Feasibility of dance therapy using telerehabilitation on trunk control and balance training in patients with stroke: A pilot study

Lee, So Jung; Lee, Eun Chae; Kim, Muhyun; Ko, Sung‐Hwa; Huh, Sungchul; Choi, Woosik; Shin, Yong‐Il; Min, Ji Hong

doi:10.1097/md.0000000000030286

Cited by 9 publications

(10 citation statements)

References 26 publications

(39 reference statements)

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“…A total of 315 unique records were initially retrieved in our literature search, leaving 282 records after removing duplicates, which were reduced to 56 records after title and abstract screening. After careful full-text screening, nine RCTs (328 patients) ( 9 , 30 – 33 , 49 – 52 ) were identified to comply with the request of our systematic review and were included in the meta-analysis. Each study was published in English between 1 January 2020 and 31 December 2022.…”

Section: Resultsmentioning

confidence: 99%

“…One study ( 49 ) indicated that it was difficult to blind caregivers, therapists, and patients due to the nature of the intervention. Two studies ( 9 , 31 ) did not report blinding, while the remaining studies reported well-developed blinding. Most studies had fewer data on incomplete outcomes, except for two studies ( 31 , 49 ).…”

Section: Resultsmentioning

confidence: 99%

“…Most studies had fewer data on incomplete outcomes, except for two studies ( 31 , 49 ). Four studies ( 9 , 30 , 31 , 49 ) had possible reporting bias since the study protocols were not available. In addition, they reported more outcomes, which may be associated with overreporting and a higher risk of bias.…”

Section: Resultsmentioning

confidence: 99%

“…Given that COVID-19 is a highly contagious disease, medical facilities can be a source of infection, and new methods to avoid face-to-face contact between medical staff and patients are urgently needed ( 7 ). In the current situation, telemedicine has become one of the important options for providing medical services that can reduce the possibility of patients being infected with the virus by reducing face-to-face contact ( 8 , 9 ). Telerehabilitation is the delivery of rehabilitation services to patients at a distance through information and communication technologies ( 10 , 11 ).…”

Section: Introductionmentioning

confidence: 99%

“…In recent years, several randomized controlled trials (RCTs) have been conducted to compare the effects of telerehabilitation with conventional rehabilitation in patients after stroke ( 29 ). These studies have shown that telerehabilitation is equal to ( 9 , 30 ) or superior to conventional rehabilitation in terms of improving balance function in stroke patients ( 31 – 33 ). Although there have been some studies on telerehabilitation before, the COVID-19 pandemic has greatly changed all aspects of people's lives worldwide and impacted the conventional diagnosis and treatment model.…”

Section: Introductionmentioning

confidence: 99%

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The effect of telerehabilitation on balance in stroke patients: is it more effective than the traditional rehabilitation model? A meta-analysis of randomized controlled trials published during the COVID-19 pandemic

Guo

Wang

et al. 2023

Front. Neurol.

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ObjectiveTelerehabilitation and telemedicine have gradually gained popularity. In 2019, the outbreak of COVID-19 started in Wuhan and then spread across the world. To date, most countries have opted to coexist with the virus. However, patients, especially those who have suffered a stroke, should take measures to avoid being infected with any disease as much as possible since any infectious disease can lead to adverse events for them. Telerehabilitation can be beneficial to stroke patients as they are less likely to be infected by the virus. In recent years, several studies on telerehabilitation have been conducted globally. This meta-analysis aimed to investigate the effects of telerehabilitation on the balance ability of stroke patients, compare the efficacy of conventional rehabilitation with telerehabilitation, explore the characteristics of telerehabilitation and conventional rehabilitation, and provide recommendations for rehabilitation programs in the context of the global pandemic.MethodsWe searched Pubmed, Embase, the Web of Science, and The Cochrane Library databases from 1 January 2020 to 31 December 2022 for randomized controlled trials published in English that evaluated the improvement of balance function in stroke patients after telerehabilitation and compared the differences between telerehabilitation (TR) and conventional rehabilitation (CR). The random-effects model was utilized to calculate mean differences (MDs) with 95% confidence intervals (CIs) to estimate intervention effects. Statistical heterogeneity was assessed according to the I2 values. The risk of bias was measured using the Cochrane risk-of-bias assessment tool.ResultsWe included nine studies in the system evaluation, all of which were included in the pooled analysis. All outcomes in the experimental and control groups improved over time. The comparison between groups concluded that people who received the telerehabilitation intervention had a significant improvement in the Berg Balance Scale (MD = 2.80; 95% CI 0.61, 4.98, P < 0.05, I2 = 51.90%) and the Fugl-Meyer Assessment (MD = 8.12; 95% CI 6.35, 9.88, P < 0.05, I2 = 0) compared to controls. The Timed Up and Go test (MD = −4.59; 95% CI −5.93, –.25, P < 0.05, I2 = 0) and Tinetti Performance-Oriented Mobility Assessment—Balance (MD = 2.50; 95% CI 0.39, 4.61, P < 0.05) scored better in the control group than in the experimental group. There were no significant differences in other outcomes between the two groups.ConclusionStudies on changes in medical conditions during the COVID-19 pandemic also demonstrated that, for stroke patients, telerehabilitation achieves similar effects as the conventional rehabilitation model and can act as a continuation of the conventional rehabilitation model. Owing to the different equipment and intervention programs of telerehabilitation, its curative effect on the static balance and reactive balance of stroke patients may be different. Currently, telerehabilitation may be more conducive to the rehabilitation of patients' static balance abilities, while conventional rehabilitation is more effective for the rehabilitation of patients' reactive balance. Therefore, further studies are needed for investigating the difference in efficacy between varied devices and telerehabilitation programs. Further research is needed on static and reactive balance. In addition, such research should have a large body of literature and a large sample size to support more definitive findings based on the context of the COVID-19 pandemic.Systematic review registrationCRD42023389456.

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