Effectiveness of physical therapy given by telerehabilitation on pain and disability of individuals with shoulder pain: A systematic review

Gava, Vander; Ribeiro, Luis Roberto de Camargo; Barreto, Rodrigo Py Gonçalves; Camargo, Paula Rezende

doi:10.1177/02692155221083496

Cited by 22 publications

(17 citation statements)

References 49 publications

(120 reference statements)

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“…One of the most important and easy ways to gain healthy habits and keep all the body's systems, but perhaps the most important one, the immune system, is to exercise. In addition, considering these effects in the post-pandemic period, it is thought that online methods can continue to be used [ 3 , 4 ]. Another exercise method used as tele-exercise in the literature is Pilates [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

The effects of online pilates and face-to-face pilates in healthy individuals during the COVID-19 pandemic: a randomized controlled study

Bulguroğlu

2023

BMC Sports Sci Med Rehabil

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Background Along with the covid-19 process, people started to turn to online exercise methods. One of these methods is the pilates method, which increases the endurance of the core muscles. This study aims to analyze and compare the effects of online and face-to-face pilates methods. Methods Fifty-eight healthy individuals aged 25–40 years were included in the study. Individuals were randomly divided into three groups; online pilates group (OPG), face-to-face pilates group (FPG), and control group (CG). Pilates groups were given pilates exercises in groups of three or four for eight weeks, three days a week, for 1 h a day, by the physiotherapist. The control group did breathing and relaxation exercises at home. Core muscular endurance, depression, and quality of life were assessed before and after eight weeks of training. Results Core muscle endurance, depression, and quality of life improved after pilates in online and face-to-face pilates groups (p < 0.05). No change was found in the control group (p > 0.05). When the gains in the Pilates groups were compared, it was seen that the improvement in the Modified Biering-Sorensen test was more significant in the face-to-face pilates group, and the improvement in the trunk flexion test was more significant in the online group (p < 0.05), while the gains in other parameters were similar (p > 0.05). Conclusions As a result, healthy individuals have seen similar benefits in online and face-to-face pilates. Both methods are significant for gaining healthy habits and increasing physical activity in healthy individuals. Trial registration Retrospectively registered. NCT05309486, Registration date: 04/04/2022. URL: https://www.clinicaltrials.gov/ct2/show/NCT05309486?term=BULGUROGLU&draw=2&rank=1

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Section: Introductionmentioning

confidence: 99%

The effects of online pilates and face-to-face pilates in healthy individuals during the COVID-19 pandemic: a randomized controlled study

Bulguroğlu

2023

BMC Sports Sci Med Rehabil

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“…Most telehealth modalities benefit people with musculoskeletal pain by improving pain and function and thus show potential to reduce the individual and societal burden imposed by musculoskeletal conditions. However, systematic reviews report the certainty of this evidence as low [8][9][10][11][12][13][14][15]. One important limitation is that most systematic reviews pooled results across a range of interventions (e.g., physical and psychological therapies, education, multimodal), so there is high clinical heterogeneity.…”

Section: Effectiveness Of Telehealth For Musculoskeletal Carementioning

confidence: 99%

Can you be a manual therapist without using your hands?

2022

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Background To align with current best practices, manual therapists have refined their treatment options to include exercise and pain education for people with chronic musculoskeletal pain. In this commentary, we suggest that manual therapists should also add telehealth to their toolbox. Thus, we aim to discuss the use of telehealth by manual therapists caring for patients with musculoskeletal disorders. Main body Telehealth can be delivered to the patient in different modes, such as real-time clinical contact or asynchronously. Platforms vary from websites and smartphone apps to virtual reality systems. Telehealth may be an effective approach, especially for improving pain and function in people with musculoskeletal pain, and it has the potential to reduce the individual and socioeconomic burden of musculoskeletal conditions. However, the certainty of evidence reported in systematic reviews is often low. Factors such as convenience, flexibility, undivided attention from the clinician, user-friendly platforms, goal setting, and use of evidence-based information are all enablers for telehealth use and improving patients’ knowledge, self-efficacy, and self-management. Barriers to widening the use of telehealth in musculoskeletal care include the reliability of technology, data privacy issues, difficult to build therapeutic alliance, one-size-fits-all approaches, digital health literacy, and payment models. Conclusion We suggest that practitioners of manual medicine make telehealth part of their clinical toolbox where it makes sense and where there is evidence that it is beneficial for people who seek their care.

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“…Synchronous telerehabilitation may pose some limitations, particularly regarding the scalability of treatment and scheduling constraints, which has generated interest in asynchronous telerehabilitation. 17 Gava et al 18 conducted a systematic review focused on telerehabilitation in participants with shoulder pain, gathering evidence from six randomized controlled trials (RCTs) (1 synchronous + 5 asynchronous). The authors reported low to very low certainty of evidence supporting the use of telerehabilitation to improve pain and disability.…”

Section: Introductionmentioning

confidence: 99%

“…The authors reported low to very low certainty of evidence supporting the use of telerehabilitation to improve pain and disability. 18 …”

Section: Introductionmentioning

confidence: 99%

Effectiveness of biofeedback-assisted asynchronous telerehabilitation in musculoskeletal care: A systematic review

et al. 2023

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Background Musculoskeletal conditions are the leading cause of disability worldwide. Telerehabilitation may be a viable option in the management of these conditions, facilitating access and patient adherence. Nevertheless, the impact of biofeedback-assisted asynchronous telerehabilitation remains unknown. Objective To systematically review and assess the effectiveness of exercise-based asynchronous biofeedback-assisted telerehabilitation on pain and function in individuals with musculoskeletal conditions. Methods This systematic review followed Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. The search was conducted using three databases: PubMed, Scopus, and PEDro. Study criteria included articles written in English and published from January 2017 to August 2022, reporting interventional trials evaluating exercise-based asynchronous telerehabilitation using biofeedback in adults with musculoskeletal disorders. The risks of bias and certainty of evidence were appraised using the Cochrane tool and Grading of Recommendations, Assessment, Development, and Evaluation (GRADE), respectively. The results are narratively summarized, and the effect sizes of the main outcomes were calculated. Results Fourteen trials were included: 10 using motion tracker technology ( N = 1284) and four with camera-based biofeedback ( N = 467). Telerehabilitation with motion trackers yields at least similar improvements in pain and function in people with musculoskeletal conditions (effect sizes: 0.19–1.45; low certainty of evidence). Uncertain evidence exists for the effectiveness of camera-based telerehabilitation (effect sizes: 0.11–0.13; very low evidence). No study found superior results in a control group. Conclusions Asynchronous telerehabilitation may be an option in the management of musculoskeletal conditions. Considering its potential for scalability and access democratization, additional high-quality research is needed to address long-term outcomes, comparativeness, and cost-effectiveness and identify treatment responders.

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Effectiveness of physical therapy given by telerehabilitation on pain and disability of individuals with shoulder pain: A systematic review

Cited by 22 publications

References 49 publications

The effects of online pilates and face-to-face pilates in healthy individuals during the COVID-19 pandemic: a randomized controlled study

The effects of online pilates and face-to-face pilates in healthy individuals during the COVID-19 pandemic: a randomized controlled study

Can you be a manual therapist without using your hands?

Effectiveness of biofeedback-assisted asynchronous telerehabilitation in musculoskeletal care: A systematic review

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