J Telemed Telecare - Evidence of benefit from telerehabilitation in routine care: a systematic review.

Tópicos

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Resumo

We systematically reviewed the evidence on the effectiveness of telerehabilitation (TR) applications. The review included reports on rehabilitation for any disability, other than mental health conditions, and drug or alcohol addiction. All forms of telecommunications technology for TR and all types of study design were considered. Study quality was assessed using an approach that considered both study performance and study design. Judgements were made on whether each TR application had been successful, whether reported outcomes were clinically significant, and whether further data were needed to establish the application as suitable for routine use. Sixty-one scientifically credible studies that reported patient outcomes or administrative changes were identified through computerized literature searches on five databases. Twelve clinical categories were covered by the studies. Those dealing with cardiac or neurological rehabilitation were the most numerous. Thirty-one of the studies (51%) were of high or good quality. Study results showed that 71% of the TR applications were successful, 18% were unsuccessful and for 11% the status was unclear. The reported outcomes for 51% of the applications appeared to be clinically significant. Poorer-quality studies tended to have worse outcomes than those from high- or good-quality studies. We judged that further study was required for 62% of the TR applications and desirable for 23%. TR shows promise in many fields, but compelling evidence of benefit and of impact on routine rehabilitation programmes is still limited. There is a need for more detailed, better-quality studies and for studies on the use of TR in routine care.

Resumo Limpo

systemat review evid effect telerehabilit tr applic review includ report rehabilit disabl mental health condit drug alcohol addict form telecommun technolog tr type studi design consid studi qualiti assess use approach consid studi perform studi design judgement made whether tr applic success whether report outcom clinic signific whether data need establish applic suitabl routin use sixtyon scientif credibl studi report patient outcom administr chang identifi computer literatur search five databas twelv clinic categori cover studi deal cardiac neurolog rehabilit numer thirtyon studi high good qualiti studi result show tr applic success unsuccess status unclear report outcom applic appear clinic signific poorerqu studi tend wors outcom high goodqual studi judg studi requir tr applic desir tr show promis mani field compel evid benefit impact routin rehabilit programm still limit need detail betterqu studi studi use tr routin care

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