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Open Access 28-09-2024 | Telemedicine | Systematic Review

The Era of Technology in Healthcare—An Evaluation of Telerehabilitation on Client Outcomes: A Systematic Review and Meta-analysis

Authors: Sharan Jaswal, Joyce Lo, Aaron Howe, Yifan Hao, Shangkai Zhu, Gobika Sithamparanathan, Behdin Nowrouzi-Kia

Published in: Journal of Occupational Rehabilitation

Abstract

Purpose

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.

Methods

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.

Results

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.

Conclusion

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.

Systematic Review Registration

This systematic review has been registered with PROSPERO under registration number CRD42022297849 on April 8th, 2022.

Available only for authorised users

Jaswal S, Lo J, Sithamparanathan G, Nowrouzi-Kia B. The era of technology in healthcare: an evaluation of telerehabilitation on patient outcomes—a systematic review and meta-analysis protocol. Syst Rev. 2023;12:76. https://doi.org/10.1186/s13643-023-02248-8.CrossRefPubMedPubMedCentral

Hiscott J, Alexandridi M, Muscolini M, Tassone E, Palermo E, Soultsioti M, et al. The global impact of the coronavirus pandemic. Cytokine Growth Factor Rev. 2020;53:1–9. https://doi.org/10.1016/j.cytogfr.2020.05.010.CrossRefPubMedPubMedCentral

Emerick T, Alter B, Jarquin S, Brancolini S, Bernstein C, Luong K, et al. Telemedicine for chronic pain in the COVID-19 era and beyond. Pain Med. 2020;21:1743–8. https://doi.org/10.1093/pm/pnaa220.CrossRefPubMed

Jachak SP, Phansopkar PA, Naqvi WM, Kumar K. Great awakening—telerehabilitation in physiotherapy during pandemic and impact of COVID-19. J Evol Med Dent Sci. 2020;9:3387–93. https://doi.org/10.14260/jemds/2020/744.CrossRef

Buabbas AJ, Albahrouh SE, Alrowayeh HN, Alshawaf H. Telerehabilitation during the COVID-19 pandemic: patients and physical therapists’ experiences. Med Princ Pract. 2022;31:156–64. https://doi.org/10.1159/000523775.CrossRefPubMedPubMedCentral

Peregrin T. Telehealth is transforming health care: what you need to know to practice telenutrition. J Acad Nutr Diet. 2019;119:1916–20. https://doi.org/10.1016/j.jand.2019.07.020.CrossRefPubMed

Telehealth and telepsychology [Internet]. American Psychological Association; 2024 Jan. Available from: https://www.apa.org/practice/telehealth-telepsychology.

Gajarawala SN, Pelkowski JN. Telehealth benefits and barriers. J Nurs Prac. 2021;17:218–21. https://doi.org/10.1016/j.nurpra.2020.09.013.CrossRef

Seron P, Oliveros M-J, Gutierrez-Arias R, Fuentes-Aspe R, Torres-Castro RC, Merino-Osorio C, et al. Effectiveness of telerehabilitation in physical therapy: a rapid overview. Phys Ther. 2021;101(6):pzab053. https://doi.org/10.1093/ptj/pzab053.CrossRefPubMedPubMedCentral

10.

Hung KNG, Fong KN. Effects of telerehabilitation in occupational therapy practice: a systematic review. Hong Kong J Occup Ther. 2019;32:3–21. https://doi.org/10.1177/1569186119849119.CrossRef

11.

Gibbs V, Toth-Cohen S. Family-centered occupational therapy and telerehabilitation for children with autism spectrum disorders. Occup Ther Health Care. 2011;25:298–314. https://doi.org/10.3109/07380577.2011.606460.CrossRefPubMed

12.

Hylkema TH, Brouwer S, Stewart RE, van Beveren J, Rijk PC, Brouwer RW, et al. Two-year recovery courses of physical and mental impairments, activity limitations, and participation restrictions after total knee arthroplasty among working-age patients. Disabil Rehabil. 2022;44:291–300. https://doi.org/10.1080/09638288.2020.1766583.CrossRefPubMed

13.

White DK, Master H. Patient-reported measures of physical function in knee osteoarthritis. Rheum Dis Clin N Am. 2016;42:239–52. https://doi.org/10.1016/j.rdc.2016.01.005.CrossRef

14.

Sharififar S, Ghasemi H, Geis C, Azari H, Adkins L, Speight B, et al. Telerehabilitation service impact on physical function and adherence compared to face-to-face rehabilitation in patients with stroke: A systematic review and meta-analysis. PM&R. 2023;15:1654–72. https://doi.org/10.1002/pmrj.12988.CrossRef

15.

Jayarajan D, Sivakumar T, Torous JB, Thirthalli J. Telerehabilitation in psychiatry. Indian J Psychol Med. 2020;42:57S-62S. https://doi.org/10.1177/0253717620963202.CrossRefPubMedPubMedCentral

16.

Bashshur RL, Shannon GW, Bashshur N, Yellowlees PM. The empirical evidence for telemedicine interventions in mental disorders. Telemed and E-Health. 2016;22:87–113. https://doi.org/10.1089/tmj.2015.0206.CrossRef

17.

International Classification of Health Interventions (ICHI) [Internet]. World Health Organization (WHO) n.d. Available from: https://www.who.int/standards/classifications/international-classification-of-health-interventions.

18.

Connolly SL, Miller CJ, Lindsay JA, Bauer MS. A systematic review of providers’ attitudes toward telemental health via videoconferencing. Clin Psychol: Sci Prac. 2020. https://doi.org/10.1111/cpsp.12311.CrossRef

19.

Appleby E, Gill ST, Hayes LK, Walker TL, Walsh M, Kumar S. Effectiveness of telerehabilitation in the management of adults with stroke: a systematic review. PLoS ONE. 2019;14:e0225150. https://doi.org/10.1371/journal.pone.0225150.CrossRefPubMedPubMedCentral

20.

Cottrell MA, Galea OA, O’Leary SP, Hill AJ, Russell TG. Real-time telerehabilitation for the treatment of musculoskeletal conditions is effective and comparable to standard practice: a systematic review and meta-analysis. Clin Rehabil. 2017;31:625–38. https://doi.org/10.1177/0269215516645148.CrossRefPubMed

21.

The Critical Appraisal Skills Programme [Internet]. CASP CHECKLISTS 2020. Available from: https://casp-uk.net/casp-tools-checklists/.

22.

Cumpston M, Li T, Page MJ, Chandler J, Welch VA, Higgins JP, et al. Updated guidance for trusted systematic reviews: a new edition of the Cochrane Handbook for Systematic Reviews of Interventions. Cochrane Database Syst Rev. 2019;10(10);ED000142. https://doi.org/10.1002/14651858.ED000142.CrossRefPubMedPubMedCentral

23.

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71. https://doi.org/10.1136/bmj.n71.CrossRefPubMedPubMedCentral

24.

Clark TS, Linzer DA. Should I use fixed or random effects? Pol Sci Res Method. 2015;3:399–408. https://doi.org/10.1017/psrm.2014.32.CrossRef

25.

R Core Team. R: a language and environment for statistical computing. R foundation for statistical computing [Internet] Vienna; 2013. Available from: https://www.r-project.org/.

26.

International Classification of Health Interventions (ICHI) [Internet]. World Health Organization (WHO) n.d. Available from: https://icd.who.int/dev11/l-ichi/en#/http%3a%2f%2fid.who.int%2ficd%2fentity%2f448900003.

27.

Guyatt GH, Oxman AD, Schünemann HJ, Tugwell P, Knottnerus A. GRADE guidelines: a new series of articles in the Journal of Clinical Epidemiology. J Clin Epidemiol. 2011;64:380–2. https://doi.org/10.1016/j.jclinepi.2010.09.011.CrossRefPubMed

28.

