J Med Internet Res
| Autor: | Annie Lannuzel, Maturin Tabue Teguo, Emmanuel Rusch, Huidi Tchero |
|---|---|
| Přispěvatelé: | Bordeaux population health (BPH), Université de Bordeaux (UB)-Institut de Santé Publique, d'Épidémiologie et de Développement (ISPED)-Institut National de la Santé et de la Recherche Médicale (INSERM) |
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
MEDLINE Health Informatics Review SEPIA rehabilitation law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Quality of life law Telerehabilitation Humans Medicine Survivors 030212 general & internal medicine Stroke mobile phone business.industry Stroke Rehabilitation medicine.disease 3. Good health meta-analysis Strictly standardized mean difference Meta-analysis Berg Balance Scale Quality of Life Physical therapy [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie telemedicine business Cell Phone 030217 neurology & neurosurgery |
| Zdroj: | Journal of Medical Internet Research Journal of Medical Internet Research, JMIR Publications, In press, 20 (10), pp.e10867. ⟨10.2196/10867⟩ |
| ISSN: | 1438-8871 |
| DOI: | 10.2196/10867⟩ |
| Popis: | BACKGROUND: Telerehabilitation is an emerging technology through which medical rehabilitation care can be provided from a distance. OBJECTIVE: This systematic review and meta-analysis aims to investigate the efficacy of telerehabilitation in poststroke patients. METHODS: Eligible randomized controlled trials (RCTs) were identified by searching MEDLINE, Cochrane Central, and Web of Science databases. Continuous data were extracted for relevant outcomes and analyzed using the RevMan software as the standardized mean difference (SMD) and 95% CI in a fixed-effect meta-analysis model. RESULTS: We included 15 studies (1339 patients) in our systematic review, while only 12 were included in the pooled analysis. The combined effect estimate showed no significant differences between the telerehabilitation and control groups in terms of the Barthel Index (SMD -0.05, 95% CI -0.18 to 0.08), Berg Balance Scale (SMD -0.04, 95% CI -0.34 to 0.26), Fugl-Meyer Upper Extremity (SMD 0.50, 95% CI -0.09 to 1.09), and Stroke Impact Scale (mobility subscale; SMD 0.18, 95% CI -0.13 to 0.48]) scores. Moreover, the majority of included studies showed that both groups were comparable in terms of health-related quality of life (of stroke survivors), Caregiver Strain Index, and patients' satisfaction with care. One study showed that the cost of telerehabilitation was lower than usual care by US $867. CONCLUSIONS: Telerehabilitation can be a suitable alternative to usual rehabilitation care in poststroke patients, especially in remote or underserved areas. Larger studies are needed to evaluate the health-related quality of life and cost-effectiveness with the ongoing improvements in telerehabilitation networks. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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