Tags

Type your tag names separated by a space and hit enter

Real-time telerehabilitation for the treatment of musculoskeletal conditions is effective and comparable to standard practice: a systematic review and meta-analysis.
Clin Rehabil. 2017 May; 31(5):625-638.CR

Abstract

OBJECTIVE

To evaluate the effectiveness of treatment delivered via real-time telerehabilitation for the management of musculoskeletal conditions, and to determine if real-time telerehabilitation is comparable to conventional methods of delivery within this population.

DATA SOURCES

Six databases (Medline, Embase, Cochrane CENTRAL, PEDro, psycINFO, CINAHL) were searched from inception to November 2015 for literature which reported on the outcomes of real-time telerehabilitation for musculoskeletal conditions.

REVIEW METHODS

Two reviewers screened 5913 abstracts where 13 studies (n = 1520) met the eligibility criteria. Methodological quality was assessed using the Downs & Black 'Checklist for Measuring Quality' tool. Results were pooled for meta-analysis based upon primary outcome measures and reported as standardised mean differences and 95% confidence intervals (CI).

RESULTS

Aggregate results suggest that telerehabilitation is effective in the improvement of physical function (SMD 1.63, 95%CI 0.92-2.33, I2=93%), whilst being slightly more favourable (SMD 0.44, 95%CI 0.19-0.69, I2=58%) than the control cohort following intervention. Sub-group analyses reveals that telerehabilitation in addition to usual care is more favourable (SMD 0.64, 95%CI 0.43-0.85, I2=10%) than usual care alone, whilst treatment delivered solely via telerehabilitation is equivalent to face-to-face intervention (SMD MD 0.14, 95% CI -0.10-0.37, I2 = 0%) for the improvement of physical function. The improvement of pain was also seen to be comparable between cohorts (SMD 0.66, 95%CI -0.27-1.60, I2=96%) following intervention.

CONCLUSIONS

Real-time telerehabilitation appears to be effective and comparable to conventional methods of healthcare delivery for the improvement of physical function and pain in a variety of musculoskeletal conditions.

Authors+Show Affiliations

1 School of Health and Rehabilitation Science, University of Queensland, Australia. 2 Centre for Research Excellence in Telehealth, University of Queensland, Australia.1 School of Health and Rehabilitation Science, University of Queensland, Australia.1 School of Health and Rehabilitation Science, University of Queensland, Australia. 3 Physiotherapy Department, Royal Brisbane and Women's Hospital, Australia.1 School of Health and Rehabilitation Science, University of Queensland, Australia. 2 Centre for Research Excellence in Telehealth, University of Queensland, Australia.1 School of Health and Rehabilitation Science, University of Queensland, Australia. 2 Centre for Research Excellence in Telehealth, University of Queensland, Australia.

Pub Type(s)

Journal Article
Meta-Analysis
Review
Systematic Review

Language

eng

PubMed ID

27141087

Citation

Cottrell, Michelle A., et al. "Real-time Telerehabilitation for the Treatment of Musculoskeletal Conditions Is Effective and Comparable to Standard Practice: a Systematic Review and Meta-analysis." Clinical Rehabilitation, vol. 31, no. 5, 2017, pp. 625-638.
Cottrell MA, Galea OA, O'Leary SP, et al. Real-time telerehabilitation for the treatment of musculoskeletal conditions is effective and comparable to standard practice: a systematic review and meta-analysis. Clin Rehabil. 2017;31(5):625-638.
Cottrell, M. A., Galea, O. A., O'Leary, S. P., Hill, A. J., & Russell, T. G. (2017). Real-time telerehabilitation for the treatment of musculoskeletal conditions is effective and comparable to standard practice: a systematic review and meta-analysis. Clinical Rehabilitation, 31(5), 625-638. https://doi.org/10.1177/0269215516645148
Cottrell MA, et al. Real-time Telerehabilitation for the Treatment of Musculoskeletal Conditions Is Effective and Comparable to Standard Practice: a Systematic Review and Meta-analysis. Clin Rehabil. 2017;31(5):625-638. PubMed PMID: 27141087.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Real-time telerehabilitation for the treatment of musculoskeletal conditions is effective and comparable to standard practice: a systematic review and meta-analysis. AU - Cottrell,Michelle A, AU - Galea,Olivia A, AU - O'Leary,Shaun P, AU - Hill,Anne J, AU - Russell,Trevor G, Y1 - 2016/05/02/ PY - 2016/5/4/pubmed PY - 2017/11/3/medline PY - 2016/5/4/entrez KW - Musculoskeletal disorders KW - Telemedicine KW - systematic review KW - telerehabilitation SP - 625 EP - 638 JF - Clinical rehabilitation JO - Clin Rehabil VL - 31 IS - 5 N2 - OBJECTIVE: To evaluate the effectiveness of treatment delivered via real-time telerehabilitation for the management of musculoskeletal conditions, and to determine if real-time telerehabilitation is comparable to conventional methods of delivery within this population. DATA SOURCES: Six databases (Medline, Embase, Cochrane CENTRAL, PEDro, psycINFO, CINAHL) were searched from inception to November 2015 for literature which reported on the outcomes of real-time telerehabilitation for musculoskeletal conditions. REVIEW METHODS: Two reviewers screened 5913 abstracts where 13 studies (n = 1520) met the eligibility criteria. Methodological quality was assessed using the Downs & Black 'Checklist for Measuring Quality' tool. Results were pooled for meta-analysis based upon primary outcome measures and reported as standardised mean differences and 95% confidence intervals (CI). RESULTS: Aggregate results suggest that telerehabilitation is effective in the improvement of physical function (SMD 1.63, 95%CI 0.92-2.33, I2=93%), whilst being slightly more favourable (SMD 0.44, 95%CI 0.19-0.69, I2=58%) than the control cohort following intervention. Sub-group analyses reveals that telerehabilitation in addition to usual care is more favourable (SMD 0.64, 95%CI 0.43-0.85, I2=10%) than usual care alone, whilst treatment delivered solely via telerehabilitation is equivalent to face-to-face intervention (SMD MD 0.14, 95% CI -0.10-0.37, I2 = 0%) for the improvement of physical function. The improvement of pain was also seen to be comparable between cohorts (SMD 0.66, 95%CI -0.27-1.60, I2=96%) following intervention. CONCLUSIONS: Real-time telerehabilitation appears to be effective and comparable to conventional methods of healthcare delivery for the improvement of physical function and pain in a variety of musculoskeletal conditions. SN - 1477-0873 UR - https://www.unboundmedicine.com/medline/citation/27141087/Real_time_telerehabilitation_for_the_treatment_of_musculoskeletal_conditions_is_effective_and_comparable_to_standard_practice:_a_systematic_review_and_meta_analysis L2 - https://journals.sagepub.com/doi/10.1177/0269215516645148?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -