Exercise-based telerehabilitation for patients with multiple sclerosis using physical activity: a systematic review.

IF 2.5 4区医学 Q1 REHABILITATION Journal of Rehabilitation Medicine Pub Date : 2024-11-13 DOI:10.2340/jrm.v56.40641

Michaela Sladeckova, Jan Kocica, Eva Vlckova, Filip Dosbaba, Garyfallia Pepera, Jing Jing Su, Ladislav Batalik

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Abstract

Background: Telerehabilitation is a practical option for individuals with multiple sclerosis (MS) to engage in sustained physical activity without -visiting a rehabilitation facility. The aim of this systematic review was to evaluate the feasibility, effectiveness, safety, and adherence of exercise-based telerehabilitation as compared with usual care for MS patients.

Methods: A comprehensive literature search adhering to PRISMA guidelines was conducted, focusing on studies published in English since 2000. The systematic review protocol was registered in PROSPERO. The selection process involved strict criteria, including studies focusing on people with MS, telerehabilitation centred on regular exercise, a control group receiving usual care, valid exercise testing, and adherence to randomized controlled trial principles. Methodological quality was assessed using the TESTEX tool, ensuring rigour in study design and reporting.

Results: Among the 281 records screened, 10 studies met the criteria. Telerehabilitation interventions varied in format and outcomes were assessed using diverse exercise tests and questionnaires. Despite variations, the studies collectively demonstrated promising feasibility and safety, with minimal withdrawals and minor adverse events. Effectiveness varied, with 5 out of 10 studies showing significant improvements in the intervention group. Adherence rates ranged from 38% to 100%.

Conclusion: In most of the assessed aspects, telerehabilitation is comparable to regular centre-based rehabilitation.

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利用体育活动为多发性硬化症患者提供基于运动的远程康复服务：系统性综述。

背景：远程康复是多发性硬化症（MS）患者在不去康复机构的情况下进行持续体育锻炼的一种实用选择。本系统性综述的目的是评估基于运动的远程康复与针对多发性硬化症患者的常规护理相比的可行性、有效性、安全性和依从性：方法：按照 PRISMA 指南进行了全面的文献检索，重点关注 2000 年以来发表的英文研究。系统性综述方案已在 PROSPERO 上注册。筛选过程有严格的标准，包括以多发性硬化症患者为研究对象、以定期锻炼为中心的远程康复、接受常规护理的对照组、有效的锻炼测试以及遵守随机对照试验原则。研究方法的质量采用 TESTEX 工具进行评估，以确保研究设计和报告的严谨性：在筛选出的 281 份记录中，有 10 项研究符合标准。远程康复干预的形式多种多样，并使用不同的运动测试和问卷对结果进行评估。尽管存在差异，但这些研究都显示出了良好的可行性和安全性，退出研究和出现不良反应的情况极少。有效性各不相同，10 项研究中有 5 项显示干预组有显著改善。坚持率从 38% 到 100% 不等：在大多数评估方面，远程康复与常规的中心康复不相上下。

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 Rehabilitation Medicine 医学-康复医学

CiteScore

5.60

自引率

5.70%

发文量

102

审稿时长

4-8 weeks

期刊介绍： Journal of Rehabilitation Medicine is an international peer-review journal published in English, with at least 10 issues published per year. Original articles, reviews, case reports, short communications, special reports and letters to the editor are published, as also are editorials and book reviews. The journal strives to provide its readers with a variety of topics, including: functional assessment and intervention studies, clinical studies in various patient groups, methodology in physical and rehabilitation medicine, epidemiological studies on disabling conditions and reports on vocational and sociomedical aspects of rehabilitation.