Effectiveness of physiotherapy with telerehabilitation in surgical patients: a systematic review and meta-analysis

M. A. van Egmond (Corresponding Author), M. van der Schaaf, T. Vredeveld, M. M.R. Vollenbroek-Hutten, M. I. van Berge Henegouwen, J. H.G. Klinkenbijl, R. H.H. Engelbert

Research output: Contribution to journalReview articleAcademicpeer-review

3 Citations (Scopus)

Abstract

Background: Over the last few years, telerehabilitation services have developed rapidly, and patients value benefits such as reduced travelling barriers, flexible exercise hours, and the possibility to better integrate skills into daily life. However, the effects of physiotherapy with telerehabilitation on postoperative functional outcomes compared with usual care in surgical populations are still inconclusive. Objectives: To study the effectiveness of physiotherapy with telerehabilitation on postoperative functional outcomes and quality of life in surgical patients. Data sources: Relevant studies were obtained from MEDLINE, EMBASE, CINAHL, the Cochrane Library, PEDro, Google Scholar and the World Health Organization International Clinical Trials Registry Platform. Study selection: Randomised controlled trials, controlled clinical trials, quasi-randomised studies and quasi-experimental studies with comparative controls were included with no restrictions in terms of language or date of publication. Data extraction and synthesis: Methodological quality was assessed using the Cochrane risk of bias tool. Twenty-three records were included for qualitative synthesis. Seven studies were eligible for quantitative synthesis on quality of life, and the overall pooled standardised mean difference was 1.01 (95% confidence interval 0.18 to 1.84), indicating an increase in favour of telerehabilitation in surgical patients. Limitations: The variety in contents of intervention and outcome measures restricted the performance of a meta-analysis on all clinical outcome measures. Conclusions: Physiotherapy with telerehabilitation has the potential to increase quality of life, is feasible, and is at least equally effective as usual care in surgical populations. This may be sufficient reason to choose physiotherapy with telerehabilitation for surgical populations, although the overall effectiveness on physical outcomes remains unclear. PROSPERO registration number: CRD42015017744.

Original languageEnglish
Pages (from-to)277-298
Number of pages22
JournalPhysiotherapy (United Kingdom)
Volume104
Issue number3
Early online date19 Jun 2018
DOIs
Publication statusPublished - 1 Sep 2018

Fingerprint

Meta-Analysis
Quality of Life
Randomized Controlled Trials
Outcome Assessment (Health Care)
Population
Information Storage and Retrieval
MEDLINE
Libraries
Registries
Publications
Telerehabilitation
Language
Clinical Trials
Confidence Intervals
Exercise

Keywords

  • Exercise
  • Functional status
  • Physiotherapy
  • Surgery
  • Telehealth
  • Telemedicine
  • Telerehabilitation

Cite this

van Egmond, M. A., van der Schaaf, M., Vredeveld, T., Vollenbroek-Hutten, M. M. R., van Berge Henegouwen, M. I., Klinkenbijl, J. H. G., & Engelbert, R. H. H. (2018). Effectiveness of physiotherapy with telerehabilitation in surgical patients: a systematic review and meta-analysis. Physiotherapy (United Kingdom), 104(3), 277-298. https://doi.org/10.1016/j.physio.2018.04.004
van Egmond, M. A. ; van der Schaaf, M. ; Vredeveld, T. ; Vollenbroek-Hutten, M. M.R. ; van Berge Henegouwen, M. I. ; Klinkenbijl, J. H.G. ; Engelbert, R. H.H. / Effectiveness of physiotherapy with telerehabilitation in surgical patients : a systematic review and meta-analysis. In: Physiotherapy (United Kingdom). 2018 ; Vol. 104, No. 3. pp. 277-298.
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abstract = "Background: Over the last few years, telerehabilitation services have developed rapidly, and patients value benefits such as reduced travelling barriers, flexible exercise hours, and the possibility to better integrate skills into daily life. However, the effects of physiotherapy with telerehabilitation on postoperative functional outcomes compared with usual care in surgical populations are still inconclusive. Objectives: To study the effectiveness of physiotherapy with telerehabilitation on postoperative functional outcomes and quality of life in surgical patients. Data sources: Relevant studies were obtained from MEDLINE, EMBASE, CINAHL, the Cochrane Library, PEDro, Google Scholar and the World Health Organization International Clinical Trials Registry Platform. Study selection: Randomised controlled trials, controlled clinical trials, quasi-randomised studies and quasi-experimental studies with comparative controls were included with no restrictions in terms of language or date of publication. Data extraction and synthesis: Methodological quality was assessed using the Cochrane risk of bias tool. Twenty-three records were included for qualitative synthesis. Seven studies were eligible for quantitative synthesis on quality of life, and the overall pooled standardised mean difference was 1.01 (95{\%} confidence interval 0.18 to 1.84), indicating an increase in favour of telerehabilitation in surgical patients. Limitations: The variety in contents of intervention and outcome measures restricted the performance of a meta-analysis on all clinical outcome measures. Conclusions: Physiotherapy with telerehabilitation has the potential to increase quality of life, is feasible, and is at least equally effective as usual care in surgical populations. This may be sufficient reason to choose physiotherapy with telerehabilitation for surgical populations, although the overall effectiveness on physical outcomes remains unclear. PROSPERO registration number: CRD42015017744.",
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van Egmond, MA, van der Schaaf, M, Vredeveld, T, Vollenbroek-Hutten, MMR, van Berge Henegouwen, MI, Klinkenbijl, JHG & Engelbert, RHH 2018, 'Effectiveness of physiotherapy with telerehabilitation in surgical patients: a systematic review and meta-analysis' Physiotherapy (United Kingdom), vol. 104, no. 3, pp. 277-298. https://doi.org/10.1016/j.physio.2018.04.004

