PDF(Pubmed)
Abstract：
BACKGROUND: The effectiveness of telemedicine in aiding rehabilitation exercises among patients with rotator cuff (RC) disorders remains unknown. Therefore, this meta-analysis aimed to assess the effectiveness of telemedicine in patients with RC disorders.
METHODS: Randomized clinical trials (RCTs) on the effectiveness of telemedicine in patients with RC disorders were summarized through a meta-analysis. A systematic search for these RCTs was conducted in PubMed, Cochrane, Embase, and Web of Science databases up to July 2024. Statistical analysis was performed using Stata 16. Publication bias was estimated with the funnel plot and Egger\'s test.
RESULTS: Ten studies involving 497 participants (telemedicine group = 248 and conventional group = 249) were enrolled, with follow-up durations ranging from 8 weeks to 48 weeks. Functional outcomes measured by the Constant-Murley score were markedly improved after treatment in the telemedicine group compared to the conventional group. Moreover, compared to conventional treatment, telemedicine significantly improved shoulder function evaluated by Quick Disabilities of the Arm, Shoulder, and Hand Score, relieved pain assessed by visual analog scale pain score, and improved range of motion after treatment and in the final follow-up period.
CONCLUSIONS: Telemedicine has demonstrated potential in alleviating pain and enhancing shoulder function and motion in patients with RC injuries. It may be a feasible intervention for rehabilitation exercises. Further research with a large sample size and standardized treatment is warranted to validate these findings.
METHODS: Randomized clinical trials (RCTs) on the effectiveness of telemedicine in patients with RC disorders were summarized through a meta-analysis. A systematic search for these RCTs was conducted in PubMed, Cochrane, Embase, and Web of Science databases up to July 2024. Statistical analysis was performed using Stata 16. Publication bias was estimated with the funnel plot and Egger\'s test.
RESULTS: Ten studies involving 497 participants (telemedicine group = 248 and conventional group = 249) were enrolled, with follow-up durations ranging from 8 weeks to 48 weeks. Functional outcomes measured by the Constant-Murley score were markedly improved after treatment in the telemedicine group compared to the conventional group. Moreover, compared to conventional treatment, telemedicine significantly improved shoulder function evaluated by Quick Disabilities of the Arm, Shoulder, and Hand Score, relieved pain assessed by visual analog scale pain score, and improved range of motion after treatment and in the final follow-up period.
CONCLUSIONS: Telemedicine has demonstrated potential in alleviating pain and enhancing shoulder function and motion in patients with RC injuries. It may be a feasible intervention for rehabilitation exercises. Further research with a large sample size and standardized treatment is warranted to validate these findings.
摘要：
背景：远程医疗在肩袖（RC）疾病患者中帮助康复锻炼的有效性仍然未知。因此,本荟萃分析旨在评估远程医疗在RC障碍患者中的有效性.
方法：通过荟萃分析，总结了远程医疗在RC障碍患者中的有效性的随机临床试验（RCT）。在PubMed中对这些RCT进行了系统的搜索，科克伦,Embase,和截至2024年7月的WebofScience数据库。使用Stata16进行统计分析。用漏斗图和Egger检验估计出版偏倚。
结果：纳入了10项研究，涉及497名参与者（远程医疗组=248，常规组=249）。随访时间为8周至48周。与常规组相比，远程医疗组治疗后通过Constant-Murley评分测量的功能结局明显改善。此外，与常规治疗相比，远程医疗显着改善了手臂快速残疾评估的肩部功能，肩膀,和手得分，通过视觉模拟量表疼痛评分评估缓解疼痛，并改善了治疗后和最后随访期间的活动范围。
结论：远程医疗已证明在缓解RC损伤患者的疼痛、增强肩关节功能和运动方面具有潜力。这可能是一种可行的康复锻炼干预措施。有必要进行大样本量和标准化治疗的进一步研究以验证这些发现。
方法：通过荟萃分析，总结了远程医疗在RC障碍患者中的有效性的随机临床试验（RCT）。在PubMed中对这些RCT进行了系统的搜索，科克伦,Embase,和截至2024年7月的WebofScience数据库。使用Stata16进行统计分析。用漏斗图和Egger检验估计出版偏倚。
结果：纳入了10项研究，涉及497名参与者（远程医疗组=248，常规组=249）。随访时间为8周至48周。与常规组相比，远程医疗组治疗后通过Constant-Murley评分测量的功能结局明显改善。此外，与常规治疗相比，远程医疗显着改善了手臂快速残疾评估的肩部功能，肩膀,和手得分，通过视觉模拟量表疼痛评分评估缓解疼痛，并改善了治疗后和最后随访期间的活动范围。
结论：远程医疗已证明在缓解RC损伤患者的疼痛、增强肩关节功能和运动方面具有潜力。这可能是一种可行的康复锻炼干预措施。有必要进行大样本量和标准化治疗的进一步研究以验证这些发现。
