远程康复在成人脑卒中管理中的有效性:一个小型综述

W. Islam, Sulakshna Shyama Biswas, Shahinoor Bente Khan, Mithun Adhikari
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引用次数: 0

摘要

背景:远程康复可以利用技术提供康复服务,增加患者的选择,更有效地提供服务,并克服获得医疗保健的地理障碍。尽管它很受欢迎,但有相互矛盾的证据证明它的有效性。因此,本系统综述的目的是更新目前关于中风远程康复有效性的证据基础。目的:我们旨在对远程康复干预对中风幸存者的疗效进行最新的系统综述。方法:检索PubMed、Google scholar、物理治疗证据数据库(PEDro)、Cochrane图书馆,采用随机对照试验、远程康复干预、以英语出版的研究具有中到高的方法学质量(PEDro评分5分或5分以上)。结果:在218项研究中,04项随机对照试验符合资格标准和质量评估,并被选入本系统综述。通过各种远程康复系统提供了各种各样的干预措施。异质性证据库的总结结果表明,远程康复可能对一系列初级和次级结果产生积极影响。结论:远程康复作为脑卒中患者的一种替代康复方式,显示出其潜力。这项最新的系统综述提供了证据,表明远程康复干预措施具有更好或同等的有益效果。然而,由于方法和实际问题,无法提出明确的建议。这篇综述的结果可能会为中风患者使用远程康复的未来政策和实践提供信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effectiveness of tele rehabilitation in the management of adults with stroke: a mini review
Background: Tele rehabilitation can deliver rehabilitation services with the use of technology to increase patient options, deliver services more efficiently and overcome geographical barriers to healthcare access. Despite its popularity, there is conflicting evidence for its effectiveness. Therefore, the aim of this systematic review was to update the current evidence base on the effectiveness of tele rehabilitation for stroke. Objective: We aimed to provide an updated systematic review on the efficacy of tele-rehabilitation interventions for stroke survivors. Method: PubMed, Google scholar, Physiotherapy Evidence Database (PEDro), Cochrane Library were searched, and the studies which were RCT, had tele-rehabilitation interventions, Published in English language, had moderate to high methodological quality (PEDro scoring 5 or more than 5). Results: Out of 218 studies, 04 randomised controlled trials met the eligibility criteria and quality assessment and were selected for the present systematic review. A diverse range of interventions were delivered through a variety of tele rehabilitation systems. Summarized findings from the heterogeneous evidence base indicate that tele rehabilitation may have a positive impact on a range of primary and secondary outcomes. Conclusion: Tele rehabilitation, as an alternate form of rehabilitation for people with stroke, shows potential. This updated systematic review provides evidence to suggest that tele-rehabilitation interventions have either better or equal salutary effects. However, due to methodological and practical concerns, an unequivocal recommendation cannot be made. Findings from this review may inform future policies and practices regarding the use of tele rehabilitation for stroke patients.
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