Jaswal Sharan, Lo Joyce, Howe Aaron, Hao Yifan, Zhu Shangkai, Sithamparanathan Gobika, Nowrouzi-Kia Behdin
Department of Occupational Science and Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, 160-500 University Ave, Toronto, ON, Canada.
Centre for Research in Occupational Safety and Health, School of Rural and Northern Health, Laurentian University, Sudbury, ON, Canada.
J Occup Rehabil. 2024 Sep 28. doi: 10.1007/s10926-024-10237-4.
This systematic review and meta-analysis aimed to synthesize the evidence and examine the effect of telerehabilitation interventions compared to face-to-face rehabilitation interventions on physical functioning, mental health, and pain reduction among employed individuals, 18 years old and older.
Following the Preferred Reporting Items of Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a comprehensive search syntax was created and inputted into Ovid Medline, APA PsycINFO, Ovid Embase, CINAHL, and Scopus. Critical appraisal of the included studies was conducted by two researchers to assess the risk of bias. A meta-analysis was completed for the randomized controlled trials and GRADE was used to determine the certainty of the evidence.
A total of 16 out of 4319 articles were included in this review. This systematic review and meta-analysis found no significant differences between telerehabilitation interventions for physical functioning, mental health, and pain reduction outcomes compared to traditional rehabilitation interventions.
The study findings indicate that telerehabilitation is less effective than in-person care for occupational therapy and physical therapy services. Future research may look at addressing the limitations of the current study to produce more conclusive results, such as exploring the length of the intervention, knowledge and confidence of intervention application, and follow-ups.
This systematic review has been registered with PROSPERO under registration number CRD42022297849 on April 8th, 2022.
本系统评价和荟萃分析旨在综合证据，研究与面对面康复干预相比，远程康复干预对18岁及以上在职人员身体功能、心理健康和疼痛减轻的影响。
按照系统评价和荟萃分析的首选报告项目（PRISMA）指南，创建了全面的检索语法，并输入到Ovid Medline、APA PsycINFO、Ovid Embase、CINAHL和Scopus中。由两名研究人员对纳入的研究进行批判性评价，以评估偏倚风险。对随机对照试验进行了荟萃分析，并使用GRADE来确定证据的确定性。
本评价共纳入4319篇文章中的16篇。该系统评价和荟萃分析发现，与传统康复干预相比，远程康复干预在身体功能、心理健康和疼痛减轻结果方面没有显著差异。
研究结果表明，远程康复在职业治疗和物理治疗服务方面不如面对面护理有效。未来的研究可以着眼于解决当前研究的局限性，以产生更具决定性的结果，例如探索干预的时长、干预应用的知识和信心以及随访情况。
本系统评价已于2022年4月8日在PROSPERO注册，注册号为CRD42022297849。
