Jiaxing University Master Degree Cultivation Base, Zhejiang Chinese Medical University, Jiaxing, Zhejiang, 314000, China.
Department of Orthopedics, The First Hospital of Jiaxing, No. 1882 Zhonghuan South Road, Nanhu District, Jiaxing, Zhejiang, 314000, China.
J Orthop Surg Res. 2024 Aug 14;19(1):478. doi: 10.1186/s13018-024-04986-4.
The effectiveness of telemedicine in aiding rehabilitation exercises among patients with rotator cuff (RC) disorders remains unknown. Therefore, this meta-analysis aimed to assess the effectiveness of telemedicine in patients with RC disorders.
Randomized clinical trials (RCTs) on the effectiveness of telemedicine in patients with RC disorders were summarized through a meta-analysis. A systematic search for these RCTs was conducted in PubMed, Cochrane, Embase, and Web of Science databases up to July 2024. Statistical analysis was performed using Stata 16. Publication bias was estimated with the funnel plot and Egger's test.
Ten studies involving 497 participants (telemedicine group = 248 and conventional group = 249) were enrolled, with follow-up durations ranging from 8 weeks to 48 weeks. Functional outcomes measured by the Constant-Murley score were markedly improved after treatment in the telemedicine group compared to the conventional group. Moreover, compared to conventional treatment, telemedicine significantly improved shoulder function evaluated by Quick Disabilities of the Arm, Shoulder, and Hand Score, relieved pain assessed by visual analog scale pain score, and improved range of motion after treatment and in the final follow-up period.
Telemedicine has demonstrated potential in alleviating pain and enhancing shoulder function and motion in patients with RC injuries. It may be a feasible intervention for rehabilitation exercises. Further research with a large sample size and standardized treatment is warranted to validate these findings.
远程医疗在辅助肩袖（RC）疾病患者进行康复锻炼方面的有效性尚不清楚。因此，本荟萃分析旨在评估远程医疗在 RC 疾病患者中的有效性。
通过荟萃分析总结了远程医疗在 RC 疾病患者中的有效性的随机临床试验（RCT）。对这些 RCT 进行了系统搜索，检索了 PubMed、Cochrane、Embase 和 Web of Science 数据库，检索时间截至 2024 年 7 月。使用 Stata 16 进行统计分析。使用漏斗图和 Egger 检验估计发表偏倚。
共纳入 10 项研究，涉及 497 名参与者（远程医疗组 248 名，常规组 249 名），随访时间 8 周至 48 周不等。与常规组相比，远程医疗组治疗后 Constant-Murley 评分的功能结果明显改善。此外，与常规治疗相比，远程医疗在治疗后和最终随访期间，通过 Quick Disabilities of the Arm, Shoulder, and Hand 评分显著改善了肩功能，通过视觉模拟评分缓解了疼痛，并且改善了运动范围。
远程医疗在减轻 RC 损伤患者的疼痛和提高肩部功能和运动方面具有潜力。它可能是一种可行的康复锻炼干预措施。需要进一步进行大样本量和标准化治疗的研究来验证这些发现。
