Evidence map›Paper›PMID 30368437›Full record

SynthesisJournal of medical Internet research2018

Telerehabilitation for Stroke Survivors: Systematic Review and Meta-Analysis.

Huidi Tchero, Maturin Tabue Teguo, Annie Lannuzel, Emmanuel Rusch

Abstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Journal of medical Internet research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 119 papers, 17 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
119citing papers in PubMed, 17 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

119 citing papers in PubMed, 17 syntheses or guidelines pooled it.

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  15. Telerehabilitation services for stroke.The Cochrane database of systematic reviews · 2020
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59 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Huidi TcheroUnit of Wounds and Healing, Department of Trauma and Orthopaedic Surgery, Centre Hospitalier Louis Constant Fleming Saint Martin, Saint Martin, Guadeloupe, France.ORCID 0000-0002-1285-6733
Maturin Tabue TeguoCentre Hospitalier Universitaire de Guadeloupe, Université des Antilles, Guadeloupe, France.ORCID 0000-0002-1211-5660
Annie LannuzelDepartment of Neurology, University Hospital Center Pointe-à-Pitre, Guadeloupe, France.ORCID 0000-0003-4084-8674
Emmanuel RuschService d'Information Médicale, Epidémiologie et Economie de la Santé, Centre Hospitalier Régional Universitaire de Tours, Tours, France.ORCID 0000-0002-9312-3776

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTelerehabilitation is an emerging technology through which medical rehabilitation care can be provided from a distance.

objectiveThis systematic review and meta-analysis aims to investigate the efficacy of telerehabilitation in poststroke patients.

methodsEligible randomized controlled trials (RCTs) were identified by searching MEDLINE, Cochrane Central, and Web of Science databases. Continuous data were extracted for relevant outcomes and analyzed using the RevMan software as the standardized mean difference (SMD) and 95% CI in a fixed-effect meta-analysis model.

resultsWe included 15 studies (1339 patients) in our systematic review, while only 12 were included in the pooled analysis. The combined effect estimate showed no significant differences between the telerehabilitation and control groups in terms of the Barthel Index (SMD -0.05, 95% CI -0.18 to 0.08), Berg Balance Scale (SMD -0.04, 95% CI -0.34 to 0.26), Fugl-Meyer Upper Extremity (SMD 0.50, 95% CI -0.09 to 1.09), and Stroke Impact Scale (mobility subscale; SMD 0.18, 95% CI -0.13 to 0.48]) scores. Moreover, the majority of included studies showed that both groups were comparable in terms of health-related quality of life (of stroke survivors), Caregiver Strain Index, and patients' satisfaction with care. One study showed that the cost of telerehabilitation was lower than usual care by US $867.

conclusionsTelerehabilitation can be a suitable alternative to usual rehabilitation care in poststroke patients, especially in remote or underserved areas. Larger studies are needed to evaluate the health-related quality of life and cost-effectiveness with the ongoing improvements in telerehabilitation networks.

Indexed as

Cell PhoneHumansQuality of LifeStrokeStroke RehabilitationSurvivorsTelerehabilitationmeta-analysismobile phonerehabilitationstroketelemedicine

Identifiers

PMID30368437
PMCPMC6250558

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.