Repositorio
Institucional

Seron, Pamela

Oliveros, Maria-Jose

Gutierrez-Arias, Ruvistay

Fuentes-Aspe, Rocio

Torres-Castro, Rodrigo C.

Merino-Osorio, Catalina

Nahuelhual, Paula

Inostroza, Jacqueline

Jalil, Yorschua

Solano, Ricardo

Marzuca-Nassr, Gabriel N.

Aguilera-Eguia, Raul

Lavados-Romo, Pamela

Soto-Rodriguez, Francisco J.

Sabelle, Cecilia

Villarroel-Silva, Gregory

Gomolan, Patricio

Huaiquilaf, Sayen

Sanchez, Paulina

Effectiveness of Telerehabilitation in Physical Therapy: A Rapid Overview

OXFORD UNIV PRESS INC

PHYSICAL THERAPY

en

Objective. The purpose of this article was to summarize the available evidence from systematic reviews on telerehabilitation in physical therapy. Methods. We searched Medline/PubMed, EMBASE, and Cochrane Library databases. In addition, the records in PROSPERO and Epistemonikos and PEDro were consulted. Systematic reviews of different conditions, populations, and contexts where the intervention to be evaluated is telerehabilitation by physical therapy-were included. The outcomes were clinical effectiveness depending on specific condition, functionality, quality of life, satisfaction, adherence, and safety. Data extraction and risk of bias assessment were carried out by a reviewer with non-independent verification by a second reviewer. The findings are reported qualitatively in the tables and figures. Results. Fifty-three systematic reviews were included, of which 17 were assessed as having low risk of bias. Fifteen reviews were on cardiorespiratory rehabilitation, 14 on musculoskeletal conditions, and 13 on neurorehabilitation. The other 11 reviews addressed other types of conditions and rehabilitation. Thirteen reviews evaluated with low risk of bias showed results in favor of telerehabilitation versus in-person rehabilitation or no rehabilitation, while 17 reported no differences between the groups. Thirty-five reviews with unclear or high risk of bias showed mixed results. Conclusions. Despite the contradictory results, telerehabilitation in physical therapy could be comparable with in-person rehabilitation or better than no rehabilitation for conditions such as osteoarthritis, low-back pain, hip and knee replacement, and multiple sclerosis and also in the context of cardiac and pulmonary rehabilitation. It is imperative to conduct better quality clinical trials and systematic reviews. Impact. Providing the best available evidence on the effectiveness of telerehabilitation to professionals, mainly physical therapists, will impact the decision-making process and therefore yield better clinical outcomes for patients, both in these times of the COVID-19 pandemic and in the future. The identification of research gaps will also contribute to the generation of relevant and novel research questions.

artículo de revisión

This work was supported by a grant from the Fondecyt Program of National Agency for Research and Development (ANID), Chile (Grant number 1181734).

Este trabajo fue apoyado por una subvención del Programa Fondecyt de la Agencia Nacional de Investigación y Desarrollo (ANID), Chile (Subvención número 1181734).

10.1093/ptj/pzab053

PDF

Digital Health

E-Health

Remote Physical Therapy

Telehealth

Telemedicine

Telerehabilitation

PANDEMIC INSTANT PAPER

MUSCULOSKELETAL CONDITIONS

PULMONARY REHABILITATION

TELEHEALTH INTERVENTIONS

CARDIAC REHABILITATION

SELF-MANAGEMENT

OLDER-ADULTS

COVID-19

METAANALYSIS

TECHNOLOGY

Ortopedía

Rehabilitación

Salud Digital

E-Salud

Fisioterapia Remota

Telesalud

Telemedicina

Telerrehabilitación

PAPEL INSTANTÁNEO PANDÉMICO

CONDICIONES MUSCOESQUELETAS

REHABILITACIÓN PULMONAR

INTERVENCIONES DE TELE SALUD

REHABILITACIÓN CARDIACA

AUTOCUIDADO

ADULTOS MAYORES

COVID-19

METANALISIS

TECNOLOGÍA

Effectiveness of Telerehabilitation in Physical Therapy: A Rapid Overview

artículo de revisión

version publicada

CC BY-NC 4.0

CC BY-NC 4.0

acceso abierto

acceso abierto

ANID-FONDECYT 1181734

ANID FONDECYT 1181734

WOS:000732786500006