Abstract：
OBJECTIVE: How does physiotherapy delivered by real-time, video-based telerehabilitation compare with in-person delivery for the outcomes of attendance, adherence and satisfaction?
METHODS: Systematic review of randomised control trials indexed in PubMed, CINAHL, Embase, Cochrane and PEDro on 12 March 2024.
METHODS: Adults aged > 18 years.
METHODS: Physiotherapy delivered via real-time video telerehabilitation.
METHODS: Attendance, adherence and satisfaction.
RESULTS: Eight studies were included for attendance (n = 1,110), nine studies for adherence (n = 1,190) and 12 studies for satisfaction (n = 1,247). Telerehabilitation resulted in attendance at treatment sessions that was 8% higher (95% CI -1 to 18) and adherence to exercise programs that was 9% higher (95% CI 2 to 16) when compared with in-person physiotherapy. Satisfaction was similar with both modes of delivery (SMD 0.03 in favour of telerehabilitation, 95% CI -0.23 to 0.28). The level of certainty assessed by GRADE ranged from very low to low, primarily due to inconsistency and high risk of bias.
CONCLUSIONS: Attendance at appointments among participants assigned to telerehabilitation was somewhere between similar to and considerably higher than among control participants. Adherence to self-management with telerehabilitation was better than with in-person delivery, although with some uncertainty about the magnitude of the effect. Reported satisfaction levels were similar between the two modes of treatment delivery. Given the significance of attendance, adherence and satisfaction for successful outcomes, telerehabilitation offers a valuable alternative mode for physiotherapy delivery.
CONCLUSIONS: Real-time telerehabilitation has potentially favourable effects on attendance at treatment appointments and adherence to exercise programs, with similar satisfaction when compared with traditional in-person physiotherapy.
BACKGROUND: PROSPERO CRD42022329906.
METHODS: Systematic review of randomised control trials indexed in PubMed, CINAHL, Embase, Cochrane and PEDro on 12 March 2024.
METHODS: Adults aged > 18 years.
METHODS: Physiotherapy delivered via real-time video telerehabilitation.
METHODS: Attendance, adherence and satisfaction.
RESULTS: Eight studies were included for attendance (n = 1,110), nine studies for adherence (n = 1,190) and 12 studies for satisfaction (n = 1,247). Telerehabilitation resulted in attendance at treatment sessions that was 8% higher (95% CI -1 to 18) and adherence to exercise programs that was 9% higher (95% CI 2 to 16) when compared with in-person physiotherapy. Satisfaction was similar with both modes of delivery (SMD 0.03 in favour of telerehabilitation, 95% CI -0.23 to 0.28). The level of certainty assessed by GRADE ranged from very low to low, primarily due to inconsistency and high risk of bias.
CONCLUSIONS: Attendance at appointments among participants assigned to telerehabilitation was somewhere between similar to and considerably higher than among control participants. Adherence to self-management with telerehabilitation was better than with in-person delivery, although with some uncertainty about the magnitude of the effect. Reported satisfaction levels were similar between the two modes of treatment delivery. Given the significance of attendance, adherence and satisfaction for successful outcomes, telerehabilitation offers a valuable alternative mode for physiotherapy delivery.
CONCLUSIONS: Real-time telerehabilitation has potentially favourable effects on attendance at treatment appointments and adherence to exercise programs, with similar satisfaction when compared with traditional in-person physiotherapy.
BACKGROUND: PROSPERO CRD42022329906.
摘要：
目的：理疗是如何通过实时，基于视频的远程康复与现场交付的出勤结果进行比较，依从性和满意度？
方法：PubMed，CINAHL,Embase,科克伦和PEDro于2024年3月12日。
方法：18岁以上的成年人。
方法：通过实时视频远程康复提供物理治疗。
方法：出席，坚持和满意。
结果：纳入了8项研究（n=1,110），9项依从性研究(n=1,190)和12项满意度研究(n=1,247)。与现场理疗相比，远程康复治疗的出勤率高8%(95%CI-1至18)，锻炼计划的依从性高9%(95%CI2至16)。两种分娩方式的满意度相似(SMD0.03，有利于远程康复，95%CI-0.23至0.28）。按等级评估的确定性水平从非常低到低，主要是由于不一致和偏见的高风险。
结论：被分配到远程康复的参与者的预约出勤率与对照组参与者相似，并且明显高于对照组。坚持远程康复自我管理比亲自分娩更好，尽管对影响的大小有一些不确定性。两种治疗方式的报告满意度相似。鉴于出席的重要性，对成功结果的坚持和满意度，远程康复为理疗提供了一种有价值的替代模式。
结论：实时远程康复对参加治疗预约和坚持锻炼计划有潜在的有利影响，与传统的面对面理疗相比，满意度相似。
背景：PROSPEROCRD42022329906.
方法：PubMed，CINAHL,Embase,科克伦和PEDro于2024年3月12日。
方法：18岁以上的成年人。
方法：通过实时视频远程康复提供物理治疗。
方法：出席，坚持和满意。
结果：纳入了8项研究（n=1,110），9项依从性研究(n=1,190)和12项满意度研究(n=1,247)。与现场理疗相比，远程康复治疗的出勤率高8%(95%CI-1至18)，锻炼计划的依从性高9%(95%CI2至16)。两种分娩方式的满意度相似(SMD0.03，有利于远程康复，95%CI-0.23至0.28）。按等级评估的确定性水平从非常低到低，主要是由于不一致和偏见的高风险。
结论：被分配到远程康复的参与者的预约出勤率与对照组参与者相似，并且明显高于对照组。坚持远程康复自我管理比亲自分娩更好，尽管对影响的大小有一些不确定性。两种治疗方式的报告满意度相似。鉴于出席的重要性，对成功结果的坚持和满意度，远程康复为理疗提供了一种有价值的替代模式。
结论：实时远程康复对参加治疗预约和坚持锻炼计划有潜在的有利影响，与传统的面对面理疗相比，满意度相似。
背景：PROSPEROCRD42022329906.