Effectiveness of physiotherapy with telerehabilitation in surgical patients : a systematic review and meta-analysis. / van Egmond, M. A. (Corresponding Author); van der Schaaf, M.; Vredeveld, T.; Vollenbroek-Hutten, M. M.R.; van Berge Henegouwen, M. I.; Klinkenbijl, J. H.G.; Engelbert, R. H.H.

In: Physiotherapy (United Kingdom), Vol. 104, No. 3, 01.09.2018, p. 277-298.

Research output: Contribution to journalReview articleAcademicpeer-review

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T1 - Effectiveness of physiotherapy with telerehabilitation in surgical patients

T2 - a systematic review and meta-analysis

AU - van Egmond, M. A.

AU - van der Schaaf, M.

AU - Vredeveld, T.

AU - Vollenbroek-Hutten, M. M.R.

AU - van Berge Henegouwen, M. I.

AU - Klinkenbijl, J. H.G.

AU - Engelbert, R. H.H.

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N2 - Background: Over the last few years, telerehabilitation services have developed rapidly, and patients value benefits such as reduced travelling barriers, flexible exercise hours, and the possibility to better integrate skills into daily life. However, the effects of physiotherapy with telerehabilitation on postoperative functional outcomes compared with usual care in surgical populations are still inconclusive. Objectives: To study the effectiveness of physiotherapy with telerehabilitation on postoperative functional outcomes and quality of life in surgical patients. Data sources: Relevant studies were obtained from MEDLINE, EMBASE, CINAHL, the Cochrane Library, PEDro, Google Scholar and the World Health Organization International Clinical Trials Registry Platform. Study selection: Randomised controlled trials, controlled clinical trials, quasi-randomised studies and quasi-experimental studies with comparative controls were included with no restrictions in terms of language or date of publication. Data extraction and synthesis: Methodological quality was assessed using the Cochrane risk of bias tool. Twenty-three records were included for qualitative synthesis. Seven studies were eligible for quantitative synthesis on quality of life, and the overall pooled standardised mean difference was 1.01 (95% confidence interval 0.18 to 1.84), indicating an increase in favour of telerehabilitation in surgical patients. Limitations: The variety in contents of intervention and outcome measures restricted the performance of a meta-analysis on all clinical outcome measures. Conclusions: Physiotherapy with telerehabilitation has the potential to increase quality of life, is feasible, and is at least equally effective as usual care in surgical populations. This may be sufficient reason to choose physiotherapy with telerehabilitation for surgical populations, although the overall effectiveness on physical outcomes remains unclear. PROSPERO registration number: CRD42015017744.

AB - Background: Over the last few years, telerehabilitation services have developed rapidly, and patients value benefits such as reduced travelling barriers, flexible exercise hours, and the possibility to better integrate skills into daily life. However, the effects of physiotherapy with telerehabilitation on postoperative functional outcomes compared with usual care in surgical populations are still inconclusive. Objectives: To study the effectiveness of physiotherapy with telerehabilitation on postoperative functional outcomes and quality of life in surgical patients. Data sources: Relevant studies were obtained from MEDLINE, EMBASE, CINAHL, the Cochrane Library, PEDro, Google Scholar and the World Health Organization International Clinical Trials Registry Platform. Study selection: Randomised controlled trials, controlled clinical trials, quasi-randomised studies and quasi-experimental studies with comparative controls were included with no restrictions in terms of language or date of publication. Data extraction and synthesis: Methodological quality was assessed using the Cochrane risk of bias tool. Twenty-three records were included for qualitative synthesis. Seven studies were eligible for quantitative synthesis on quality of life, and the overall pooled standardised mean difference was 1.01 (95% confidence interval 0.18 to 1.84), indicating an increase in favour of telerehabilitation in surgical patients. Limitations: The variety in contents of intervention and outcome measures restricted the performance of a meta-analysis on all clinical outcome measures. Conclusions: Physiotherapy with telerehabilitation has the potential to increase quality of life, is feasible, and is at least equally effective as usual care in surgical populations. This may be sufficient reason to choose physiotherapy with telerehabilitation for surgical populations, although the overall effectiveness on physical outcomes remains unclear. PROSPERO registration number: CRD42015017744.

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KW - Surgery

KW - Telehealth

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