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Effectiveness of Telehealth-Based Exercise Interventions for Patients With Stroke: A Meta-Analysis of Randomised
Yize Sun1, Saiya Zhang1, Tianrui Zhao1
1Department of Nursing, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, P.R. China.
Aim:
To explore the effects of telehealth-based exercise interventions on balance, motor function, walking ability and activities of daily living (ADLs) in patients with stroke.
Design:
Meta-analysis of randomised controlled trials.
Methods:
This meta-analysis of randomised controlled trials was reported to follow the PRISMA statement and the Cochrane Handbook guidelines. The study employed either a fixed-effects model or a random-effects model according to the statistical heterogeneity observed.
Data Sources:
The literature search was performed in six databases including PubMed, Embase, the Cochrane Central Register of Controlled Trials, Web of Science, PsycINFO and CINAHL from inception to December 2023.
Results:
A total of 15 randomised controlled trials were included in this meta-analysis. Most of the studies were evaluated for some concerns. The quality of the evidence in this analysis ranged from low to moderate in terms of the outcome. Meta-analysis revealed that telehealth-based exercise interventions presented significant effects on walking ability, motor function and ADLs in patients with stroke. Nonetheless, the balance remained unaffected by statistical significance.
Conclusion:
Telehealth-based exercise interventions could effectively improve walking ability, motor function and ADLs in patients with stroke; however, the impact on balance was not significant. Telehealth-based exercise interventions are recommended for stroke survivors residing in remote areas or facing economic constraints.
Implications For The Profession And Patient Care:
This meta-analysis showed that telehealth-based exercise interventions could bring benefits to the rehabilitation of patients with stroke. Telehealth-based exercise interventions should be considered effective to better promote the rehabilitation of patients.
Reporting Method:
The study was reported in compliance with the PRISMA statement.
Patient Or Public Contribution:
None.
Trial Registration:
PROSPERO (https://www.crd.york.ac.uk/PROSPERO): CRD42024501015.
