School of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, Canada.
Clin Rehabil. 2012 May;26(5):387-402. doi: 10.1177/0269215511423279. Epub 2011 Oct 4.
To review and summarize available evidence to compare the outcomes of home-based rehabilitation to inpatient rehabilitation for older patients with musculoskeletal conditions.
Relevant articles published prior to August 2011 were identified using MEDLINE, CINAHL and the Cochrane Central Register of Controlled Trials databases.
English-language articles that compared patient outcomes of home-based and inpatient rehabilitation for older adults were included. Outpatient care was not included as home-based or inpatient rehabilitation. Methodological quality of included studies was evaluated by two reviewers using the PEDro scale.
A systematic search yielded eight randomized controlled trials and four cohort studies. Older adults who received rehabilitation in the home had equal or higher gains than the inpatient group in function, cognition, and quality of life; they also reported higher satisfaction.
Home-based rehabilitation may be an effective alternative for treating older patients with musculoskeletal conditions.
回顾和总结现有证据，比较家庭康复和住院康复对老年肌肉骨骼疾病患者的治疗效果。
使用 MEDLINE、CINAHL 和 Cochrane 中央对照试验注册库，检索 2011 年 8 月以前发表的相关文章。
纳入比较老年患者家庭康复和住院康复治疗效果的英文文献。门诊治疗不被视为家庭或住院康复。两位评审员使用 PEDro 量表评估纳入研究的方法学质量。
系统检索得到 8 项随机对照试验和 4 项队列研究。接受家庭康复的老年人在功能、认知和生活质量方面的改善与住院组相当，甚至更高；他们的满意度也更高。
家庭康复可能是治疗老年肌肉骨骼疾病患者的有效替代方法。
