Effectiveness of telerehabilitation in physical therapist practice: An umbrella and mapping review with meta-meta-analysis
Open accessAbstract
OBJECTIVE: Telerehabilitation is an option that should be adapted as soon as possible to face the crisis caused by coronavirus disease 2019. An umbrella and mapping review with meta-meta-analysis (MMA) of the available scientific evidence was performed to determine whether telerehabilitation could be an effective alternative to conventional rehabilitation in physical therapist practice. METHODS: A systematic review of reviews and a synthesis of the findings of all systematic evidence published to date with a visual map and a meta-meta-analysis (MMA) were performed. A systematic search was realized in Cochrane Database of Systematic Reviews, MEDLINE (PubMed), and Google Scholar. Two independent reviewers performed a data analysis and assessed the quality of the included reviews, assessing the risk of bias using ROBIS. RESULTS: Twenty-nine articles that met the inclusion criteria were selected and divided according to the type of patient targeted for rehabilitation (patients with cardiorespiratory, musculoskeletal, and neurological conditions). The MMA regarding physical function between telerehabilitation and usual care rehabilitation did not reveal a statistically significant difference for patients with cardiorespiratory and musculoskeletal conditions. For patients with neurological conditions, the MMA revealed a statistically significant but negligible effect size in 6 reviews in favor of telerehabilitation (standardized mean difference = 0.18; 95% CI = 0.03-0.34). CONCLUSION: The results of the present review showed that telerehabilitation offers positive clinical results, even comparable to conventional face-to-face rehabilitation approaches. IMPACT: The advantages of lower cost and less interference by the rehabilitation processes in patients' daily life could justify implementing telerehabilitation in clinical settings in the coronavirus disease 2019 era.
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Suso-Martí et al. showed no statistically significant differences between in-person physical therapy treatment and its delivery via telerehabilitation for various chronic conditions.
“Suso-Martí et al. [8] showed that there were no statistically significant differences between in-person physical therapy treatment and its delivery via telerehabilitation for various chronic conditions.”
From Behavior Modification Techniques on Patients with Chronic Pain in the Context of COVID-19 Telerehabilitation: An Umbrella Review (2022) · cites this paper as [8]
The Musculoskeletal and Cardiorespiratory Telerehabilitation sections report no statistically significant difference in their analyses of physical function. The Discussion limits the comparison to physical function, describes cardiac and respiratory evidence as unclear, and reports statistically significant results favoring telerehabilitation for neurological disorders. The claim therefore overgeneralizes the finding to treatment across various chronic conditions. (LLM, conf=0.88)
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- Authors
- Suso-Martí, L., La Touche, R., Herranz-Gómez, A., Angulo-Díaz-Parreño, S., Paris-Alemany, A., & Cuenca-Martínez, F.
- Affiliations
- Motion in Brains Research Group , Instituto de Neurociencias y Ciencias del Movimiento (INCIMOV), , Spain
- Facultad de Medicina, Universidad CEU San Pablo , Madrid, Spain
- ORCID
- Venue
- Physical Therapy
- Publisher
- Oxford University Press (OUP)
- Published
- 2021-02-22
- Volume
- 101
- Issue
- 5
- ISSN
- 0031-9023 (ISSN-L)
- 1538-6724
- PMC
- PMC7928612
- OpenAlex
- W3130683817
- Cited by
- 215
- References
- 52
- Citations by year
- 2026: 28 · 2025: 51 · 2024: 56 · 2023: 42 · 2022: 27 · 2021: 10
- FWCI
- 6.01
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
- Locations
- Physical Therapy (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- CEU Repositorio Institucional (Fundación Universitaria San Pablo CEU) (submittedVersion, cc-by-nc-nd)
- Repository of Digital Objects for Teaching Research and Culture (University of Valencia) (submittedVersion)
- Funders
- De La Salle University
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Keywords
- telerehabilitation, COVID-19 pandemic, physical function, cardiorespiratory conditions, musculoskeletal disorders, neurological disorders, meta-meta-analysis, umbrella review, telemedicine
- MeSH terms
- Telerehabilitation, Cardiac Rehabilitation, COVID-19, SARS-CoV-2, Humans, Musculoskeletal Diseases, Nervous System Diseases, Review Literature as Topic, Physical Therapy Modalities, Pandemics
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