文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

中风后步行能力能否通过远程康复得到改善?对成年中风患者的系统评价。

Can post stroke walking improve via telerehabilitation? A systematic review in adults with stroke.

作者信息

Deshmukh Shravni, Madhavan Sangeetha

机构信息

Department of Physical Therapy, Brain Plasticity Laboratory, College of Applied Health Sciences, University of Illinois at Chicago, Chicago, IL, United States.

Graduate Program in Rehabilitation Science, College of Applied Health Sciences, University of Illinois at Chicago, Chicago, IL, United States.

出版信息

Front Rehabil Sci. 2023 May 17;4:1154686. doi: 10.3389/fresc.2023.1154686. eCollection 2023.


DOI:10.3389/fresc.2023.1154686
PMID:37266514
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10229804/
Abstract

OBJECTIVES: The purpose of this systematic review is to analyze primary studies investigating the effects of telerehabilitation on walking outcomes for the treatment of adult stroke survivors. METHODS: Data sources included PubMed, Embase and CINAHL searched until August 2022, using combinations of several keywords such as "telerehabilitation", "stroke", and "gait". Studies were required to have bidirectional form of videoconferencing with assessor presence, and include assessment of walking function (speed, endurance and/or balance). Data extraction was performed from each full text by one author, and quality and bias were assessed using the Physiotherapy Evidence Database (PEDro). RESULTS: Eight studies involving 248 participants met the inclusion criteria. Seven reported significant improvements in outcomes of balance and two showed improvements in endurance after telerehabilitation. Two studies observed greater balance improvements in the telerehabilitation group compared to control and/or in-person therapy. Differences in frequency, training duration, intervention type, and absence of an in-person therapy control group were identified as causes of variation between studies. CONCLUSIONS: The effectiveness of telerehabilitation as a mode of therapy for walking could not be definitively determined due to the limited number of studies that directly measured walking speed or endurance. However, strong evidence was found for the use of telerehabilitation for balance improvements, which has implications for walking recovery. IMPACT STATEMENT: Telerehabilitation appears to be safe, feasible and demonstrated high adherence. Our results highlighted limited studies using real-time supervision to administer telerehabilitation and lack of studies focusing on outcomes of walking speed and endurance, needed to fully determine the role of telerehabilitation for gait recovery. SYSTEMATIC REVIEW REGISTRATION NUMBER: PROSPERO number CRD42021238197.

摘要

目的:本系统评价旨在分析关于远程康复对成年中风幸存者步行功能影响的初步研究。 方法:数据来源包括截至2022年8月检索的PubMed、Embase和CINAHL,使用了“远程康复”“中风”和“步态”等多个关键词组合。研究需具备评估者在场的双向视频会议形式,并包括对步行功能(速度、耐力和/或平衡)的评估。由一位作者从每篇全文中进行数据提取,并使用物理治疗证据数据库(PEDro)评估质量和偏倚。 结果:八项涉及248名参与者的研究符合纳入标准。七项研究报告称远程康复后平衡结果有显著改善,两项研究显示耐力有所改善。两项研究观察到与对照组和/或面对面治疗相比,远程康复组的平衡改善更大。研究之间的差异被确定为频率、训练持续时间、干预类型以及缺乏面对面治疗对照组等因素导致的。 结论:由于直接测量步行速度或耐力的研究数量有限,无法确切确定远程康复作为一种步行治疗方式的有效性。然而,有强有力的证据表明使用远程康复可改善平衡,这对步行恢复有影响。 影响声明:远程康复似乎是安全、可行的,且具有高依从性。我们的结果突出了使用实时监督进行远程康复的研究有限,以及缺乏关注步行速度和耐力结果的研究,而这些对于全面确定远程康复在步态恢复中的作用是必要的。 系统评价注册号:PROSPERO编号CRD42021238197。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdb4/10229804/bcfd5f4edd44/fresc-04-1154686-g002b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdb4/10229804/0bbbb8f2ec21/fresc-04-1154686-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdb4/10229804/e34da8078796/fresc-04-1154686-g002a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdb4/10229804/bcfd5f4edd44/fresc-04-1154686-g002b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdb4/10229804/0bbbb8f2ec21/fresc-04-1154686-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdb4/10229804/e34da8078796/fresc-04-1154686-g002a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdb4/10229804/bcfd5f4edd44/fresc-04-1154686-g002b.jpg

相似文献

[1]
Can post stroke walking improve via telerehabilitation? A systematic review in adults with stroke.

