Effectiveness of guided telerehabilitation on functional performance in community-dwelling older adults: A systematic review.
| Autor: | Gamble CJ; Department of Health Services Research, Faculty of Health Medicine and Life Sciences, CAPHRI Care and Public Health Research Institute, Maastricht, The Netherlands.; Living Lab of Ageing and Long Term Care, Maastricht, The Netherlands.; Stichting Valkenhof, Valkenswaard, The Netherlands., van Haastregt J; Department of Health Services Research, Faculty of Health Medicine and Life Sciences, CAPHRI Care and Public Health Research Institute, Maastricht, The Netherlands.; Living Lab of Ageing and Long Term Care, Maastricht, The Netherlands., van Dam van Isselt EF; University Network for the Care sector Zuid-Holland, Leiden University Medical Centre, Leiden, The Netherlands.; Department of Public Health and Primary Care, Leiden University Medical Centre, Leiden, The Netherlands., Zwakhalen S; Department of Health Services Research, Faculty of Health Medicine and Life Sciences, CAPHRI Care and Public Health Research Institute, Maastricht, The Netherlands.; Living Lab of Ageing and Long Term Care, Maastricht, The Netherlands., Schols J; Department of Health Services Research, Faculty of Health Medicine and Life Sciences, CAPHRI Care and Public Health Research Institute, Maastricht, The Netherlands.; Living Lab of Ageing and Long Term Care, Maastricht, The Netherlands. |
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| Jazyk: | angličtina |
| Zdroj: | Clinical rehabilitation [Clin Rehabil] 2024 Apr; Vol. 38 (4), pp. 457-477. Date of Electronic Publication: 2023 Nov 28. |
| DOI: | 10.1177/02692155231217411 |
| Abstrakt: | Objective: To systematically review the effectiveness of guided telerehabilitation on improving functional performance in community-dwelling older adults. Data Sources: Articles published in PubMed, Cochrane Library and Embase (Ovid) from 01 January 2010 up to 17 October 2023. Review Methods: Included studies had (1) a randomised controlled trial design, (2) an average population age of 65 years or older, (3) a home-based setting and (4) evaluated the effectiveness of functional performance outcome measures. The intervention was considered telerehabilitation when guided by a healthcare professional using video, audio and/or text communication technologies with a minimum frequency of once per week. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis 2020 statement guideline was followed. Methodological quality was appraised using the revised Cochrane Risk of Bias tool. Results: A total of 26 randomised controlled trials were included. Telerehabilitation had superior ( N = 15), non-superior ( N = 16) or non-inferior ( N = 11) effectiveness for improving functional performance outcome measures compared to control interventions. No studies found the control intervention to be superior over telerehabilitation. Between study differences in intervention characteristics contributed to significant clinical heterogeneity. Five studies were found to present an overall 'low' risk of bias, 12 studies to present 'some' risk of bias and 9 studies to present an overall 'high' risk of bias. Conclusion: The findings suggest that telerehabilitation could be a promising alternative to in-person rehabilitation for improving functional performance in community-dwelling older adults. Additional well-designed studies with minimised bias are needed for a better understanding of effective telerehabilitation intervention strategies. Competing Interests: Declaration of conflicting interestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| Databáze: | MEDLINE |
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