{"title":"Effectiveness of Telehealth-Based Exercise Interventions for Patients With Stroke: A Meta-Analysis of Randomised Controlled Trials.","authors":"Yize Sun, Saiya Zhang, Tianrui Zhao, Chenglin Sun, Ping Li, Lihua Zhang","doi":"10.1111/jocn.17792","DOIUrl":null,"url":null,"abstract":"<p><strong>Aim: </strong>To explore the effects of telehealth-based exercise interventions on balance, motor function, walking ability and activities of daily living (ADLs) in patients with stroke.</p><p><strong>Design: </strong>Meta-analysis of randomised controlled trials.</p><p><strong>Methods: </strong>This meta-analysis of randomised controlled trials was reported to follow the PRISMA statement and the Cochrane Handbook guidelines. The study employed either a fixed-effects model or a random-effects model according to the statistical heterogeneity observed.</p><p><strong>Data sources: </strong>The literature search was performed in six databases including PubMed, Embase, the Cochrane Central Register of Controlled Trials, Web of Science, PsycINFO and CINAHL from inception to December 2023.</p><p><strong>Results: </strong>A total of 15 randomised controlled trials were included in this meta-analysis. Most of the studies were evaluated for some concerns. The quality of the evidence in this analysis ranged from low to moderate in terms of the outcome. Meta-analysis revealed that telehealth-based exercise interventions presented significant effects on walking ability, motor function and ADLs in patients with stroke. Nonetheless, the balance remained unaffected by statistical significance.</p><p><strong>Conclusion: </strong>Telehealth-based exercise interventions could effectively improve walking ability, motor function and ADLs in patients with stroke; however, the impact on balance was not significant. Telehealth-based exercise interventions are recommended for stroke survivors residing in remote areas or facing economic constraints.</p><p><strong>Implications for the profession and patient care: </strong>This meta-analysis showed that telehealth-based exercise interventions could bring benefits to the rehabilitation of patients with stroke. Telehealth-based exercise interventions should be considered effective to better promote the rehabilitation of patients.</p><p><strong>Reporting method: </strong>The study was reported in compliance with the PRISMA statement.</p><p><strong>Patient or public contribution: </strong>None.</p><p><strong>Trial registration: </strong>PROSPERO (https://www.crd.york.ac.uk/PROSPERO): CRD42024501015.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2000,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Clinical Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/jocn.17792","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Aim: To explore the effects of telehealth-based exercise interventions on balance, motor function, walking ability and activities of daily living (ADLs) in patients with stroke.
Design: Meta-analysis of randomised controlled trials.
Methods: This meta-analysis of randomised controlled trials was reported to follow the PRISMA statement and the Cochrane Handbook guidelines. The study employed either a fixed-effects model or a random-effects model according to the statistical heterogeneity observed.
Data sources: The literature search was performed in six databases including PubMed, Embase, the Cochrane Central Register of Controlled Trials, Web of Science, PsycINFO and CINAHL from inception to December 2023.
Results: A total of 15 randomised controlled trials were included in this meta-analysis. Most of the studies were evaluated for some concerns. The quality of the evidence in this analysis ranged from low to moderate in terms of the outcome. Meta-analysis revealed that telehealth-based exercise interventions presented significant effects on walking ability, motor function and ADLs in patients with stroke. Nonetheless, the balance remained unaffected by statistical significance.
Conclusion: Telehealth-based exercise interventions could effectively improve walking ability, motor function and ADLs in patients with stroke; however, the impact on balance was not significant. Telehealth-based exercise interventions are recommended for stroke survivors residing in remote areas or facing economic constraints.
Implications for the profession and patient care: This meta-analysis showed that telehealth-based exercise interventions could bring benefits to the rehabilitation of patients with stroke. Telehealth-based exercise interventions should be considered effective to better promote the rehabilitation of patients.
Reporting method: The study was reported in compliance with the PRISMA statement.
目的：探讨远程健康运动干预对脑卒中患者平衡、运动功能、行走能力和日常生活活动（ADLs）的影响。设计：随机对照试验荟萃分析。方法：这项随机对照试验的荟萃分析遵循PRISMA声明和Cochrane手册指南。根据观察到的统计异质性，本研究采用固定效应模型或随机效应模型。资料来源：文献检索自成立至2023年12月PubMed、Embase、Cochrane Central Register of Controlled Trials、Web of Science、PsycINFO和CINAHL 6个数据库。结果：本meta分析共纳入15项随机对照试验。大多数研究都是针对某些问题进行评估的。就结果而言，本分析的证据质量从低到中等不等。meta分析显示，基于远程健康的运动干预对脑卒中患者的行走能力、运动功能和ADLs有显著影响。尽管如此，平衡仍然不受统计显著性的影响。结论：基于远程健康的运动干预能有效改善脑卒中患者的行走能力、运动功能和生活自理能力；然而，对平衡的影响并不显著。建议居住在偏远地区或面临经济限制的中风幸存者采用基于远程保健的运动干预措施。对专业和患者护理的影响：本荟萃分析显示，基于远程医疗的运动干预可以为中风患者的康复带来益处。基于远程保健的运动干预措施应被认为是有效的，以更好地促进患者的康复。报告方法：本研究按照PRISMA声明进行报告。患者或公众贡献：无。试验注册：PROSPERO (https://www.crd.york.ac.uk/PROSPERO): CRD42024501015。
期刊介绍：
The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice.
JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice.
We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.
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