Telerehabilitation for community-dwelling middle-aged and older adults after musculoskeletal trauma: a systematic review
Open accessAbstract
Background: Musculoskeletal trauma at midlife and beyond imposes significant impact on function and quality of life: Rehabilitation is key to support early and sustained recovery. There are frequent barriers to attending in-person rehabilitation that may be overcome by the recent advances in technology (telerehabilitation). Therefore, we conducted a systematic review of published evidence on telerehabilitation as a delivery mode for adults and older adults with musculoskeletal trauma. Methods: We followed established guidelines for conducting and reporting systematic reviews. We searched the following databases up to June 23, 2018: Cochrane Library, Cumulative Index to Nursing and Allied Health Literature, Embase, Google Scholar, MEDLINE (Ovid and PubMed), PsycINFO, and SportDiscus. We included publications across all available years and languages for community-dwelling adults (50 years and older) with musculoskeletal trauma; and interventions using the following delivery modes: Apps, computer, telephone, videophone, videoconference, webcam, webpage, or similar media. Results: Six studies met the inclusion criteria: Five studies for hip fracture (n = 260) and one study for proximal humeral fracture rehabilitation (n = 17). Four of the studies used telephone as the delivery mode, one used computer and another used video-conferencing. Two of the studies were pre-post with no comparator group, and the remaining four studies were randomized controlled trials with low or unclear risk of bias. Studies established some modes of remote delivery as feasible, but the generalizability of the findings were limited. Two studies observed significant between-group differences (favoring the intervention) for physical activity, quality of life, and self-efficacy. Conclusion: Very few studies exist that tested the effect of telerehabilitation for recovery after musculoskeletal trauma later in life. Given the global burden imposed by musculoskeletal trauma, this review underscores an important gap in clinical knowledge.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Several reviews described physiotherapists, occupational therapists, trained non-professionals, exercise scientists, personal trainers, nurses and chiropractors facilitating the interventions.
“However, several described physiotherapists, occupational therapists, trained non-professionals, exercise scientists, personal trainers, nurses and chiropractors facilitating the interventions.85 86 88”
From Impact of healthcare interventions on distress following acute musculoskeletal/orthopaedic injury: A scoping review of systematic reviews (2024) · cites this paper as [86]
The References identify an included trial involving a post-discharge telephone call by an occupational therapist, and Table 1 describes that intervention (page numbers unavailable). The review does not document the other listed facilitators—trained non-professionals, exercise scientists, personal trainers, nurses, or chiropractors—as delivering its included interventions. (LLM, conf=0.82)
Experimental — accuracy not yet measuredThe remaining five exercise-based reviews included studies evaluating different types of exercise-based interventions (home exercise programmes, weight training, supervised exercise sessions, therapeutic recreation, adventurous training and sports and outdoor activity training) and the distress-related outcomes reported in these reviews were mixed.
“The remaining five reviews included studies evaluating different types of exercise-based interventions (home exercise programmes, weight training, supervised exercise sessions, therapeutic recreation, adventurous training and sports and outdoor activity training) and the distress-related outcomes reported in these reviews were mixed.8690”
From Impact of healthcare interventions on distress following acute musculoskeletal/orthopaedic injury: A scoping review of systematic reviews (2024) · cites this paper as [86]
Split into 2 atoms — 0 confirmed, 1 partially supported, 0 disputed, 0 misattributed, 1 unverifiable. Expand the claim to see per-atom verdicts.
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
The Measurement of Observer Agreement for Categorical Data
Landis, J. R., & Koch, G. G. (1977) · Biometrics · doi:10.2307/2529310 · Cited by 81,148 · see citing works
Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & The PRISMA Group (2009) · PLoS Medicine · doi:10.1371/journal.pmed.1000097 · Cited by 64,042 · see citing works
Preferred reporting items for systematic reviews and meta-analyses: the PRISMA Statement.
(2009) · PubMed Central · Cited by 44,859 · see citing works
A Coefficient of Agreement for Nominal Scales
Cohen, J. (1960) · Educational and Psychological Measurement · doi:10.1177/001316446002000104 · Cited by 42,398 · see citing works
The Cochrane Collaboration's tool for assessing risk of bias in randomised trials
Higgins, J. P. T., Altman, D. G., Gotzsche, P. C., Juni, P., Moher, D., Oxman, A. D., Savovic, J., Schulz, K. F., Weeks, L., Sterne, J. A. C., et al. (2011) · BMJ · doi:10.1136/bmj.d5928 · Cited by 33,817 · see citing works
Michie, S., Richardson, M., Johnston, M., Abraham, C., Francis, J., Hardeman, W., Eccles, M. P., Cane, J., & Wood, C. E. (2013) · Annals of Behavioral Medicine · doi:10.1007/s12160-013-9486-6 · Cited by 7,629 · see citing works
Webb, T. L., Joseph, J., Yardley, L., & Michie, S. (2010) · Journal of Medical Internet Research · doi:10.2196/jmir.1376 · Cited by 2,517 · see citing works
Telerehabilitation services for stroke.
Laver, K. E., Schoene, D., Crotty, M., George, S., Lannin, N., & Sherrington, C. (2013) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd010255.pub2 · Cited by 719 · see citing works
Cottrell, M. A., Galea, O. A., O’Leary, S. P., Hill, A. J., & Russell, T. G. (2017) · Clinical Rehabilitation · doi:10.1177/0269215516645148 · Cited by 708 · see citing works
Large‐System Transformation in Health Care: A Realist Review
Best, A., Greenhalgh, T., Lewis, S. J., Saul, J. E., Carroll, S., & Bitz, J. (2012) · Milbank Quarterly · doi:10.1111/j.1468-0009.2012.00670.x · Cited by 575 · see citing works
The Global Burden of Musculoskeletal Injuries: Challenges and Solutions
Mock, C., & Cherian, M. N. (2008) · Clinical Orthopaedics and Related Research · doi:10.1007/s11999-008-0416-z · Cited by 298 · see citing works
Telerehabilitation in stroke care – a systematic review
Johansson, T., & Wild, C. (2011) · Journal of Telemedicine and Telecare · doi:10.1258/jtt.2010.100105 · Cited by 288 · see citing works
Physical rehabilitation using telemedicine
Russell, T. G. (2007) · Journal of Telemedicine and Telecare · doi:10.1258/135763307781458886 · Cited by 265 · see citing works
Chen, J., Jin, W., Zhang, X., Xu, W., Liu, X.-N., & Ren, C. (2015) · Journal of Stroke and Cerebrovascular Diseases · doi:10.1016/j.jstrokecerebrovasdis.2015.09.014 · Cited by 231 · see citing works
Outcomes After Hip Fracture Surgery Compared With Elective Total Hip Replacement
Manach, Y. L., Collins, P. G. S., Bhandari, M., Bessissow, A., Boddaert, J., Khiami, F., Chaudhry, H., de Beer, J. D., Riou, B., Landais, P., et al. (2015) · JAMA · doi:10.1001/jama.2015.10842 · Cited by 214 · see citing works
A review of telerehabilitation for cardiac patients
Frederix, I., Vanhees, L., Dendale, P., & Goetschalckx, K. (2014) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x14562732 · Cited by 194 · see citing works
Shukla, H., Nair, Sr., & Thakker, D. (2017) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x16628996 · Cited by 186 · see citing works
Jiang, S., Xiang, J., Gao, X., Guo, K., & Liu, B. (2018) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x16686748 · Cited by 171 · see citing works
Home Care Quality Indicators (HCQIs) Based on the MDS-HC
Hirdes, J. P., Fries, B. E., Morris, J. N., Ikegami, N., Zimmerman, D. R., Dalby, D. M., Aliaga, P., Hammer, S., & Jones, R. N. (2004) · The Gerontologist · doi:10.1093/geront/44.5.665 · Cited by 156 · see citing works
Telerehabilitation for persons with multiple sclerosis
Khan, F., Amatya, B., Kesselring, J., & Galea, M. P. (2015) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd010508.pub2 · Cited by 152 · see citing works