Werneke MW, Deutscher D, Hayes D, Grigsby D, Mioduski JE, Resnik LJ. Is Telerehabilitation a viable option for people with low back pain? Associations between telerehabilitation and outcomes during the COVID-19 pandemic. Phys Ther. 2022;102(5):pzac020. https://doi.org/10.1093/ptj/pzac020.CrossRefPubMed

29.

Dias JF, Oliveira VC, Borges PRT, Dutra FCMS, Mancini MC, Kirkwood RN, et al. Effectiveness of exercises by telerehabilitation on pain, physical function and quality of life in people with physical disabilities: a systematic review of randomised controlled trials with GRADE recommendations. Br J Sports Med. 2021;55:155–62. https://doi.org/10.1136/bjsports-2019-101375.CrossRefPubMed

30.

Worboys T, Brassington M, Ward EC, Cornwell PL. Delivering occupational therapy hand assessment and treatment sessions via telehealth. J Telemed Telecare. 2018;24:185–92. https://doi.org/10.1177/1357633X17691861.CrossRefPubMed

31.

What is the Difference Between Occupational Therapy and Physical? [Internet]. Ability Rehabilitation 2024. Available from: https://abilityrehabilitation.com/news/differences-between-occupational-therapy-and-physical-therapy/.

32.

Velayati F, Ayatollahi H, Hemmat M. A systematic review of the effectiveness of telerehabilitation interventions for therapeutic purposes in the elderly. Methods Inf Med. 2020;59:104–9. https://doi.org/10.1055/s-0040-1713398.CrossRefPubMed

33.

Gava V, Ribeiro LP, Barreto RPG, Camargo PR. Effectiveness of physical therapy given by telerehabilitation on pain and disability of individuals with shoulder pain: a systematic review. Clin Rehabil. 2022;36:715–25. https://doi.org/10.1177/02692155221083496.CrossRefPubMed

34.

Greenwood H, Krzyzaniak N, Peiris R, Clark J, Scott AM, Cardona M, et al. Telehealth versus face-to-face psychotherapy for less common mental health conditions: systematic review and meta-analysis of randomized controlled trials. JMIR Ment Health. 2022;9:e31780. https://doi.org/10.2196/31780.CrossRefPubMedPubMedCentral

35.

Costa RRG, Dorneles JR, Veloso JH, Gonçalves CW, Neto FR. Synchronous and asynchronous tele-exercise during the coronavirus disease 2019 pandemic: comparisons of implementation and training load in individuals with spinal cord injury. J Telemed Telecare. 2023;29:308–17. https://doi.org/10.1177/1357633X20982732.CrossRefPubMed

36.

Timurtaş E, Selçuk H, Uğur Canöz E, Inceer M, Batar S, Demirbüken İ, et al. Synchronous and asynchronous telerehabilitation methods produce similar benefits in individuals with non-specific neck pain. Arch Orthop Trauma Surg. 2023;144:559–66. https://doi.org/10.1007/s00402-023-05083-7.CrossRefPubMed

37.

Thomas RJ, Petersen CE, Olson TP, Beatty AL, Ding R, Supervia M. Asynchronous and synchronous delivery models for home-based cardiac rehabilitation. J Cardiopulm Rehabil Prev. 2021;41:407–12. https://doi.org/10.1097/HCR.0000000000000656.CrossRefPubMedPubMedCentral

38.

Ganeshan S, Jackson H, Grandis DJ, Janke D, Murray ML, Valle V, et al. Clinical outcomes and qualitative perceptions of in-person, hybrid, and virtual cardiac rehabilitation. J Cardiopulm Rehabil Prev. 2022;42:338–46. https://doi.org/10.1097/HCR.0000000000000688.CrossRefPubMed

39.

Brehon K, Nagra G, Miciak M, Niemeläinen R, Gross DP. Evaluating effectiveness of telerehabilitation services among injured workers treated in a Canadian workers’ compensation system: a population-based study. J Occup Rehabil. 2024. https://doi.org/10.1007/s10926-023-10165-9.CrossRefPubMed

40.

