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

*Corresponding author for this work

    Research output: Contribution to journalReview articleAcademicpeer-review

    4 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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    title = "Effectiveness of physiotherapy with telerehabilitation in surgical patients: a systematic review and meta-analysis",
    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

    TY - JOUR

    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.

    PY - 2018/9/1

    Y1 - 2018/9/1

    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 - Functional status

    KW - Physiotherapy

    KW - Surgery

    KW - Telehealth

    KW - Telemedicine

    KW - Telerehabilitation

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    M3 - Review article

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    SN - 0031-9406

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