Clarke, M., Shah, A., & Sharma, U. (2011) · Journal of Telemedicine and Telecare · doi:10.1258/jtt.2010.100113 · Cited by 152 · see citing works
Amatya, B., Galea, M. P., Kesselring, J., & Khan, F. (2015) · Multiple Sclerosis and Related Disorders · doi:10.1016/j.msard.2015.06.011 · Cited by 119 · see citing works
A Systematic Review of the Effects of Telerehabilitation in Patients With Cardiopulmonary Diseases
Hwang, R., Bruning, J., Morris, N. R., Mandrusiak, A., & Russell, T. G. (2015) · Journal of Cardiopulmonary Rehabilitation and Prevention · doi:10.1097/hcr.0000000000000121 · Cited by 107 · see citing works
Chan, C., Yamabayashi, C., Syed, N., Kirkham, A. R., & Camp, P. G. (2016) · Physiotherapy Canada · doi:10.3138/ptc.2015-33 · Cited by 101 · see citing works
Older hip fracture patients: three groups with different needs
Ranhoff, A. H., Holvik, K., Martinsen, M. I., Domaas, K., & Solheim, L. F. (2010) · BMC Geriatrics · doi:10.1186/1471-2318-10-65 · Cited by 98 · see citing works
O’Halloran, P., Shields, N., Blackstock, F. C., Wintle, E., & Taylor, N. F. (2015) · Clinical Rehabilitation · doi:10.1177/0269215515617814 · Cited by 91 · see citing works
Older adults and technology: in telehealth, they may not be who you think they are
Greenwald, P. W., Stern, M. E., Clark, S., & Sharma, R. (2018) · International Journal of Emergency Medicine · doi:10.1186/s12245-017-0162-7 · Cited by 90 · see citing works
Trends in the growth of literature of telemedicine: A bibliometric analysis
Yang, Y.-T., Iqbal, U., Ching, J., Ting, J., Chiu, H.-T., Tamashiro, H., & Hsu, Y.-H. E. (2015) · Computer Methods and Programs in Biomedicine · doi:10.1016/j.cmpb.2015.09.008 · Cited by 57 · see citing works
Wu, D., Zhu, X., & Zhang, S. (2018) · Journal of Rehabilitation Medicine · doi:10.2340/16501977-2328 · Cited by 53 · see citing works
Villamar, M. F., Contreras, V., Kuntz, R. E., & Fregni, F. (2013) · Journal of Rehabilitation Medicine · doi:10.2340/16501977-1071 · Cited by 50 · see citing works
Véras, M. M. S., Kairy, D., Rogante, M., Giacomozzi, C., & Saraiva, S. (2016) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x16656235 · Cited by 50 · see citing works
In-home Telerehabilitation for Proximal Humerus Fractures: A Pilot Study
Tousignant, M., Giguère, A.-M., Morin, M., et al. (2015) · International Journal of Telerehabilitation · doi:10.5195/ijt.2014.6158 · Cited by 49 · see citing works
Feasibility of Post-Acute Hip Fracture Telerehabilitation in Older Adults
Bedra, M., & Finkelstein, J. (2015) · Studies in health technology and informatics · doi:10.3233/978-1-61499-512-8-469 · Cited by 45 · see citing works
External Validity: The Next Step for Systematic Reviews?
Avellar, S., Thomas, J., Kleinman, R., Sama-Miller, E., Woodruff, S. E., Coughlin, R. L., & Westbrook, T. R. (2016) · Evaluation Review · doi:10.1177/0193841x16665199 · Cited by 45 · see citing works
Langford, D., Ashe, M. C., Fleig, L., Panagiotopoulos, K., Cho, N., Ledoyen, M., Frost, M., Sharpe, N., Lehn, J., & Brown, K. (2015) · Patient Preference and Adherence · doi:10.2147/ppa.s86922 · Cited by 37 · see citing works
Self-citationRoots, R., Brown, H. J., Bainbridge, L., et al. (2014) · Rural and Remote Health · doi:10.22605/rrh2506 · Cited by 33 · see citing works
Current Telerehabilitation Research With Older Adults at Home: An Integrative Review
Reeder, B., Chung, J., & Stevens‐Lapsley, J. E. (2016) · Journal of Gerontological Nursing · doi:10.3928/00989134-20160201-02 · Cited by 29 · see citing works
Tran, D. T. T., Davis, A. M., Hall, L. M., et al. (2011) · Physiotherapy Canada · doi:10.3138/ptc.2010-43 · Cited by 17 · see citing works
Monaco, M. D., Toma, E. D., Gardin, L., et al. (2015) · PubMed · Cited by 17 · see citing works
