%0杂志文章%@ 2369-2529 %I JMIR出版物%V 8% 卡塔尔世界杯8强波胆分析N 1% P e21107% T健康促进技术，帮助肌肉骨骼肩部疾病患者在家锻炼:范围审查%A Elgert,Lena %A Steiner,Bianca %A Saalfeld,Birgit %A Marschollek,Michael %A Wolf,Klaus-Hendrik %+ Peter L. Reichertz德国布伦瑞克理工大学和汉诺威医学院医学信息学研究所，Carl-Neuberg-Straße 1，汉诺威，30625，德国，49 511 532 19333，lena.elgert@plri.de %K肩部%K上肢%K肌肉骨骼疾病%K运动%K物理治疗%K远程康复%K技术辅助治疗%K辅助技术%K移动电话%D 2021 %7 4.2.2021 %9综述%J JMIR Rehabil辅助技术%G英语%X背景:健康促进技术(HETs)是促进个人健康和福祉的信息和通信技术。HETs的一个重要应用是肩部肌肉骨骼疾病患者的远程康复。目前，还没有关于帮助肌肉骨骼肩部疾病患者在家锻炼的HETs的概述。目的:本综述综述了帮助肩部肌肉骨骼疾病患者在家锻炼的HETs的广泛概况。它的重点是概念和HETs的组成部分，锻炼计划的策略，发展阶段，和报告的结果。方法:搜索策略使用医学主题标题和与术语上肢、练习、信息和通信技术相关的文本词。检索了MEDLINE、Embase、IEEE Xplore、CINAHL、PEDro和Scopus数据库。两位审稿人独立筛选标题和摘要，然后根据预定义的纳入和排除标准筛选全文。 A systematic narrative synthesis was performed. Overall, 8988 records published between 1997 and 2019 were screened. Finally, 70 articles introducing 56 HETs were included. Results: Identified HETs range from simple videoconferencing systems to mobile apps with video instructions to complex sensor-based technologies. Various software, sensor hardware, and hardware for output are in use. The most common hardware for output are PC displays (in 34 HETs). Microsoft Kinect cameras in connection with related software are frequently used as sensor hardware (in 27 HETs). The identified HETs provide direct or indirect instruction, monitoring, correction, assessment, information, or a reminder to exercise. Common parameters for exercise instructions are a patient’s range of motion (in 43 HETs), starting and final position (in 32 HETs), and exercise intensity (in 20 HETs). In total, 48 HETs provide visual instructions for the exercises; 29 HETs report on telerehabilitation aspects; 34 HETs only report on prototypes; and 15 HETs are evaluated for technical feasibility, acceptance, or usability, using different assessment instruments. Efficacy or effectiveness is demonstrated for only 8 HETs. In total, 18 articles report on patients’ evaluations. An interdisciplinary contribution to the development of technologies is found in 17 HETs. Conclusions: There are various HETs, ranging from simple videoconferencing systems to complex sensor-based technologies for telerehabilitation, that assist patients with musculoskeletal shoulder disorders when exercising at home. Most HETs are not ready for practical use. Comparability is complicated by varying prototype status, different measurement instruments, missing telerehabilitation aspects, and few efficacy studies. Consequently, choosing an HET for daily use is difficult for health care professionals and decision makers. Prototype testing, usability, and acceptance tests with the later target group under real-life conditions as well as efficacy or effectiveness studies with patient-relevant core outcomes for every promising HET are required. Furthermore, health care professionals and patients should be more involved in the product design cycle to consider relevant practical aspects. %M 33538701 %R 10.2196/21107 %U http://rehab.www.mybigtv.com/2021/1/e21107/ %U https://doi.org/10.2196/21107 %U http://www.ncbi.nlm.nih.gov/pubmed/33538701