Your browser doesn't support javascript.
loading
Effectiveness and cost-effectiveness of telerehabilitation for musculoskeletal disorders: A systematic review and meta-analysis.
Molina-Garcia, Pablo; Mora-Traverso, Marta; Prieto-Moreno, Rafael; Díaz-Vásquez, Andrea; Antony, Benny; Ariza-Vega, Patrocinio.
Afiliación
  • Molina-Garcia P; Instituto de Investigación Biosanitaria ibs.GRANDA, Granada, Spain. Electronic address: pablomolinag5@gmail.com.
  • Mora-Traverso M; PA-HELP "Physical Activity for HEaLth Promotion" Research Group, Department of Physical and Sport Education, Faculty of Sports Sciences, University of Granada, Granada, Spain.
  • Prieto-Moreno R; PA-HELP "Physical Activity for HEaLth Promotion" Research Group, Department of Physical and Sport Education, Faculty of Sports Sciences, University of Granada, Granada, Spain; Biomedical Research Unit, Torrecárdenas University Hospital, 04009 Almería, Spain; Department of Education, Faculty of Educa
  • Díaz-Vásquez A; Instituto de Investigación Biosanitaria ibs.GRANDA, Granada, Spain.
  • Antony B; Menzies Institute for Medical Research, University of Tasmania, 17 Liverpool St, Hobart, Tasmania 7000, Australia.
  • Ariza-Vega P; Instituto de Investigación Biosanitaria ibs.GRANDA, Granada, Spain; PA-HELP "Physical Activity for HEaLth Promotion" Research Group, Department of Physical and Sport Education, Faculty of Sports Sciences, University of Granada, Granada, Spain; Department of Physiotherapy, Faculty of Health Science,
Ann Phys Rehabil Med ; 67(1): 101791, 2024 Feb.
Article en En | MEDLINE | ID: mdl-38128150
ABSTRACT

BACKGROUND:

Internet-based telerehabilitation could be a valuable option for the treatment of musculoskeletal disorders, with the advantage of providing rehabilitation from anywhere. However, there is no solid and updated evidence demonstrating its effectiveness on relevant clinical and cost outcomes.

OBJECTIVE:

This systematic review aims to determine the clinical and cost-effectiveness of internet-based telerehabilitation during the recovery of musculoskeletal disorders.

METHODS:

Medline, Web of Science, Scopus and Cochrane databases were systematically searched from inception to June 2023. Trials investigating the effects of internet-based telerehabilitation in any musculoskeletal disorder were selected. Nonoriginal articles and grey literature were excluded. Two independent reviewers conducted the study selection and data extraction. Random effect meta-analyses (standardized mean difference) and further sensitivity analyses were performed.

RESULTS:

We selected 37 clinical trials (33 randomized and 4 non-randomized) and 5 health economics studies, which included a total of 4,288 participants. Telerehabilitation was more favourable than control treatments in improving all studied clinical outcomes, although the effectiveness varied depending on the type of musculoskeletal disorder. The standard mean differences (SMD) ranged from 0.24 to 0.91. For physical function, the primary outcome, superior effectiveness was found only in people with hip fractures (SMD, 0.87; 95 % CI, 0.34 to 1.41). The effects for joint replacement, osteoarthritis, and spine pain were similar to those of control treatments. However, the favourable outcomes for telerehabilitation became insignificant when compared specifically to face-to-face rehabilitation. Some results displayed publication bias and a lack of robustness, necessitating cautious interpretation. In terms of health economics studies, telerehabilitation was 89.55$ (95 % CI 4.6 to 174.5) cheaper per individual than conventional treatments.

CONCLUSIONS:

Telerehabilitation should be considered in the recovery process of musculoskeletal disorders when optimal face-to-face rehabilitation is not feasible. Moreover, telerehabilitation reduces costs and time. PROSPERO NUMBER CRD42022322425.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades Musculoesqueléticas / Telerrehabilitación / Análisis de Costo-Efectividad Tipo de estudio: Systematic_reviews Límite: Humans / Male Idioma: En Revista: Ann Phys Rehabil Med Asunto de la revista: MEDICINA FISICA / REABILITACAO Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades Musculoesqueléticas / Telerrehabilitación / Análisis de Costo-Efectividad Tipo de estudio: Systematic_reviews Límite: Humans / Male Idioma: En Revista: Ann Phys Rehabil Med Asunto de la revista: MEDICINA FISICA / REABILITACAO Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos