[0]期刊文章[@ 2369-2529]ijmir出版物[V] 9 %卡塔尔世界杯8强波胆分析N 4 %P [36842] T脑瘫儿童的远程保健和远程干预;A pagagi - skaliora,Marina A Morrow,Eileen A theology,Tim + Nuffield牛津大学骨科，风湿病和肌肉骨骼科学系，Botnar中心，牛津，ox37le，牛津，44 1865227607，eileen.morrow@ouh.nhs.uk %K脑瘫%K CP %K辅助技术%K范围审查%K软件%K应用%K远程医疗%K远程康复%K康复%K COVID-19 %K儿童%K健康干预%K保健%K数字干预%D 2022 %7 17.10.2022 %9审查%J JMIR康复辅助技术%G英语%X背景:在2020年之前，远程治疗或远程医疗已显示出对脑瘫(CP)儿童的希望;然而，全球COVID-19大流行的开始限制了前往医院接受面对面治疗的机会，这推动了对远程医疗的需求，并导致其发展激增。由于最近的发展，对CP儿童远程医疗的现有证据的综合有限。目的:本研究旨在分析和总结远程医疗干预治疗CP儿童的现有证据，并确定任何需要进一步研究的领域。方法:进行范围审查。在2021年7月对MEDLINE和PubMed的可用文献进行了系统检索。文章的纳入标准是调查远程医疗的初步研究和系统评价，包括CP儿童，发表于2010-2021年之间，并以英文撰写。排除标准为非系统评价的二次研究;不符合世界卫生组织远程保健定义的干预措施; or studies where all participants were aged >18 years, children’s results were not reported separately, or there were no results reported for children with CP. A scoping review was chosen due to the expected heterogeneity of the participants, as well as the expected small sample sizes and inconsistency of measured outcomes; therefore, a narrative reporting of the results was considered appropriate. Results: In all, 5 papers were identified, which included the results of 11 studies—2 of the included articles were systematic reviews, which included the results of 3 studies each. These 6 studies, together with 5 primary research articles, were included in this scoping review. The existing evidence is of low methodological quality, primarily consisting of case series. There is some evidence that the requirements of telehealth differ depending on the children’s developmental stage and functional level. Telehealth is reported to reduce caregiver burden. There is mixed evidence on children’s compliance with telehealth. Overall, the results of telehealth interventions for the treatment of children with CP were positive, indicating either comparable or improved results compared with children receiving usual face-to-face care. Conclusions: The evidence base is lacking in breadth and methodological quality to provide robust clinical recommendations. Most studies investigated hand function only, indicating the limited scope of existing research. However, this review shows that telehealth has demonstrated potential to improve function for children with CP while making health care services more accessible and reducing caregiver burden. Areas requiring further research include telehealth interventions for the lower limb, postural management, and pain control and the barriers to implementing telehealth. %M 36 %R 10.2196/36842 %U https://rehab.www.mybigtv.com/2022/4/e36842 %U https://doi.org/10.2196/36842 %U http://www.ncbi.nlm.nih.gov/pubmed/36