Effectiveness of exercises by telerehabilitation on pain, physical function and quality of life in people with physical disabilities: a systematic review of randomised controlled trials with GRADE recommendations
| Autor: | Rosana F. Sampaio, Fabiana Caetano Martins Silva e Dutra, Marisa Cotta Mancini, Renan Alves Resende, Jane Fonseca Dias, Vinícius Cunha Oliveira, Pollyana Ruggio Tristão Borges, Renata Noce Kirkwood |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Physical disability Population Psychological intervention MEDLINE Physical Therapy Sports Therapy and Rehabilitation CINAHL Cochrane Library 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) Telerehabilitation Humans Pain Management Medicine Disabled Persons Orthopedics and Sports Medicine 030212 general & internal medicine education Pain Measurement Randomized Controlled Trials as Topic education.field_of_study business.industry General Medicine Physical Functional Performance Exercise Therapy Quality of Life Physical therapy business 030217 neurology & neurosurgery |
| Zdroj: | British Journal of Sports Medicine. 55:155-162 |
| ISSN: | 1473-0480 0306-3674 |
| DOI: | 10.1136/bjsports-2019-101375 |
| Popis: | ObjectiveInvestigate whether exercise-based telerehabilitation improves pain, physical function and quality of life in adults with physical disabilities.DesignSystematic review of randomised controlled trials.Data sourcesSearches were performed in AMED, MEDLINE, CINAHL, SPORTDiscus, Embase, PEDro, Cochrane Library and PsycINFO.Eligibility criteriaTrials were considered if they evaluated exercise by telerehabilitation. The population included adults with physical disability. Comparisons were control and other interventions. The outcomes were pain, physical function and quality of life. Study selection, data extraction and analysis followed the protocol registered in PROSPERO (CRD42019122824). GRADE determined the strength of evidence.ResultsForty-eight trials were included in the quantitative analysis. When compared with other interventions, there was high-quality evidence that telerehabilitation was not different to other interventions for pain (95% CI: −0.4 to 0.1), physical function (95% CI: −0.2 to 0.2) and quality of life (95% CI: −0.1 to 0.5) at long-term. There was moderate-quality evidence that telerehabilitation was not different to other interventions for physical function (95% CI: −0.1 to 0.5) and quality of life (95% CI: −0.2 to 0.5) at short-term. However, due to the low-quality evidence and the small number of trials comparing exercise protocols offered by telerehabilitation with control groups, it is still not possible to state the efficacy of telerehabilitation on pain, function and quality of life at short-term and long-term.ConclusionsExercise by telerehabilitation may be an alternative to treat pain, physical function and quality of life in adults with physical disabilities when compared with other intervention. |
| Databáze: | OpenAIRE |
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