M A van Egmond1, M van der Schaaf2, T Vredeveld3, M M R Vollenbroek-Hutten4, M I van Berge Henegouwen5, J H G Klinkenbijl6, R H H Engelbert2. 1. Amsterdam UMC, University of Amsterdam, Department of Rehabilitation, Amsterdam Movement Sciences, Meibergdreef 9, Amsterdam, The Netherlands; Amsterdam Center for Innovative Health Practice (ACHIEVE), Amsterdam University of Applied Sciences, Faculty of Health, Amsterdam, The Netherlands; European School of Physiotherapy, Amsterdam University of Applied Sciences, Faculty of Health, Amsterdam, The Netherlands. Electronic address: m.a.vanegmond@amc.uva.nl. 2. Amsterdam UMC, University of Amsterdam, Department of Rehabilitation, Amsterdam Movement Sciences, Meibergdreef 9, Amsterdam, The Netherlands; Amsterdam Center for Innovative Health Practice (ACHIEVE), Amsterdam University of Applied Sciences, Faculty of Health, Amsterdam, The Netherlands. 3. Amsterdam Center for Innovative Health Practice (ACHIEVE), Amsterdam University of Applied Sciences, Faculty of Health, Amsterdam, The Netherlands; School of Physiotherapy, Amsterdam University of Applied Sciences, Faculty of Health, Amsterdam, The Netherlands. 4. University of Twente, Faculty of Electrical Engineering, Mathematics and Computer Science, Telemedicine Group, Enschede, The Netherlands; Ziekenhuis Groep Twente, Almelo, The Netherlands. 5. Amsterdam UMC, University of Amsterdam, Department of Surgery, Cancer Center Amsterdam, Meibergdreef 9, Amsterdam, The Netherlands. 6. Department of Surgery, Gelre Hospital Apeldoorn-Zutphen, The Netherlands; University of Amsterdam, Amsterdam, The Netherlands.
Abstract
BACKGROUND: Over the last few years, telerehabilitation services have developed rapidly, and patients value benefits such as reduced travelling barriers, flexible exercise hours, and the possibility to better integrate skills into daily life. However, the effects of physiotherapy with telerehabilitation on postoperative functional outcomes compared with usual care in surgical populations are still inconclusive. OBJECTIVES: To study the effectiveness of physiotherapy with telerehabilitation on postoperative functional outcomes and quality of life in surgical patients. DATA SOURCES: Relevant studies were obtained from MEDLINE, EMBASE, CINAHL, the Cochrane Library, PEDro, Google Scholar and the World Health Organization International Clinical Trials Registry Platform. STUDY SELECTION: Randomised controlled trials, controlled clinical trials, quasi-randomised studies and quasi-experimental studies with comparative controls were included with no restrictions in terms of language or date of publication. DATA EXTRACTION AND SYNTHESIS: Methodological quality was assessed using the Cochrane risk of bias tool. Twenty-three records were included for qualitative synthesis. Seven studies were eligible for quantitative synthesis on quality of life, and the overall pooled standardised mean difference was 1.01 (95% confidence interval 0.18 to 1.84), indicating an increase in favour of telerehabilitation in surgical patients. LIMITATIONS: The variety in contents of intervention and outcome measures restricted the performance of a meta-analysis on all clinical outcome measures. CONCLUSIONS: Physiotherapy with telerehabilitation has the potential to increase quality of life, is feasible, and is at least equally effective as usual care in surgical populations. This may be sufficient reason to choose physiotherapy with telerehabilitation for surgical populations, although the overall effectiveness on physical outcomes remains unclear. PROSPERO registration number: CRD42015017744.
BACKGROUND: Over the last few years, telerehabilitation services have developed rapidly, and patients value benefits such as reduced travelling barriers, flexible exercise hours, and the possibility to better integrate skills into daily life. However, the effects of physiotherapy with telerehabilitation on postoperative functional outcomes compared with usual care in surgical populations are still inconclusive. OBJECTIVES: To study the effectiveness of physiotherapy with telerehabilitation on postoperative functional outcomes and quality of life in surgical patients. DATA SOURCES: Relevant studies were obtained from MEDLINE, EMBASE, CINAHL, the Cochrane Library, PEDro, Google Scholar and the World Health Organization International Clinical Trials Registry Platform. STUDY SELECTION: Randomised controlled trials, controlled clinical trials, quasi-randomised studies and quasi-experimental studies with comparative controls were included with no restrictions in terms of language or date of publication. DATA EXTRACTION AND SYNTHESIS: Methodological quality was assessed using the Cochrane risk of bias tool. Twenty-three records were included for qualitative synthesis. Seven studies were eligible for quantitative synthesis on quality of life, and the overall pooled standardised mean difference was 1.01 (95% confidence interval 0.18 to 1.84), indicating an increase in favour of telerehabilitation in surgical patients. LIMITATIONS: The variety in contents of intervention and outcome measures restricted the performance of a meta-analysis on all clinical outcome measures. CONCLUSIONS: Physiotherapy with telerehabilitation has the potential to increase quality of life, is feasible, and is at least equally effective as usual care in surgical populations. This may be sufficient reason to choose physiotherapy with telerehabilitation for surgical populations, although the overall effectiveness on physical outcomes remains unclear. PROSPERO registration number: CRD42015017744.
Authors: Katharina Estel; Julian Scherer; Heiko Dahl; Eva Wolber; Noah D Forsat; David A Back Journal: BMC Health Serv Res Date: 2022-04-13 Impact factor: 2.655
Authors: Juan Jose Gonzalez-Gerez; Carlos Bernal-Utrera; Ernesto Anarte-Lazo; Jose Antonio Garcia-Vidal; Jose Martin Botella-Rico; Cleofas Rodriguez-Blanco Journal: Trials Date: 2020-06-29 Impact factor: 2.279
Authors: Carlos J Marques; Christian Bauer; Dafne Grimaldo; Steffen Tabeling; Timo Weber; Alexander Ehlert; Alexandre H Mendes; Juergen Lorenz; Frank Lampe Journal: Sensors (Basel) Date: 2020-04-15 Impact factor: 3.576