Suwanpasu, S., Aungsuroch, Y., & Jitapanya, C. (2014) · Asian Biomedicine · doi:10.5372/1905-7415.0804.323 · Cited by 14 · see citing works
Use of Discussion Boards in an Online Hip Fracture Resource Center for Caregivers
Nahm, E., Resnick, B. M., Plummer, L., et al. (2013) · Orthopaedic Nursing · doi:10.1097/nor.0b013e318289fa22 · Cited by 12 · see citing works
Allocation of Rehabilitation Services for Older Adults in the Ontario Home Care System
Armstrong, J. J., Sims‐Gould, J., & Stolee, P. (2016) · Physiotherapy Canada · doi:10.3138/ptc.2014-66 · Cited by 9 · see citing works
Yamato, T. P., Maher, C. G., Saragiotto, B. T., Moseley, A. M., Hoffmann, T., Elkins, M. R., Petersen, S. M., Riley, S. P., & Brismée, J. (2016) · Journal of Manual & Manipulative Therapy · doi:10.1080/10669817.2016.1210343 · Cited by 9 · see citing works
Major trauma patients with musculoskeletal injuries: Rehabilitation pathway inadequacies
Irwin, J. K., & Carter, A. R. (2013) · International Journal of Therapy and Rehabilitation · doi:10.12968/ijtr.2013.20.8.376 · Cited by 5 · see citing works
Flagged first, then by citations
Research works printed but not linked: 1
- Higgins JP, Altman DG, J.A.C. S et al. (2017)Chapter 8: Assessing risk of bias in included studies, Cochrane Handbook for Systematic Reviews of Interventions version 520 (updated June 2017), Available from: www.training.cochrane.org/handbook.
Cited by
Sorted by citations
Sim, A., McNeilage, A. G., Gholamrezaei, A., Rebbeck, T., & Ashton-James, C. (2024) · BMJ Open · doi:10.1136/bmjopen-2024-085778 · Cited by 8 · see citing works
- Authors
- C. Ashe, M., 1 Centre for Hip Health and Mobility, V., L. Ekegren, C., M. Chudyk, A., Fleig, L., K. Gill, T., Langford, D., Martin-Martin, L., Ariza-Vega, P., 2 Department of Family Practice, T. U. O. B. C., 3 School of Psychology, T. U. O. A., 4 School of Public Health and Preventive Medicine, M. U., 5 Baker Heart and Diabetes Institute, M., 6 Alfred Emergency and Trauma Centre, M., 7 Department of Family Medicine, U. O. M., 8 Department of Natural Sciences, H. P., 9 Adelaide Medical School, F. O. H. A. M. S., 10 Vancouver Coastal Health, C., 11 Department of Physical Therapy, T. U. O. B. C., 12 Department of Physiotherapy, F. O. H. S., 13 Department of Physical Medicine and Rehabilitation, V. D. L. N. U. H., & 14 PA-HELP “Physical Activity for HEaLth Promotion” Research Group. Department of Physiotherapy, U. O. G.
- Affiliations
- MSB Medical School Berlin (DE)
- Vancouver Coastal Health (CA)
- ORCID
- Fleig, Lena
- Venue
- AIMS Medical Science
- Published
- 2018
- Volume
- 5
- Issue
- 4
- Pages
- 316-336
- ISSN
- 2375-155X (ISSN-L)
- 2375-1576
- OpenAlex
- W2892776466
- Cited by
- 7
- References
- 44
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 1 · 2022: 1 · 2021: 2 · 2020: 1
- FWCI
- 0.14
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by
- Locations
- AIMS Medical Science (publishedVersion, cc-by)
- Monash University Research Portal (Monash University) (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- Canada Research Chairs
- Centre for Hip Health and Mobility
- Medical Research Council
- National Health and Medical Research Council (1106633)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Demography › Technology Use by Older Adults
- Health Sciences › Medicine › Surgery › Hip and Femur Fractures
- Keywords
- telerehabilitation, musculoskeletal injuries, community-dwelling older adults, middle-aged adults, hip fracture rehabilitation, proximal humerus fracture, videoconferencing, physical activity, quality of life, self-efficacy
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
