Faculty of Medicine, Graduate Program in Rehabilitation Sciences, The University of British Columbia, Vancouver, British Columbia, Canada.
Faculty of Medicine, Centre for Chronic Disease Prevention and Management, The University of British Columbia, Kelowna, British Columbia, Canada.
BMJ Open. 2022 Mar 9;12(3):e055527. doi: 10.1136/bmjopen-2021-055527.
Approximately 30% of individuals with stroke report unmet lower extremity recovery needs after formal hospital-based rehabilitation programmes have ended. Telerehabilitation can mitigate issues surrounding accessibility of rehabilitation services by providing ongoing support to promote recovery, however, no review exists that is specific to telerehabilitation for lower extremity recovery. This paper describes the protocol of a systematic review and meta-analysis that aims to describe and evaluate the effectiveness of lower extremity-focused telerehabilitation interventions on clinical outcomes poststroke.
A systematic review of relevant electronic databases (MEDLINE, Embase, CINAHL, PsycINFO, Web of Science, Google Scholar, PEDro, PubMed and Cochrane Library) between inception and February 2022 will be undertaken to identify eligible interventional studies published in English that compared telerehabilitation focusing on lower extremity recovery to another intervention or usual care for individuals living in the community with stroke. Clinical outcomes examined will include those related to physical function and impairment, activities and participation that are typically assessed in clinical practice and research. Two reviewers will independently screen results, identify studies to be included for review, extract data and assess risk of bias. Meta-analyses will be performed if sufficient data exist. Sensitivity analyses will be performed by removing studies with low methodological quality, and subgroup analyses will be performed if data allow by stratifying papers based on salient demographic or stroke factors and comparing results. The reporting of the review will follow the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. The quality of evidence regarding various outcomes for telerehabilitation for lower extremity recovery poststroke will be assessed according to the Grading of Recommendation, Assessment, Development and Evaluation approach.
No ethical approval or informed consent is needed for this systematic review. The findings of this review will be disseminated via peer-reviewed publications and conference presentations.
CRD42021246886.
大约 30%的中风患者在正式的医院为基础的康复计划结束后表示下肢康复需求未得到满足。远程康复可以通过提供持续的支持来促进康复，从而缓解康复服务的可及性问题，但目前尚无专门针对下肢康复的远程康复的综述。本文描述了一项系统评价和荟萃分析的方案，旨在描述和评估下肢为重点的远程康复干预对中风后临床结局的有效性。
将对相关电子数据库（MEDLINE、Embase、CINAHL、PsycINFO、Web of Science、Google Scholar、PEDro、PubMed 和 Cochrane Library）进行系统回顾，检索时间为从建库到 2022 年 2 月，以确定发表在英语文献中，将针对下肢康复的远程康复与社区中风患者的另一种干预措施或常规护理进行比较的干预性研究。将检查的临床结局包括与身体功能和损伤、活动和参与相关的结局，这些结局通常在临床实践和研究中进行评估。两位审查员将独立筛选结果，确定要纳入审查的研究，提取数据并评估偏倚风险。如果有足够的数据，将进行荟萃分析。如果存在低方法学质量的研究，将进行敏感性分析，并根据显著的人口统计学或中风因素对论文进行分层，进行亚组分析，并比较结果。综述的报告将遵循系统评价和荟萃分析报告的建议。根据推荐评估、发展与评价方法，将评估远程康复对中风后下肢恢复的各种结局的证据质量。
这项系统评价不需要伦理批准或知情同意。本综述的结果将通过同行评审的出版物和会议报告进行传播。
PROSPERO 注册号：CRD42021246886。
