Use of videoconferencing for physical therapy in people with musculoskeletal conditions: A systematic review
Use of videoconferencing for physical therapy in people with musculoskeletal conditions: A systematic review
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DOI：
10.1177/1357633x17700781
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发表时间：
2018-06-01
影响因子：
4.7
通讯作者：
Harrison, Elizabeth
中科院分区：
文献类型：
--
作者：
Grona, Stacey L.;Bath, Brenna;Harrison, Elizabeth
背景：物理治疗师是肌肉骨骼疾病管理的关键参与者，这在农村和偏远社区很常见。与潜在需求相比，农村地区的物理治疗师很少，因此要么不提供护理，要么必须在城市中心寻求护理，需要出差和远离工作和家庭的时间才能获得服务。远程康复策略，如实时视频会议，正在成为可能的解决方案，以解决农村物理治疗services.Objectives短缺：本次审查将：（1）确定安全的视频会议的有效性和可靠性的物理治疗管理的肌肉骨骼条件;（2）确定使用安全视频会议进行肌肉骨骼疾病物理治疗管理时的健康、系统和过程结果。由两名独立评审员对四个数据库进行了方案驱动的系统性综述。研究标准包括2003年1月至2016年12月期间关于使用安全视频会议进行物理治疗管理的英语文章，涉及18-80岁慢性肌肉骨骼疾病成人。包括随机对照试验、实验前研究和病例对照研究。利用标准化的工具，具体的研究designs.Results和结论：有效性和可靠性的研究被确定为具有高风险的偏见进行质量分析。干预研究的质量中等，并发现对健康结果和满意度的积极影响。两项研究评估了成本，其中一项研究证明了成本节约。需要更有力的研究来评估远程康复对肌肉骨骼疾病物理治疗管理的长期影响，包括成本效益分析。
Background: Physical therapists are key players in the management of musculoskeletal conditions, which are common in rural and remote communities. There are few physical therapists in rural regions compared to potential need, so care is either not provided or must be sought in urban centers, requiring travel and time away from work and family to access services. Telerehabilitation strategies, such as real-time videoconferencing, are emerging as possible solutions to address shortages in rural physical therapy services.Objectives: This review will: (1) determine the validity and the reliability of secure videoconferencing for physical therapy management of musculoskeletal conditions; (2) determine the health, system, and process outcomes when using secure videoconferencing for physical therapy management of musculoskeletal conditions.Methods: A protocol-driven systematic review of four databases was carried out by two independent reviewers. Study criteria included English language articles from January 2003 to December 2016, on physical therapy management using secure videoconferencing, pertaining to adults 18-80 years with chronic musculoskeletal disorders. Randomized controlled trials, pre-experimental studies, and case-control studies were included. Quality analysis was performed utilizing standardized tools specific for the study designs.Results and conclusions: Validity and reliability studies were identified as having high risk of bias. Intervention studies were of moderate quality, and found positive impact on health outcomes and satisfaction. Two studies evaluated costs, with evidence of cost savings in one study. More robust research is required to evaluate long-term effects of telerehabilitation for physical therapy management of musculoskeletal disorders, including cost-benefit analyses.