S. (2013). A systematic review of interventions for children with cerebral palsy: State of the evidence. Developmental Medicine and Child Neurology, 55(10), 885-910. doi:10.1111/DMCN.12246.

Phoenix, M.; Jack, S. M.; Rosenbaum, P. L.; Missiuna, C. (2019). Disability and Rehabilitation A grounded theory of parents’ attendance, participation and engagement in children’s developmental rehabilitation services: Part 2. The journey to child health and happiness A grounded theory of parents’ attendance, participation and engagement in children’s developmental rehabilitation services: Part 2. The journey to child health and happiness. doi:10.1080/09638288.2018.1555618.

Pilco, H.; Sanchez-Gordon, S.; Calle-Jimenez, T.; Luis Pérez-Medina, J.; Rybarczyk, Y.; Jadán-Guerrero, J.; Maldonado, G.; Nunes, I. L. (2019). An Agile Approach to Improve the Usability of a Physical Telerehabilitation Platform. doi:10.3390/app9030480.

Russell, T. G. (2007). Physical rehabilitation using telemedicine. Journal of Telemedicine and Telecare, 13(5), 217-220. doi:10.1258/135763307781458886.

Sakzewski, L.; Ziviani, J.; Boyd, R. N. (2014). Delivering Evidence-Based Upper Limb Rehabilitation for Children with Cerebral Palsy: Barriers and Enablers Identified by Three Pediatric Teams. Physical & Occupational Therapy In Pediatrics, 34(4), 368-383. doi:10.3109/01942638.2013.861890.

Secretaría de Educación Pública. (2017a). Educación Inicial Digital. Aprendizajes Clave. Aprendizajes Clave Para La Educación Integral. (

Secretaría de Educación Pública. (2017b). Modelo Educativo. Equidad e Inclusión. (

Sein, M. K.; Henfridsson, O.; Purao, S.; Rossi, M.; Lindgren, R. (2011). Action Design Research. MIS Quarterly, 35(1), 37. doi:10.2307/23043488.

Seyhan Biyik, K. Ö. T. Ú. D. K. G. (2021). The functional health status of children with cerebral palsy during the COVID-19 pandemic stay-at-home period from parental perpesctive. The Turkish Journal of Pediatrics, 63, 223-236. doi:10.24953/turkjped.21.02.006.

Trello. (n.d.). Trello. (

Tsiouris, K. M.; Gatsios, D.; Tsakanikas, V.; Pardalis, A. A.; Kouris, I.; Androutsou, T.; Tarousi, M.; Vujnovic Sedlar, N.; Somarakis, I.; Mostajeran, F.; Filipovic, N.; op den Akker, H.; Koutsouris, D. D.; Fotiadis, D. I. (2020). Designing interoperable telehealth platforms: bridging IoT devices with cloud infrastructures. Enterprise Information Systems, 14(8), 1194-1218. doi:10.1080/17517575.2020.1759146.

Miro. Una plataforma colaborativa visual online para trabajar en equipo | Miro. (n.d.). Miro. Una plataforma colaborativa visual online para trabajar en equipo. (

UNICEF. (2006). Convención sobre los derechos del niño. (

UNICEF. (2020). Better Early Learning and Development at Scale (BELDS) An innovative partnership and knowledge initiative for planning early childhood education.

United Nations Development Programme. (2022). Sustainable Development Goals. (

van Vugt, V. A.; Jthcm De Kruif, A.; van der Wouden, J. C.; van der Horst, H. E.; Maarsingh, O. R. (2020). Experiences of patients and physiotherapists with blended internet-based vestibular rehabilitation: a qualitative interview study. doi:10.3399/bjgpopen20X101092.

Varela-Aldás, J.; Buele, J.; Lorente, P. R.; García-Magariño, I.; Palacios-Navarro, G. (2021). A virtual reality-based cognitive telerehabilitation system for use in the covid-19 pandemic. Sustainability, 13(4), 1-24. doi:10.3390/su13042183.

Vincent-Lancrin, S.; Cobo Romaní, C.; Reimers, F. (2022). How Learning Continued during the COVID-19 Pandemic. Global lessons from initiatives to support learners and teachers. doi:10.1787/bbeca162-en.

Winters, J. M. (2002). Telerehabilitation research: Emerging Opportunities. Annu. Rev. Biomed. Eng, 4, 287-320. doi:10.1146/annurev.bioeng.4.112801.121923.

World Health Organization (WHO). (2022). Coronavirus. (

Zhang, S.; Hao, Y.; Feng, Y.; Lee, N. Y. (2022). COVID-19 Pandemic Impacts on Children with Developmental Disabilities: Service Disruption, Transition to Telehealth, and Child Wellbeing. Int. J. Environ. Res. Public Health, 19, 3259. doi:10.3390/ijerph19063259.


Enlaces refback

  • No hay ningún enlace refback.

Campus Virtuales

ISSN: 2255-1514