Effectiveness of Telerehabilitation in the Treatment of Shoulder Injuries: A Systematic Review of Randomized Clinical Trials.

Objective: To critically analyze evidence on the effectiveness of telerehabilitation in the treatment of shoulder injuries through a systematic review of randomized controlled trials. Data Sources: A comprehensive literature search was conducted in PubMed, Cochrane Library, Embase, and LILACS databases, covering studies published from 2019 to 2024. Study Selection: Studies were included if they were randomized controlled trials, published in English or Spanish, and focused on telerehabilitation interventions targeting shoulder injuries with outcomes related to pain and/or function. Data Extraction: Two reviewers independently selected and extracted data on study characteristics, participant demographics, intervention protocols, and reported outcomes. Disagreements were resolved by a third reviewer. Data Synthesis: Five studies involving 196 participants were included. Interventions varied in duration, frequency, and technological platforms. Most studies reported improvements in pain and function comparable to those achieved with in-person therapy, with high adherence and satisfaction rates. Conclusions: Telerehabilitation is a promising approach for managing shoulder injuries, providing effective, accessible, and personalized care. However, standardization of protocols and further research on complex pathologies are needed.