The utility of physiotherapy assessments delivered by telehealth: A systematic review.
The utility of physiotherapy assessments delivered by telehealth: A systematic review.
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DOI：
10.7189/jogh.11.04072
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发表时间：
2021
影响因子：
7.2
通讯作者：
Pope R
中科院分区：
文献类型：
--
作者：
Zischke C;Simas V;Hing W;Milne N;Spittle A;Pope R
远程医疗的使用正在增加，因为它能够克服服务获取障碍并在疾病传播受到关注时提供持续护理。然而，人们对在所有物理治疗实践领域使用同步远程医疗形式进行物理治疗评估的有效性、可靠性和实用性知之甚少。本系统评价的目的是确定在物理治疗实践的所有领域使用同步远程医疗形式进行物理治疗评估的当前临床测量价值。对数据库（PubMed/MEDLINE、Cochrane 图书馆、Embase 和 EBSCO）进行了全面检索，以确定研究在所有物理治疗实践领域使用同步远程医疗形式进行物理治疗评估的临床测量价值的研究。选择后，使用 Brink 和 Louw 或混合方法评估工具进行质量评估。使用批判性叙述方法提取和综合有关同步远程医疗物理治疗评估的有效性、可靠性和实用性的证据。其中包括在各种模拟 (n = 15) 或现实世界远程医疗环境 (n = 24) 中进行的 39 项研究。有效性、可靠性和实用性研究的质量各不相同。评估包括运动范围、肌肉力量、耐力、疼痛、特殊骨科测试（肩部/肘部）、Berg 平衡量表、计时起立、计时站立测试、六分钟步行测试、360 度转身步数、儿童运动评估电池（第二版）、步数测试、ABILHAND 评估、主动直腿抬高和上肢圆周测量，在有限的人群和环境（许多样本量较小）中被报告为有效/可靠。参与者似乎欢迎远程医疗技术的使用，大多数研究报告参与者的满意度很高。如果可以选择，许多人表示更倾向于亲自进行物理治疗评估。据报告，视觉/听觉质量存在一些不一致以及言语/非言语沟通方法方面的挑战。一旦服务建立，远程医疗被认为相对具有成本效益。对于有限人群中的特定评估类型，使用同步形式的远程医疗进行物理治疗评估似乎是有效且可靠的。物理治疗实践的所有领域都需要进一步研究，以加强有关其临床测量价值的证据。考虑使用这种评估模式的临床医生应考虑客户/家庭的偏好、评估要求、文化需求、环境、成本考虑、使用技术的机会和信心。普洛斯彼罗：CRD42018108166。
Telehealth use is increasing due to its ability to overcome service access barriers and provide continued care when disease transmission is of concern. However, little is known of the validity, reliability and utility of performing physiotherapy assessments using synchronous forms of telehealth across all physiotherapy practice areas. The aim of this systematic review was to determine the current clinometric value of performing physiotherapy assessments using synchronous forms of telehealth across all areas of physiotherapy practice. A comprehensive search of databases (PubMed/MEDLINE, The Cochrane Library, Embase and EBSCO) was undertaken to identify studies investigating the clinometric value of performing physiotherapy assessments using synchronous forms of telehealth across all physiotherapy practice areas. Following selection, a quality appraisal was conducted using the Brink and Louw or Mixed Methods Appraisal Tool. Evidence regarding validity, reliability and utility of synchronous telehealth physiotherapy assessments was extracted and synthesised using a critical narrative approach. Thirty-nine studies conducted in a variety of simulated (n = 15) or real-world telehealth environments (n = 24), were included. The quality of the validity, reliability and utility studies varied. Assessments including range of movement, muscle strength, endurance, pain, special orthopaedic tests (shoulder/elbow), Berg Balance Scale, timed up and go, timed stance test, six-minute walk test, steps in 360-degree turn, Movement Assessment Battery for Children (2nd Edition), step test, ABILHAND assessment, active straight leg raise, and circumferential measures of the upper limb were reported as valid/reliable in limited populations and settings (many with small sample sizes). Participants appeared to embrace telehealth technology use, with most studies reporting high levels of participant satisfaction. If given a choice, many reported a preference for in-person physiotherapy assessments. Some inconsistencies in visual/auditory quality and challenges with verbal/non-verbal communication methods were reported. Telehealth was considered relatively cost-effective once services were established. Performing physiotherapy assessments using synchronous forms of telehealth appears valid and reliable for specific assessment types in limited populations. Further research is needed in all areas of physiotherapy practice, to strengthen the evidence surrounding its clinometric value. Clinicians contemplating using this assessment mode should consider the client/family preferences, assessment requirements, cultural needs, environment, cost considerations, access and confidence using technology. PROSPERO: CRD42018108166.
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DOI：
10.1111/j.1365-2753.2011.01707.x
发表时间：
2012-12-01
影响因子：
2.4
作者：
Brink, Yolandi;Louw, Quinette A.
通讯作者：
Louw, Quinette A.
影响因子：
2
作者：
Demmelmaier, Ingrid;Denison, Eva;Asenlof, Pernilla
通讯作者：
Asenlof, Pernilla
DOI：
10.1007/s11420-020-09800-5
发表时间：
2020-11
期刊：
HSS journal : the musculoskeletal journal of Hospital for Special Surgery
影响因子：
--
作者：
Eannucci EF;Hazel K;Grundstein MJ;Nguyen JT;Gallegro J
通讯作者：
Gallegro J
影响因子：
3
作者：
Cottrell, Michelle A.;Galea, Olivia A.;Russell, Trevor G.
通讯作者：
Russell, Trevor G.
影响因子：
5.7
作者：
Abrashkin, Karen A.;Zhang, Jenny;Poku, Asantewaa
通讯作者：
Poku, Asantewaa