School of Rehabilitation Science, University of Saskatchewan, Saskatoon, Canada.
Leslie and Irene Dubé Health Sciences Library, University of Saskatchewan, Saskatoon, Canada.
J Telemed Telecare. 2020 Dec;26(10):581-589. doi: 10.1177/1357633X19854647. Epub 2019 Jun 18.
Telehealth may be a viable means to deliver physical therapy services across a range of practice settings and health conditions; however, there is limited uptake of telehealth in clinical practice. The purpose of this study is to examine and describe trends, gaps and opportunities in published and emerging evidence regarding the use of real-time videoconferencing to deliver physical therapy services.
Four databases and three trial registries were searched using terms for physical therapy and telehealth. Inclusion criteria were primary studies, systematic reviews and published trial registries that had the following features: physical therapy assessment and/or treatment, real-time videoconferencing and English language. Title/abstract, full text screening and data extraction were completed by pairs of independent reviewers. Descriptive statistics stratified by published research and trial registry records were used to summarize study characteristics.
A total of 100 studies (80 published and 20 trial registries) were included. Australia, Canada and the US have the highest proportion of published and emerging research (63%). The majority of conditions studied were musculoskeletal (42%). Computers were the most common videoconferencing technology used (31%) and only 14% of studies reported using a secure platform. The majority of studies examined health outcomes (64%) and process outcomes (65%), while only 32% reported system outcomes.
Research in the field of telehealth and physical therapy is growing and becoming increasingly diverse with the advancements in technology.
远程医疗可能是在一系列实践环境和健康状况下提供物理治疗服务的可行手段；然而，远程医疗在临床实践中的采用率有限。本研究的目的是检查和描述使用实时视频会议提供物理治疗服务的已发表和新兴证据中趋势、差距和机会。
使用物理治疗和远程医疗的术语在四个数据库和三个试验登记处进行了搜索。纳入标准为具有以下特征的主要研究、系统评价和已发表的试验登记处：物理治疗评估和/或治疗、实时视频会议和英语。通过 pairs of independent reviewers 完成标题/摘要、全文筛选和数据提取。按已发表研究和试验登记处记录进行分层的描述性统计用于总结研究特征。
共纳入 100 项研究（80 项已发表和 20 项试验登记处）。澳大利亚、加拿大和美国拥有最多的已发表和新兴研究（63%）。研究的大多数疾病为肌肉骨骼疾病（42%）。计算机是最常用的视频会议技术（31%），只有 14%的研究报告使用了安全平台。大多数研究检查了健康结果（64%）和过程结果（65%），而只有 32%的研究报告了系统结果。
随着技术的进步，远程医疗和物理治疗领域的研究不断增长并变得越来越多样化。
