远程评估与中风患者的面对面评估相比. 一个系统的审查和元分析
María-José Estebanez-Pérez1, Pablo Pastora-Estebanez2, María-Jesús Vinolo-Gil3
1Department of Physiotherapy, Faculty of Health Sciences, PhD University of Granada, Spain.
Archives of physical medicine and rehabilitation
|January 22, 2026
概括
通过视频会议进行同步物理治疗远程评估是对中风后患者的面对面评估的有效和可靠的替代方案,特别是在平衡方面. 这支持将远程评估纳入康复服务,当面对面的护理有限时.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 数字健康数字健康
背景情况:
- 脑卒中康复需要准确可靠的物理治疗评估.
- 在人体物理治疗的访问可能受到地理或健康因素的限制.
- 远程医疗,特别是通过视频会议进行同步物理治疗远程评估,提供了一个潜在的解决方案.
研究的目的:
- 系统地评估关于同步物理治疗远程评估诊断准确性,可靠性和可行性的科学证据,与中风后个体的面对面评估相比.
- 在数据允许的情况下,通过元分析综合现有研究的发现.
主要方法:
- 在五个主要的电子数据库中进行了系统的文献搜索.
- 包括比较同步远程评估与中风患者亲身物理治疗的研究.
- 数据提取和质量评估由独立审查员进行,用于定量合成的元分析.
主要成果:
- 远程评估表明与对平衡结果的面对面评估有很强的一致性.
- 感官运动结果显示高异质性,表明结果的变化.
- 通过远程评估评估功能能力的评估显示出一个小的,不显著的效应有利于它.
结论:
- 同步物理治疗远程评估是中风后患者的有效,可靠和可行的选择,特别是平衡评估.
- 这些发现提倡将远程评估纳入临床实践,特别是当亲自访问具有挑战性时.
- 建议进行进一步的研究,以标准化协议,并扩大对各种功能结果的远程评估的验证.
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