Real-time video telerehabilitation shows comparable satisfaction and similar or better attendance and adherence compared with in-person physiotherapy: a systematic review

IF 9.7 1区医学 Q1 ORTHOPEDICS Journal of Physiotherapy Pub Date : 2024-07-01 DOI:10.1016/j.jphys.2024.06.001

Joshua Simmich, Megan H Ross, Trevor Russell

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Abstract

Question

How does physiotherapy delivered by real-time, video-based telerehabilitation compare with in-person delivery for the outcomes of attendance, adherence and satisfaction?

Design

Systematic review of randomised control trials indexed in PubMed, CINAHL, Embase, Cochrane and PEDro on 12 March 2024.

Participants

Adults aged > 18 years.

Intervention

Physiotherapy delivered via real-time video telerehabilitation.

Outcome measures

Attendance, adherence and satisfaction.

Results

Eight studies were included for attendance (n = 1,110), nine studies for adherence (n = 1,190) and 12 studies for satisfaction (n = 1,247). Telerehabilitation resulted in attendance at treatment sessions that was 8% higher (95% CI −1 to 18) and adherence to exercise programs that was 9% higher (95% CI 2 to 16) when compared with in-person physiotherapy. Satisfaction was similar with both modes of delivery (SMD 0.03 in favour of telerehabilitation, 95% CI −0.23 to 0.28). The level of certainty assessed by GRADE ranged from very low to low, primarily due to inconsistency and high risk of bias.

Discussion

Attendance at appointments among participants assigned to telerehabilitation was somewhere between similar to and considerably higher than among control participants. Adherence to self-management with telerehabilitation was better than with in-person delivery, although with some uncertainty about the magnitude of the effect. Reported satisfaction levels were similar between the two modes of treatment delivery. Given the significance of attendance, adherence and satisfaction for successful outcomes, telerehabilitation offers a valuable alternative mode for physiotherapy delivery.

Conclusion

Real-time telerehabilitation has potentially favourable effects on attendance at treatment appointments and adherence to exercise programs, with similar satisfaction when compared with traditional in-person physiotherapy.

Registration

PROSPERO CRD42022329906

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实时视频远程康复与面对面物理治疗相比，满意度相当，出勤率和坚持率相似或更高：系统综述。

问题在出勤率、依从性和满意度方面，通过实时视频远程康复提供的物理治疗与面对面提供的物理治疗相比效果如何？对 2024 年 3 月 12 日在 PubMed、CINAHL、Embase、Cochrane 和 PEDro 中索引的随机对照试验进行系统回顾：干预：干预措施：通过实时视频远程康复提供物理治疗：结果测量：出勤率、依从性和满意度：结果：8 项研究纳入了出勤率（n = 1,110），9 项研究纳入了坚持率（n = 1,190），12 项研究纳入了满意度（n = 1,247）。与面对面物理治疗相比，远程康复治疗的出勤率高出 8%（95% CI -1-18），坚持锻炼计划的比例高出 9%（95% CI 2-16）。两种治疗模式的满意度相似（远程康复的满意度为0.03，95% CI为-0.23至0.28）。GRADE评估的确定性从很低到很低不等，主要原因是不一致和高偏倚风险：接受远程康复治疗的患者的就诊率介于与对照组患者的就诊率相近和高出对照组患者很多之间。远程康复治疗的自我管理依从性优于面对面治疗，但效果的大小还不确定。两种治疗方式的满意度相似。鉴于出勤率、坚持率和满意度对成功治疗的重要性，远程康复治疗为物理治疗提供了一种有价值的替代模式：结论：与传统的面对面物理治疗相比，实时远程康复对治疗预约的出席率和运动计划的坚持率具有潜在的有利影响，满意度也相似：注册：PROCROPERO CRD42022329906。

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来源期刊

Journal of Physiotherapy ORTHOPEDICS-REHABILITATION

CiteScore

11.40

自引率

7.40%

发文量

审稿时长

72 days

期刊介绍： The Journal of Physiotherapy is the official journal of the Australian Physiotherapy Association. It aims to publish high-quality research with a significant impact on global physiotherapy practice. The journal's vision is to lead the field in supporting clinicians to access, understand, and implement research evidence that will enhance person-centred care. In January 2008, the Journal of Physiotherapy became the first physiotherapy journal to adhere to the ICMJE requirement of registering randomized trials with a recognized Trial Registry. The journal prioritizes systematic reviews, clinical trials, economic analyses, experimental studies, qualitative studies, epidemiological studies, and observational studies. In January 2014, it also became the first core physiotherapy/physical therapy journal to provide free access to editorials and peer-reviewed original research. The Australian Physiotherapy Association extended their support for excellence in physiotherapy practice by sponsoring open access publication of all Journal of Physiotherapy content in 2016. As a result, all past, present, and future journal articles are freely accessible, and there are no author fees for publication.