Lee Chihyeong, Ahn Jooeun, Lee Beom-Chan
Department of Physical Education, Seoul National University, Seoul 08826, Republic of Korea.
Institute of Sport Science, Seoul National University, Seoul 08826, Republic of Korea.
Bioengineering (Basel). 2023 Sep 28;10(10):1142. doi: 10.3390/bioengineering10101142.
Recent advances in wearable motion sensors, mobile devices, the Internet of Things, and telecommunications have created new potential for telerehabilitation. Recognizing that there is no systematic review of smartphone- or tablet-based balance and gait telerehabilitation technology for long-term use (i.e., four weeks or more), this systematic review summarizes the effects of smartphone- or tablet-based rehabilitation technology on balance and gait exercise and training in balance and gait disorders. The review examined studies written in English published from 2013 to 2023 in Web of Science, Pubmed, Scopus, and Google Scholar. Of the 806 studies identified, 14 were selected, and the National Institutes of Health Quality Assessment Tool for Observational Cohort and Cross-sectional Studies was applied to evaluate methodological quality. The systematic review concluded that all 14 studies found balance and gait performance improvement after four weeks or more of balance and gait telerehabilitation. Ten of the 14 studies found that carry-over effects (improved functional movements, muscle strength, motor capacity, cognition, and reduced fear of falling and anxiety levels) were maintained for weeks to months. The results of the systematic review have positive technical and clinical implications for the next-generation design of rehabilitation technology in balance and gait training and exercise programs.
可穿戴运动传感器、移动设备、物联网和电信领域的最新进展为远程康复创造了新的潜力。认识到目前尚无关于长期使用（即四周或更长时间）基于智能手机或平板电脑的平衡和步态远程康复技术的系统评价，本系统评价总结了基于智能手机或平板电脑的康复技术对平衡和步态障碍患者平衡和步态锻炼及训练的影响。该评价检索了2013年至2023年发表在Web of Science、Pubmed、Scopus和谷歌学术上的英文研究。在识别出的806项研究中，筛选出14项，并应用美国国立卫生研究院观察性队列和横断面研究质量评估工具来评估方法学质量。该系统评价得出结论，所有14项研究均发现，在进行四周或更长时间的平衡和步态远程康复后，平衡和步态表现有所改善。14项研究中的10项发现，这种延续效应（改善功能运动、肌肉力量、运动能力、认知，并降低跌倒恐惧和焦虑水平）可持续数周至数月。该系统评价的结果对平衡和步态训练及锻炼计划中康复技术的下一代设计具有积极的技术和临床意义。
