Effectiveness of Telerehabilitation in Physical Therapy: A Rapid Overview

作者：Pamela Serón, María José Oliveros, Ruvistay E Gutiérrez-Arias, Rocío Fuentes-Aspe, Rodrigo Torres‐Castro, Catalina Merino-Osorio, Paula Nahuelhual, Jacqueline Inostroza, Yorschua Jalil, Ricardo Noguera Solano, Gabriel Nasri Marzuca-Nassr, Raul Alberto Aguilera-Eguía, Pamela Lavados-Romo, Francisco Javier Soto-Rodríguez, Cecilia Nicole Sabelle-Garcés, Gregory Villarroel, Patricio Gomolán, Sayen Huaiquilaf, Paulina Sánchez · 发表于：Physical Therapy · 年份：2021 · DOI：10.1093/ptj/pzab053 · 被引用次数：590 · 研究领域：Telemedicine and Telehealth Implementation、Stroke Rehabilitation and Recovery、Spinal Cord Injury Research

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 compar...