@文章{信息:doi/10.2196/36028，作者=“Jirasakulsuk, Nathaphon和Saengpromma, Pattaridaporn和Khruakhorn, Santhanee”，标题=“老年人肌肉骨骼疾病的实时远程康复:系统回顾和meta分析”，期刊=“JMIR Rehabil辅助技术”，年=“2022”，月=“Sep”，日=“1”，卷=“9”，数=“3”，页=“e36028”，关键词=“远程康复;以互联网为基础的干预;老年人;物理性能;背景:实时远程康复(TR)是一种为患有肌肉骨骼疾病的老年人提供康复干预的新策略，以提供传统服务的连续性并减轻与旅行相关的障碍。目的:我们旨在研究在患有肌肉骨骼疾病的老年人中，与传统服务相比，通过实时TR服务提供的治疗在身体表现、治疗依从性和成本效益方面的有效性。方法:在6个在线数据库:Cochrane Library、PubMed(即MEDLINE)、PEDro、ClinicalKey、EBSCO和ProQuest中检索2000年1月至2022年4月发表的随机对照试验(rct)。文章的主要合格标准是在患有肌肉骨骼疾病的老年人中使用实时TR来改善身体表现。两名审稿人筛选了2108篇摘要，发现10篇研究(n=851)符合资格标准。质量评估基于Cochrane rct偏倚风险工具第2版，以评估所选文章的方法学质量。 Results were pooled for meta-analyses, based on the primary outcome measures, and were reported as standardized mean differences (SMDs) with 95{\%} CIs. A fixed model was used, and subgroup analysis was performed to check for possible factors influencing TR's effectiveness based on different treatments, controls, and outcome measures. Results: The search and screening process identified 10 papers that collectively reported on three musculoskeletal conditions in older adults and three types of TR programs. Aggregate results suggested that real-time TR, compared to conventional treatment, was more effective at improving physical performance regarding balance (SMD 0.63, 95{\%} CI 0.36-0.9; I2=58.5{\%}). TR was slightly better than usual care at improving range of motion (SMD 0.28, 95{\%} CI 0.1-0.46; I2=0{\%}) and muscle strength (SMD 0.76, 95{\%} CI 0.32-1.2; I2=59.60{\%}), with moderate to large effects. Subgroup analyses suggested that real-time TR had medium to large effects favoring the use of smartphones or tablets (SMD 0.92, 95{\%} CI 0.56-1.29; I2=45.8{\%}), whereas the use of personal computers (SMD 0.25, 95{\%} CI --0.16 to 0.66; I2=0{\%}) had no effect on improving balance and was comparable to conventional treatment. Conclusions: We found that real-time TR improved physical performance in older adults with musculoskeletal conditions, with an effectiveness level equal to that of conventional face-to-face treatment. Therefore, real-time TR services may constitute an alternative strategy for the delivery of rehabilitation services to older adults with musculoskeletal conditions to improve their physical performance. We also observed that the ideal device for delivering TR is the smartphone. Results suggested that the use of smartphones for TR is driven by ease of use among older adults. We encourage future studies in areas related to rehabilitation in older adults, in addition to examination of physical performance outcomes, to gain additional knowledge about comprehensive care. Trial Registration: PROSPERO CRD42021287289; https://www.crd.york.ac.uk/prospero/display{\_}record.php?RecordID=287289 ", issn="2369-2529", doi="10.2196/36028", url="https://rehab.www.mybigtv.com/2022/3/e36028", url="https://doi.org/10.2196/36028", url="http://www.ncbi.nlm.nih.gov/pubmed/36048520" }