Piotrowicz E, Mierzyńska A, Banach M, Jaworska I, Pencina M, Kowalik I, et al. Quality of life in heart failure patients undergoing hybrid comprehensive telerehabilitation versus usual care—results of the Telerehabilitation in Heart Failure Patients (TELEREH-HF) randomized clinical trial. Arch Med Sci. 2021;17:1599–612. https://doi.org/10.5114/aoms.2020.98350.CrossRefPubMed

41.

Yang Z, Jia X, Li J, Mei Z, Yang L, Yan C, et al. Efficacy and safety of Hybrid Comprehensive Telerehabilitation (HCTR) for cardiac rehabilitation in patients with cardiovascular disease: a systematic review and meta-analysis of randomized controlled trials. Occup Ther Int. 2023;2023:1.

42.

Harper KJ, Fitzgerald S, Xiyin P, Kuzich J, Leow SH, Jacques A, et al. Does the integration of telehealth into occupational therapy practice impact clinical outcomes for hand and upper limb rehabilitation? A matched case control study. Int J Telerehabil. 2022. https://doi.org/10.5195/ijt.2022.6505.CrossRefPubMedPubMedCentral

43.

Donelan K, Barreto EA, Sossong S, Michael C, Estrada JJ, Cohen AB, et al. Patient and clinician experiences with telehealth for patient follow-up care. Am J Manag Care. 2019;25:40–4.PubMed

44.

Tadley M, Henry TW, Horan DP, Beredjiklian PK. The financial implications of telehealth visits within a hand and wrist surgery clinical practice during the COVID-19 pandemic. J Hand Surg Am. 2021;46:660–5. https://doi.org/10.1016/j.jhsa.2021.03.019.CrossRefPubMed

45.

Suso-Martí L, La Touche R, Herranz-Gómez A, Angulo-Díaz-Parreño S, Paris-Alemany A, Cuenca-Martínez F. Effectiveness of telerehabilitation in physical therapist practice: an umbrella and mapping review with meta–meta-analysis. Phys Ther. 2021. https://doi.org/10.1093/ptj/pzab075.CrossRefPubMed

46.

Hall AM, Ferreira PH, Maher CG, Latimer J, Ferreira ML. The influence of the therapist-patient relationship on treatment outcome in physical rehabilitation: a systematic review. Phys Ther. 2010;90:1099–110. https://doi.org/10.2522/ptj.20090245.CrossRefPubMed

47.

Juhlin S, Bergenheim A, Gjertsson I, Larsson A, Mannerkorpi K. Physical activity with person-centred guidance supported by a digital platform for persons with chronic widespread pain: a randomized controlled trial. J Rehabil Med. 2021;53(4):jrm00175. https://doi.org/10.2340/16501977-2796.CrossRefPubMedPubMedCentral

Title: The Era of Technology in Healthcare—An Evaluation of Telerehabilitation on Client Outcomes: A Systematic Review and Meta-analysis
Authors: Sharan Jaswal
Joyce Lo
Aaron Howe
Yifan Hao
Shangkai Zhu
Gobika Sithamparanathan
Behdin Nowrouzi-Kia
Publication date: 28-09-2024
Publisher: Springer US
Keywords: Telemedicine
Telemedicine
Physical Therapy
Published in: Journal of Occupational Rehabilitation
Print ISSN: 1053-0487
Electronic ISSN: 1573-3688
DOI: https://doi.org/10.1007/s10926-024-10237-4

Keynote webinar | Spotlight on adolescent vaping

Springer Medicine

The Era of Technology in Healthcare—An Evaluation of Telerehabilitation on Client Outcomes: A Systematic Review and Meta-analysis

Abstract

Purpose

Methods

Results

Conclusion

Systematic Review Registration

Keynote webinar | Spotlight on adolescent vaping

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

Systematic Review Registration

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