Effects of telerehabilitation monitored home-based therapies on upper extremity function-related outcomes in children and adolescents with unilateral cerebral palsy: A systematic review.

IF 3.3 3区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Journal of Telemedicine and Telecare Pub Date : 2026-09-01 Epub Date: 2026-02-12 DOI:10.1177/1357633X261420104

Jibrin Sammani Usman, Thomson Wai-Lung Wong, Shamay Sheung Mei Ng

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引用次数: 0

Abstract

Introduction: Children and adolescents with cerebral palsy (CP) demonstrate proficient function if they can perform all tasks required for daily living. Telerehabilitation (TR) and monitoring can facilitate the execution of home-based (HB) therapies. This systematic review aimed to assess the scientific evidence regarding the effects of TR-monitored HB therapies on outcomes related to upper extremity function in children and adolescents with unilateral cerebral palsy (UCP).MethodsComprehensive searches were conducted across online databases, including the Cochrane Library, EMBASE, PubMed, Web of Science, and PEDro, as well as additional sources, from inception to October 2025. The inclusion criteria encompassed randomized controlled trials, whose risk of bias and methodological quality were evaluated using the Cochrane Risk-of-Bias Tool and the PEDro scale, respectively. A narrative synthesis approach was employed for data analysis.ResultsTR-monitored HB therapies showed positive improvements in hand coordination, dexterity, bimanual hand function, ADL motor and processing skills, occupational performance, and execution of functional goals in children and adolescents with UCP (predominantly spastic UCP studies) compared with the control interventions.ConclusionsTelerehabilitation-monitored HB therapies showed potential to improve upper extremity function-related outcomes in children and adolescents with unilateral cerebral palsy (predominantly spastic UCP studies).

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远程康复监测家庭治疗对单侧脑瘫儿童和青少年上肢功能相关结局的影响：一项系统综述。

导言：患有脑瘫（CP）的儿童和青少年如果能够完成日常生活所需的所有任务，就表明他们的功能是熟练的。远程康复（TR）和监测可以促进以家庭为基础（HB）治疗的实施。本系统综述旨在评估tr监测HB治疗对单侧脑瘫（UCP）儿童和青少年上肢功能相关结局影响的科学证据。方法对在线数据库进行综合检索，包括Cochrane Library、EMBASE、PubMed、Web of Science和PEDro以及其他来源，从成立到2025年10月。纳入标准包括随机对照试验，其偏倚风险和方法学质量分别使用Cochrane风险-偏倚工具和PEDro量表进行评估。采用叙事综合方法进行数据分析。结果与对照干预相比，str监测HB治疗在儿童和青少年UCP（主要是痉挛性UCP研究）患者的手部协调、灵巧性、双手手功能、ADL运动和加工技能、职业表现和功能目标执行方面均有积极改善。结论：康复监测HB疗法显示出改善单侧脑瘫儿童和青少年上肢功能相关预后的潜力（主要是痉挛性UCP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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来源期刊

Journal of Telemedicine and Telecare 医学-卫生保健

CiteScore

14.10

自引率

10.60%

发文量

174

审稿时长

6-12 weeks

期刊介绍： Journal of Telemedicine and Telecare provides excellent peer reviewed coverage of developments in telemedicine and e-health and is now widely recognised as the leading journal in its field. Contributions from around the world provide a unique perspective on how different countries and health systems are using new technology in health care. Sections within the journal include technology updates, editorials, original articles, research tutorials, educational material, review articles and reports from various telemedicine organisations. A subscription to this journal will help you to stay up-to-date in this fast moving and growing area of medicine.