%0杂志文章%@ 2369- 2529% I JMIR出版物%V 9%卡塔尔世界杯8强波胆分析 N 3% P e36028% T老年人肌肉骨骼疾病的实时远程康复:系统回顾和荟萃分析%A吉拉萨库苏克，纳他丰%A生promma,Pattaridaporn %A Khruakhorn,Santhanee %+联合健康科学学院物理治疗系，泰国巴吞他尼，12120,Khlong Luang, Khlong Nueng, phhonyothin路99 moo18, 66 0 2986 9213 9 ext 7231，santhanee.k@allied.tu.ac.th %K远程康复%K基于互联网的干预%K老年人%K身体表现%K物理治疗%D 2022 %7 1.9.2022 %9综述%J JMIR Rehabil辅助技术%G英文%X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，以提供常规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。基于主要结局指标，将结果汇总进行荟萃分析，并以95% ci的标准化平均差异(SMDs)报告。采用固定模型，根据不同的治疗、对照和结局指标，进行亚组分析，以检查影响TR疗效的可能因素。 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 %M 36048520 %R 10.2196/36028 %U https://rehab.www.mybigtv.com/2022/3/e36028 %U https://doi.org/10.2196/36028 %U http://www.ncbi.nlm.nih.gov/pubmed/36048520