Igor Cigarroa, Gustavo López-Alarcón, Felipe Vargas-Rios, Sergio Jara-Aceituno, Daniel Reyes-Molina, Cristobal Riquelme-Hernández, Rafael Zapata-Lamana, María Antonia Parra-Rizo
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引用次数: 0
摘要
远程康复被认为是一种创新、安全、有效的预防或改善虚弱的干预方法。这种康复方式有助于获得机会并缩小保健方面的差距。应探讨在老年人中实施同步远程康复方案的优势和挑战。目的：本方案描述了分析同步远程康复模式下多组分体育锻炼计划与面对面模式下多组分体育锻炼计划对体弱老年人生活质量影响的方法。方法：在以下数据库中进行系统评价：Medline/PubMed、Scopus、Web of Science、CINAHL、Central、PeDRO、Lilacs和Epistemonikos。确定符合建议资格标准的随机临床试验。主要结果是生活质量和功能，次要结果是力量、平衡和心肺功能。此外，将使用rob2工具评估偏倚风险，并使用GRADE系统评估证据的确定性。如果用于确定研究结果的程序是同质的，则进行荟萃分析；将计算具有95%置信区间的平均差异。否则，将使用标准化平均差异来确定效应大小。预期：结果本综述和荟萃分析的主要发现将有助于阐明同步远程模式下物理治疗的有效性。它还将确定对其有积极影响的变量。普洛斯彼罗注册：CRD42024605527。
Effectiveness of a multicomponent physical exercise program in synchronous telerehabilitation mode: A systematic review with meta-analysis protocol.
Introduction: Telerehabilitation has been proposed as an innovative, safe, and effective method of intervention to prevent or improve frailty. This rehabilitation modality facilitates access to opportunities and reduces gaps in healthcare. The advantages and challenges of implementing synchronous telerehabilitation programs in older people should be explored.
Objective: This protocol describes the methodology to analyze the effects of a multicomponent physical exercise program in synchronous telerehabilitation modality compared to a multicomponent physical exercise program in face-to-face modality in terms of quality of life of frail older people.
Methods: A systematic review will be performed in the following databases: Medline/PubMed, Scopus, Web of Science, CINAHL, Central, PeDRO, Lilacs, and Epistemonikos. To identify randomized clinical trials that meet the proposed eligibility criteria. The primary outcomes are quality of life and functionality, and the secondary outcomes are strength, balance, and cardiorespiratory capacity. In addition, the risk of bias will be assessed using the ROB-2 tool, and the certainty of the evidence will be assessed using the GRADE system. A meta-analysis will be performed if the procedures used to determine the results of the study are homogeneous; mean differences with a 95% confidence interval will be calculated. Otherwise, standardized mean differences will be used to determine the effect sizes.
Expected: results The main findings of this review and meta-analysis will contribute to clarifying the effectiveness of physical therapy applied in a synchronous remote modality. It will also identify the variables on which it has a positive effect.
期刊介绍：
Medwave is a peer-reviewed, biomedical and public health journal. Since its foundation in 2001 (Volume 1) it has always been an online only, open access publication that does not charge subscription or reader fees. Since January 2011 (Volume 11, Number 1), all articles are peer-reviewed. Without losing sight of the importance of evidence-based approach and methodological soundness, the journal accepts for publication articles that focus on providing updates for clinical practice, review and analysis articles on topics such as ethics, public health and health policy; clinical, social and economic health determinants; clinical and health research findings from all of the major disciplines of medicine, medical science and public health. The journal does not publish basic science manuscripts or experiments conducted on animals. Until March 2013, Medwave was publishing 11-12 numbers a year. Each issue would be posted on the homepage on day 1 of each month, except for Chile’s summer holiday when the issue would cover two months. Starting from April 2013, Medwave adopted the continuous mode of publication, which means that the copyedited accepted articles are posted on the journal’s homepage as they are ready. They are then collated in the respective issue and included in the Past Issues section.
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