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远程康复在物理治疗中的有效性:在需要快速响应的时代进行概述的方案。

Effectiveness of telerehabilitation in physical therapy: A protocol for an overview in a time when rapid responses are needed.

作者信息

Serón Pamela, Oliveros María-José, Fuentes-Aspe Rocío, Gutiérrez-Arias Ruvistay

机构信息

Departamento Medicina Interna y CIGES, Facultad de Medicina, Universidad de La Frontera, Temuco, Chile. Adress: Claro Solar 115, Temuco, Chile. Email:

Departamento Medicina Interna y CIGES, Facultad de Medicina, Universidad de La Frontera, Temuco, Chile. ORCID: 0000-0002-9327-6844.

出版信息

Medwave. 2020 Aug 3;20(7):e7970. doi: 10.5867/medwave.2020.07.7970.

DOI:10.5867/medwave.2020.07.7970
PMID:32804923
Abstract

INTRODUCTION

Rehabilitation and physical therapy have been adapting to the telehealth era, increasing accessibility and improving the continuity of attention in geographically remote populations with disabilities. Due to the spread of infection by SARS-CoV-2, many professionals have had to adapt their work to telerehabilitation practices, which require the best evidence at short notice and in summarized form. In this context, this protocol has been developed to evaluate the effectiveness of telerehabilitation as a care strategy in physical therapy for different conditions, populations, and contexts.

METHOD AND ANALYSIS

An overview will be carried out in the format of a rapid review. It will include systematic reviews of different conditions, populations, and contexts, where the intervention to be evaluated is telerehabilitation by physical therapy. The outcomes considered will be clinical effectiveness depending on the specific condition, functionality, quality of life, satisfaction, adherence, and safety. A search will be carried out of the MEDLINE/PubMed, EMBASE, and Cochrane Library databases. Studies will be selected in duplicate with any discrepancies resolved by a third reviewer. Data extraction and risk of bias assessment will be carried out by a reviewer with non-independent verification by a second reviewer. The findings will be reported qualitatively by tables and figures.

ETHICS AND DISSEMINATION

The principles of the value of the research question, the methodological rigor, scientifically qualified investigators, an independent evaluation of the protocol, and timely and accurate publication of the results will be complied with. The complete review will lead to the publication of at least one article, and the results will be widely disseminated at various levels of decision-making.

REGISTER

This protocol has been registered in PROSPERO with the number CRD42020185640.

摘要

引言

康复和物理治疗一直在适应远程医疗时代,提高了可及性,并改善了对地理上偏远的残疾人群体的持续关注。由于严重急性呼吸综合征冠状病毒2(SARS-CoV-2)感染的传播,许多专业人员不得不将他们的工作调整为远程康复实践,这需要在短时间内以总结形式提供最佳证据。在此背景下,制定本方案以评估远程康复作为针对不同病症、人群和背景的物理治疗护理策略的有效性。

方法与分析

将以快速综述的形式进行概述。它将包括对不同病症、人群和背景的系统综述,其中待评估的干预措施是物理治疗的远程康复。所考虑的结果将是取决于具体病症、功能、生活质量、满意度、依从性和安全性的临床有效性。将对MEDLINE/PubMed、EMBASE和Cochrane图书馆数据库进行检索。研究将由两人独立筛选,如有分歧由第三位审阅者解决。数据提取和偏倚风险评估将由一位审阅者进行,第二位审阅者进行非独立验证。研究结果将通过表格和图表进行定性报告。

伦理与传播

将遵循研究问题的价值原则、方法的严谨性、具备科学资质的研究人员、对方案的独立评估以及结果的及时准确发表。完整的综述将导致至少发表一篇文章,研究结果将在各级决策中广泛传播。

注册

本方案已在国际前瞻性系统评价注册库(PROSPERO)注册,注册号为CRD42020185640。

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