Man Siu-Shing, Wen Huiying, Chiu Kung-Ting, Wang Fenghong, Chan Hoi-Shou
School of Design, South China University of Technology, Guangzhou 511436, China.
Department of Systems Engineering, City University of Hong Kong, Hong Kong, China.
Healthcare (Basel). 2024 Sep 5;12(17):1775. doi: 10.3390/healthcare12171775.
(1) Objective: to investigate the effectiveness of telephysiotherapy compared with traditional rehabilitation for elderly patients and determine the factors impacting its efficacy. (2) Method: Five online databases (PubMed, Google Scholar, Scopus, Web of Science, and Cochrane) were reviewed up to 31 July 2023. The search included the literature in English from 2014 to 2023, to capture the latest practices in telephysiotherapy for elderly patients. Data from all qualified studies were independently extracted by two authors, quantifying effect size to reflect treatment performance. (3) Results: 222 records from 19 articles were analyzed. The effect size for telephysiotherapy was 0.350 (95% C.I. = 0.283-0.416; < 0.01). The standardized mean differences for physical and psychological outcomes were 0.406 (95% C.I. = 0.325-0.488; < 0.01) and 0.223 (95% C.I. = 0.110-0.336; < 0.01), respectively. (4) Conclusions: Telephysiotherapy was more effective than traditional rehabilitation, significantly improving the physical and psychological status of elderly patients. The factors influencing the effectiveness of telephysiotherapy were intervention type, intervention duration, outcome, and gender.
(1) 目的：探讨远程物理治疗与传统康复治疗对老年患者的有效性，并确定影响其疗效的因素。(2) 方法：截至2023年7月31日，对五个在线数据库（PubMed、谷歌学术、Scopus、科学网和考克兰）进行了检索。检索范围包括2014年至2023年的英文文献，以获取老年患者远程物理治疗的最新实践。所有合格研究的数据由两位作者独立提取，量化效应量以反映治疗效果。(3) 结果：分析了19篇文章中的222条记录。远程物理治疗的效应量为0.350（95%置信区间=0.283-0.416；P<0.01）。身体和心理结果的标准化平均差异分别为0.406（95%置信区间=0.325-0.488；P<0.01）和0.223（95%置信区间=0.110-0.336；P<0.01）。(4) 结论：远程物理治疗比传统康复治疗更有效，能显著改善老年患者的身体和心理状况。影响远程物理治疗效果的因素包括干预类型、干预持续时间、结果和性别。