Front Rehabil Sci. 2023-5-17

[2]
Folic acid supplementation and malaria susceptibility and severity among people taking antifolate antimalarial drugs in endemic areas.

Cochrane Database Syst Rev. 2022-2-1

[3]
Telerehabilitation by Videoconferencing for Balance and Gait in People with Parkinson's Disease: A Scoping Review.

Geriatrics (Basel). 2024-5-23

[4]
Telerehabilitation services for stroke.

Cochrane Database Syst Rev. 2013-12-16

[5]
Physical, cognitive and psychosocial effects of telerehabilitation-based motor imagery training in people with multiple sclerosis: A randomized controlled pilot trial.

J Telemed Telecare. 2019-2-11

[6]
Telerehabilitation for lower extremity recovery poststroke: a systematic review and meta-analysis protocol.

BMJ Open. 2022-3-9

[7]
Effect of a Multicomponent Exercise Intervention on Recovery of Walking Ability in Stroke Survivors: A Systematic Review With Meta-analysis.

Arch Phys Med Rehabil. 2025-1

[8]
Interventions for improving coordination of axial segments and lower limbs during walking following stroke: Systematic Review.

JBI Libr Syst Rev. 2011

[9]
Real-time video telerehabilitation shows comparable satisfaction and similar or better attendance and adherence compared with in-person physiotherapy: a systematic review.

J Physiother. 2024-7

[10]
Motor imagery for gait rehabilitation after stroke.

Cochrane Database Syst Rev. 2020-9-24

引用本文的文献

[1]
The Potential Effects of Sensor-Based Virtual Reality Telerehabilitation on Lower Limb Function in Patients with Chronic Stroke Facing the COVID-19 Pandemic: A Retrospective Case-Control Study.

Med Sci (Basel). 2025-5-23

[2]
Telerehabilitation and Its Impact Following Stroke: An Umbrella Review of Systematic Reviews.

J Clin Med. 2024-12-26

[3]
Impact of Mobile Health Literacy, Stroke-Related Health Knowledge, Health Beliefs, and Self-Efficacy on the Self-Care Behavior of Patients with Stroke.

Healthcare (Basel). 2024-9-24

[4]
Evidence-based position paper on Physical and Rehabilitation Medicine (PRM) professional practice on telerehabilitation. The European PRM position (UEMS PRM Section).

Eur J Phys Rehabil Med. 2024-4

[5]
Physical performance and negative events in very old adults: a longitudinal study examining the ilSIRENTE cohort.

Aging Clin Exp Res. 2024-2-12

本文引用的文献

[1]
Effect of Compelled Body Weight Shift (CBWS) Therapy in Comparison to ProprioceptiveTraining on Functional Balance, Gait, andMuscle Strength Among Acute Stroke Subjects.

Ann Neurosci. 2021-7

[2]
The minimal clinically important difference in Berg Balance Scale scores among patients with early subacute stroke: a multicenter, retrospective, observational study.

Top Stroke Rehabil. 2022-9

[3]
Feasibility and effect of interactive telerehabilitation on balance in individuals with chronic stroke: a pilot study.

J Neuroeng Rehabil. 2021-4-26

[4]
Look Before You Leap: Interventions Supervised via Telehealth Involving Activities in Weight-Bearing or Standing Positions for People After Stroke-A Scoping Review.

Phys Ther. 2021-6-1

[5]
Collaborative Care Model Based Telerehabilitation Exercise Training Program for Acute Stroke Patients in China: A Randomized Controlled Trial.

J Stroke Cerebrovasc Dis. 2020-9-29

[6]
Effectiveness of telerehabilitation in the management of adults with stroke: A systematic review.

PLoS One. 2019-11-12

[7]
Clinimetrics: Physiotherapy Evidence Database (PEDro) Scale.

J Physiother. 2020-1

[8]
Efficacy of Home-Based Telerehabilitation vs In-Clinic Therapy for Adults After Stroke: A Randomized Clinical Trial.

JAMA Neurol. 2019-9-1

[9]
The global burden of stroke: persistent and disabling.

Lancet Neurol. 2019-5

[10]
New Directions in Treatments Targeting Stroke Recovery.

Stroke. 2018-12

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索