Effect of Home-based Telerehabilitation on Balance, Functional Mobility, and Quality of Life in Persons with Parkinson's Disease: A Systematic Review and Meta-Analysis.

IF 2.1 Q1 REHABILITATION

International Journal of Telerehabilitation Pub Date : 2025-12-12 eCollection Date: 2025-01-01 DOI:10.63144/ijt.2025.6725

Arnold Fredrick D'Souza, Akhila Jagadish, Jennifer V D'Souza, Dorcas B C Gandhi, Dushyanth Babu Jasti, Manikandan Natarajan

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引用次数: 0

Abstract

Background: Persons with Parkinson's disease (PwPD) require ongoing rehabilitation to maintain independence, but traditional center-based and unsupervised home programs have limitations in accessibility and adherence. Home-based telerehabilitation (TR) offers a promising alternative by enabling remote delivery of exercise interventions.

Objective: To evaluate the effect of home-based TR on balance, functional mobility, and quality of life in PwPD.

Methods: A comprehensive electronic search was conducted across PubMed, CINAHL, Embase, OvidSP, ProQuest, Scopus, Web of Science, Cochrane CENTRAL, and PEDro databases. Interventional studies on exercise-centric home-based TR for PwPD with either balance, functional mobility, or quality of life as outcomes were included.

Results: A total of 37 studies were included in this systematic review, of which 13 were eligible for meta-analysis. The meta-analysis revealed small but significant improvements in balance (SMD = 0.25; 95% CI: 0.04 to 0.45; p = 0.02). and functional mobility (SMD = -0.28; 95% CI: -0.52 to -0.05; p = 0.02). However, no significant effect was observed for quality of life (SMD = -0.08; 95% CI: -0.25 to 0.09; p = 0.35).

Conclusion: Home-based TR is effective for improving balance and functional mobility in PwPD, although, its effect on quality of life is unclear which warrants further research.

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以家庭为基础的远程康复对帕金森病患者平衡、功能活动和生活质量的影响：系统回顾和荟萃分析

背景：帕金森病患者（PwPD）需要持续的康复来保持独立性，但传统的以中心为基础和无监督的家庭计划在可及性和依从性方面存在局限性。基于家庭的远程康复（TR）提供了一种有前途的替代方案，使运动干预的远程交付成为可能。目的：评价居家TR对PwPD患者平衡、功能活动和生活质量的影响。方法：对PubMed、CINAHL、Embase、OvidSP、ProQuest、Scopus、Web of Science、Cochrane CENTRAL和PEDro数据库进行全面的电子检索。包括以运动为中心的家庭TR治疗PwPD的介入研究，其结果包括平衡、功能活动或生活质量。结果：本系统综述共纳入37项研究，其中13项符合meta分析。荟萃分析显示平衡虽小但有显著改善（SMD = 0.25; 95% CI: 0.04 ~ 0.45; p = 0.02）。和功能活动性（SMD = -0.28; 95% CI: -0.52 ~ -0.05; p = 0.02）。然而，对生活质量没有观察到显著影响（SMD = -0.08; 95% CI: -0.25至0.09;p = 0.35）。结论：居家TR可有效改善PwPD患者的平衡和功能活动能力，但其对生活质量的影响尚不清楚，值得进一步研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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