TY - JOUR AU - Elgert, Lena AU - Steiner, Bianca AU - Saalfeld, Birgit AU - Marschollek, Michael AU - Wolf, Klaus-Hendrik PY - 2021 DA - 201/2/4 TI -帮助肌肉骨骼肩部疾病患者在家锻炼的健康促进技术:范围审查JO - JMIR Rehabil辅助技术SP - e21107 VL - 8 IS - 1kw -肩部KW -上肢KW -肌肉骨骼疾病KW -锻炼KW -物理治疗KW -远程康复KW -技术辅助治疗KW -辅助技术KW -移动电话AB -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。进行了系统的叙事合成。 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. SN - 2369-2529 UR - http://rehab.www.mybigtv.com/2021/1/e21107/ UR - https://doi.org/10.2196/21107 UR - http://www.ncbi.nlm.nih.gov/pubmed/33538701 DO - 10.2196/21107 ID - info:doi/10.2196/21107 ER -