da Silva Guilherme Grivicich, de Araùjo Francisco Xavier, Andriola André Hillebrand, Pereira Gustavo Costa, Silva Marcelo Faria
Rehabilitation Service, Hospital Cristo Redentor, Grupo Hospitalar Conceição (GHC), Porto Alegre, Rio Grande do Sul, Brazil.
Physical Therapy Department, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil.
Int J Telerehabil. 2025 Jun 12;17(1):6667. doi: 10.63144/ijt.2025.6667. eCollection 2025.
Traumatic injuries to the upper limbs, especially to the hands and wrists, have the potential to trigger chronic conditions with pain, loss of productivity and decreased quality of life. The aim of this study was to systematically review the literature on the effects of telerehabilitation on the physical and functional capacity of individuals with traumatic upper limbs fractures. Searches were conducted in the MEDLINE/PubMed, EMBASE, PEDRO, Cochrane, LILACS, and Science Direct databases. Three randomized clinical trials involving 830 patients with at least one intervention group and one comparison group were included in this systematic review. Risk of bias was assessed using the PEDro Scale and the certainty of the evidence was assessed using GRADE. Telerehabilitation seems to have favorable effects on functional capacity and pain perception and controversial effects on physical capacity (handgrip strength) in individuals with traumatic upper limb fractures.
上肢创伤，尤其是手部和腕部的创伤，有可能引发慢性疾病，导致疼痛、生产力下降和生活质量降低。本研究的目的是系统回顾有关远程康复对上肢创伤骨折患者身体和功能能力影响的文献。检索了MEDLINE/PubMed、EMBASE、PEDRO、Cochrane、LILACS和Science Direct数据库。本系统评价纳入了三项随机临床试验，共830例患者，至少有一个干预组和一个对照组。使用PEDro量表评估偏倚风险，使用GRADE评估证据的确定性。远程康复似乎对上肢创伤骨折患者的功能能力和疼痛感知有积极影响，而对身体能力（握力）的影响存在争议。
