Effectiveness of telerehabilitation in postoperative outcomes in patients on hip fracture surgery: a meta-analysis of randomized controlled trials

作者：Huangyi Xiao, Wenshu Zeng, L tfi Ero lu, Jiankun Yuan, Ziyu Yan, Jun Wang · 发表于：BMC Sports Science Medicine and Rehabilitation · 年份：2025 · DOI：10.1186/s13102-025-01169-4 · 被引用次数：7 · 研究领域：Hip and Femur Fractures、Total Knee Arthroplasty Outcomes、Telemedicine and Telehealth Implementation

OBJECTIVE: To comprehensively assess the rehabilitation efficacy of telerehabilitation compared with other traditional rehabilitation therapies in postoperative hip fracture patients. DATA SOURCES: Seven electronic databases: PubMed, Embase, The Cochrane Library, Web of Science, CNKI, Wan Fang, and VIP Databases, were searched from inception until October 2023. STUDY SELECTION: Two independent reviewers selected randomized controlled trials (RCTs) that assessed the efficacy of telerehabilitation intervention approach to postoperative hip fracture rehabilitation. An outcome measure related to hip function, functional independence, anxiety levels, walking ability, quality of life, and treatment adherence were eligible. DATA EXTRACTION: Two reviewers independently used the Cochrane Risk of Bias 2 (RoB 2) tool for risk of bias and data extraction. RevMan 5.4 and Stata 15.1 were used for statistical analysis. DATA SYNTHESIS: Seventeen RCTs (n = 1577) met the inclusion criteria. Compared to the usual care group, the telerehabilitation group demonstrated a noteworthy enhancement in hip function, as evidenced by the Harris Hip Score (SMD = 1.05, 95% CI (0.64, 1.45)). Significant improvements in functional independence (Functional Independence Measure: SMD = 1.38, 95% CI (1.08, 1.68)), adherence to rehabilitation treatment (Medical Compliance Behavior Scale: SMD = 1.23, 95% CI (0.71, 1.76)), and quality of life (SMD = 1.04, 95% CI (0.42, 1.65)) were also observed in the telerehabilita...