PDF(Pubmed)
Abstract：
UNASSIGNED: Stroke survivors often experience residual impairments and motor decline post-discharge. While digital home rehabilitation combined with supervision could be a promising approach for reducing human resources, increasing motor ability, and supporting rehabilitation persistence there is a lack of reviews synthesizing the effects. Thus, this systematic review and meta-analysis aimed to synthesize the effect of digital home rehabilitation and supervision in improving motor ability of upper limb, static balance, stroke-related quality of life, and self-reported arm function among stroke survivors.
UNASSIGNED: Six electronic databases, grey literature, ongoing studies, and reference lists were searched for relevant studies. Two investigators independently reviewed titles, abstracts, screened full texts for eligibility and performed data extraction. Meta-analysis of 13 independent studies were grouped into four separate meta-analyses. The Grading of Recommendations, Assessments, Development and Evaluations (GRADE) tool was used for evaluating the overall quality of the evidence.
UNASSIGNED: Meta-analyses showed no statistically significant difference between intervention (digital home rehabilitation) and control groups (home training/clinic-based) of all outcomes including motor ability of upper limb, static balance, stroke-related quality of life, and self-reported arm function. In the sub-group analysis digital home rehabilitation was associated with better quality of arm use (standardized mean difference = 0.68, 95% confidence interval: [0.27, 1.09], p = 0.001).
UNASSIGNED: This result indicated that digital home rehabilitation has similar effects and could potentially replace home training or clinic-based services. This review highlights better-targeted digital motor interventions to examine the effects of interventions further. The quality of evidence was moderate to high in motor and self-reported arm outcomes, and low for balance and quality of life.
UNASSIGNED: Six electronic databases, grey literature, ongoing studies, and reference lists were searched for relevant studies. Two investigators independently reviewed titles, abstracts, screened full texts for eligibility and performed data extraction. Meta-analysis of 13 independent studies were grouped into four separate meta-analyses. The Grading of Recommendations, Assessments, Development and Evaluations (GRADE) tool was used for evaluating the overall quality of the evidence.
UNASSIGNED: Meta-analyses showed no statistically significant difference between intervention (digital home rehabilitation) and control groups (home training/clinic-based) of all outcomes including motor ability of upper limb, static balance, stroke-related quality of life, and self-reported arm function. In the sub-group analysis digital home rehabilitation was associated with better quality of arm use (standardized mean difference = 0.68, 95% confidence interval: [0.27, 1.09], p = 0.001).
UNASSIGNED: This result indicated that digital home rehabilitation has similar effects and could potentially replace home training or clinic-based services. This review highlights better-targeted digital motor interventions to examine the effects of interventions further. The quality of evidence was moderate to high in motor and self-reported arm outcomes, and low for balance and quality of life.
摘要：
■中风幸存者通常在出院后出现残余损伤和运动衰退。虽然数字家庭康复与监督相结合可能是减少人力资源的一种有希望的方法，增加运动能力，并支持康复的持久性，缺乏综合影响的评论。因此，本系统综述和荟萃分析旨在综合数字家庭康复和监督在提高上肢运动能力方面的作用，静态平衡,卒中相关生活质量,和中风幸存者自我报告的手臂功能。
■六个电子数据库，灰色文学，正在进行的研究,并检索相关研究的参考文献清单。两名调查人员独立审查了标题，摘要,筛选全文是否合格，并进行数据提取。13项独立研究的荟萃分析分为4项独立的荟萃分析。建议的分级，评估，开发和评估（GRADE）工具用于评估证据的整体质量。
■荟萃分析显示，干预组（数字家庭康复）和对照组（家庭训练/基于临床）在所有结果（包括上肢运动能力）之间没有统计学上的显着差异，静态平衡,卒中相关生活质量,和自我报告的手臂功能。在亚组分析中，数字家庭康复与更好的手臂使用质量相关（标准化平均差=0.68，95％置信区间：[0.27，1.09]，p=0.001)。
■该结果表明，数字家庭康复具有类似的效果，并有可能取代家庭培训或基于诊所的服务。这篇综述强调了更有针对性的数字运动干预措施，以进一步检查干预措施的效果。运动和自我报告的手臂结果的证据质量中等到高，和低平衡和生活质量。
■六个电子数据库，灰色文学，正在进行的研究,并检索相关研究的参考文献清单。两名调查人员独立审查了标题，摘要,筛选全文是否合格，并进行数据提取。13项独立研究的荟萃分析分为4项独立的荟萃分析。建议的分级，评估，开发和评估（GRADE）工具用于评估证据的整体质量。
■荟萃分析显示，干预组（数字家庭康复）和对照组（家庭训练/基于临床）在所有结果（包括上肢运动能力）之间没有统计学上的显着差异，静态平衡,卒中相关生活质量,和自我报告的手臂功能。在亚组分析中，数字家庭康复与更好的手臂使用质量相关（标准化平均差=0.68，95％置信区间：[0.27，1.09]，p=0.001)。
■该结果表明，数字家庭康复具有类似的效果，并有可能取代家庭培训或基于诊所的服务。这篇综述强调了更有针对性的数字运动干预措施，以进一步检查干预措施的效果。运动和自我报告的手臂结果的证据质量中等到高，和低平衡和生活质量。
