TY - JOUR AU - Pagaki-Skaliora, Marina AU - Morrow, Eileen AU - Theologis, Tim PY - 2022 DA - 2022/10/17 TI -脑瘫儿童的远程医疗和远程干预:范围审查乔- JMIR Rehabil协助工艺SP - e36842六世- 9 - 4 KW -脑瘫KW - CP KW -辅助技术KW范围审查KW -软件KW -应用KW -远程医疗KW - telerehabilitation KW -康复KW - COVID-19 KW -儿童千瓦健康干预KW -医疗KW -数字干预AB -背景:远程治疗,或远程医疗,表明承诺对脑瘫患儿(CP)在2020年之前;然而,全球COVID-19大流行的开始限制了人们前往医院进行面对面治疗,这推动了远程医疗的需求,并导致远程医疗的发展激增。由于最近的发展,对儿童CP远程医疗现有证据的综合研究有限。目的:本研究旨在分析和总结儿童CP远程医疗干预治疗的现有证据,并确定任何需要进一步研究的领域。方法:对研究范围进行综述。2021年7月,对MEDLINE和PubMed的现有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综述,包括患有CP的儿童,发表于2010-2021年,并用英语撰写。排除标准为系统综述以外的二次研究;不符合世界卫生组织远程保健定义的干预措施;或所有参与者年龄为> - 18岁的研究,没有单独报道儿童的结果,或没有报道患有CP的儿童的结果。由于参与者的预期异质性,以及预期的小样本量和测量结果的不一致性,选择了范围审查; 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. SN - 2369-2529 UR - https://rehab.www.mybigtv.com/2022/4/e36842 UR - https://doi.org/10.2196/36842 UR - http://www.ncbi.nlm.nih.gov/pubmed/36 DO - 10.2196/36842 ID - info:doi/10.2196/36842 ER -
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