Effectiveness of Telerehabilitation in Physical Therapy: A Rapid Overview

Primer Autor
Seron, Pamela
Co-autores
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
Título
Effectiveness of Telerehabilitation in Physical Therapy: A Rapid Overview
Editorial
OXFORD UNIV PRESS INC
Revista
PHYSICAL THERAPY
Lenguaje
en
Resumen
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.
Tipo de Recurso
artículo de revisión
Description
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).
doi
10.1093/ptj/pzab053
Formato Recurso
PDF
Palabras Claves
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
Ubicación del archivo
http://dx.doi.org/10.1093/ptj/pzab053
Categoría OCDE
Ortopedía
Rehabilitación
Materias
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
Disciplinas de la OCDE
Medicina General e Interna
Tecnología Médica
Servicios y Cuidados en Ciencias de la Salud
Título de la cita (Recomendado-único)
Effectiveness of Telerehabilitation in Physical Therapy: A Rapid Overview
Identificador del recurso (Mandatado-único)
artículo de revisión
Versión del recurso (Recomendado-único)
version publicada
License
CC BY-NC 4.0
Condición de la licencia (Recomendado-repetible)
CC BY-NC 4.0
Derechos de acceso
acceso abierto
Access Rights
acceso abierto
Referencia del Financiador (Mandatado si es aplicable-repetible)
ANID-FONDECYT 1181734
ANID FONDECYT 1181734
Id de Web of Science
WOS:000732786500006
Colecciones
Colección Publicaciones Científicas
Colección ANID
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