Physical Medicine and Rehabilitation Unit, Azienda ULSS 3 Serenissima, 30126 Venice, Italy.
Healthcare Innovation Technology Lab, IRCCS San Camillo Hospital, 30126 Venezia, Italy.
Sensors (Basel). 2024 May 10;24(10):3028. doi: 10.3390/s24103028.
Dizziness can be a debilitating condition with various causes, with at least one episode reported in 17% to 30% of the international adult population. Given the effectiveness of rehabilitation in treating dizziness and the recent advancements in telerehabilitation, this systematic review aims to investigate the effectiveness of telerehabilitation in the treatment of this disorder. The search, conducted across Medline, Cochrane Central Register of Controlled Trials, and PEDro databases, included randomized controlled trials assessing the efficacy of telerehabilitation interventions, delivered synchronously, asynchronously, or via tele-support/monitoring. Primary outcomes focused on dizziness frequency/severity and disability, with secondary outcomes assessing anxiety and depression measures. Seven articles met the eligibility criteria, whereas five articles contributed to the meta-analysis. Significant findings were observed regarding the frequency and severity of dizziness (mean difference of 3.01, < 0.001), disability (mean difference of -4.25, < 0.001), and anxiety (standardized mean difference of -0.16, = 0.02), favoring telerehabilitation. Telerehabilitation shows promise as a treatment for dizziness, aligning with the positive outcomes seen in traditional rehabilitation studies. However, the effectiveness of different telerehabilitation approaches requires further investigation, given the moderate methodological quality and the varied nature of existing methods and programs.
头晕是一种使人虚弱的病症，其病因多种多样，在国际成年人中至少有 17%至 30%的人有过一次头晕发作。鉴于康复治疗对头晕的有效性，以及远程康复治疗的最新进展，本系统评价旨在调查远程康复治疗对这种疾病的治疗效果。该检索在 Medline、Cochrane 对照试验中心注册库和 PEDro 数据库中进行，纳入了评估同步、异步或通过远程支持/监测进行远程康复干预效果的随机对照试验。主要结局侧重于头晕频率/严重程度和残疾，次要结局评估焦虑和抑郁测量。有 7 篇文章符合入选标准，其中 5 篇文章纳入了荟萃分析。关于头晕频率和严重程度（平均差异 3.01， < 0.001）、残疾（平均差异 -4.25， < 0.001）和焦虑（标准化平均差异 -0.16， = 0.02），远程康复治疗的效果显著。远程康复治疗在治疗头晕方面显示出一定的前景，与传统康复研究中观察到的积极结果一致。然而，鉴于不同远程康复方法的方法学质量参差不齐，以及现有的方法和方案的多样性，需要进一步研究不同远程康复方法的效果。
