Department of Sports Medicine, Peking University Third Hospital, Institute of Sports Medicine of Peking University, Beijing, China.
Tianjin Key Laboratory of Exercise Physiology and Sports Medicine, Institute of Sport, Exercise & Health, Tianjin University of Sport, Tianjin, China.
Disabil Rehabil. 2024 Oct;46(20):4611-4616. doi: 10.1080/09638288.2023.2280070. Epub 2023 Nov 22.
To identify articles that evaluated the efficacy of tele-rehabilitation after total hip replacement and to provide a reference for clinical decision-making and continuous improvement of rehabilitation exercise intervention strategies for clinical medical staff.
Embase, PubMed, Web of Science, Medline, China National Knowledge Network and Google Scholar databases were searched for randomized controlled trials of tele-rehabilitation after total hip replacement from inception to March 4, 2023. The two researchers used the PEDro scale to assess the methodological quality of the included studies. Two researchers used the PEDro scale to assess the methodological quality of the included studies.
Ten studies with 632 participants were analysed.Compared to face-to-face rehabilitation, Internet-based telerehabilitation showed better outcomes in Get-up and go test (SMD -0.54, 95% CI -0.79 to -0.29). telerehabilitation showed no significant difference in outcomes of other functional tests and functional questionnaires.
In this systematic review and meta-analysis, internet-based tele-rehabilitation and face-to-face rehabilitation had the same effect on patients after total hip replacement, and compliance was higher in the tele-rehabilitation group, but attention should be devoted to standardizing this form of rehabilitation to avoid adverse events. In addition, the number and quality of included studies in this study are limited, and the outcome indicators and intervention means have not been unified. More high-quality studies are needed to verify these conclusions to better evaluate the effectiveness and advantages of telerehabilitation.Implications for rehabilitationWith the development of science and technology, remote rehabilitation technology will be applied to various fields of rehabilitation, providing personalized and extensive rehabilitation services.The application of tele-rehabilitation technology to postoperative rehabilitation after total hip arthroplasty is feasible and can reduce the workload of healthcare professionals to a certain extent.This review evaluated the randomized controlled trials of telerehabilitation after total hip arthroplasty, and the results showed that the clinical efficacy of telerehabilitation after total hip arthroplasty was not inferior to that of traditional rehabilitation.
识别评估全髋关节置换术后远程康复疗效的文章，为临床医务人员提供临床康复运动干预策略的决策参考和持续改进。
计算机检索 Embase、PubMed、Web of Science、Medline、中国知网和 Google Scholar 数据库，从建库至 2023 年 3 月 4 日，收集全髋关节置换术后远程康复的随机对照试验。由 2 名研究人员独立使用 PEDro 量表评价纳入研究的方法学质量，2 名研究人员使用 PEDro 量表评价纳入研究的方法学质量。
共纳入 10 项研究 632 例患者。与面对面康复相比，基于互联网的远程康复在起身行走测试中的结局更好（SMD=-0.54，95%CI：-0.79 至-0.29），在其他功能测试和功能问卷中的结局差异无统计学意义。
本系统评价和 Meta 分析结果显示，全髋关节置换术后患者接受基于互联网的远程康复和面对面康复的效果相当，远程康复组的依从性更高，但需关注规范这种康复形式，以避免不良事件。此外，本研究纳入研究的数量和质量有限，结局指标和干预手段尚未统一，需要更多高质量研究来验证这些结论，以更好地评估远程康复的有效性和优势。
随着科学技术的发展，远程康复技术将应用于康复的各个领域，为患者提供个性化和广泛的康复服务。将远程康复技术应用于全髋关节置换术后康复是可行的，在一定程度上可以减轻医护人员的工作负担。本研究对全髋关节置换术后远程康复的随机对照试验进行了评价，结果表明全髋关节置换术后远程康复的临床疗效并不逊于传统康复。
