Exercise-based telerehabilitation for patients with multiple sclerosis using physical activity: a systematic review
Background: Telerehabilitation is a practical option for individuals with multiple sclerosis (MS) to engage in sustained physical activity without -visiting a rehabilitation facility. The aim of this systematic review was to evaluate the feasibility, effectiveness, safety, and adherence of exercise-...
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Medical Journals Sweden
2024-11-01
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| Series: | Journal of Rehabilitation Medicine |
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| Online Access: | https://medicaljournalssweden.se/jrm/article/view/40641 |
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| author | Michaela Sladeckova Jan Kocica Eva Vlckova Filip Dosbaba Garyfallia Pepera Jing Jing Su Ladislav Batalik |
| author_facet | Michaela Sladeckova Jan Kocica Eva Vlckova Filip Dosbaba Garyfallia Pepera Jing Jing Su Ladislav Batalik |
| author_sort | Michaela Sladeckova |
| collection | DOAJ |
| description | Background: Telerehabilitation is a practical option for individuals with multiple sclerosis (MS) to engage in sustained physical activity without -visiting a rehabilitation facility. The aim of this systematic review was to evaluate the feasibility, effectiveness, safety, and adherence of exercise-based telerehabilitation as compared with usual care for MS patients.
Methods: A comprehensive literature search adhering to PRISMA guidelines was conducted, focusing on studies published in English since 2000. The systematic review protocol was registered in PROSPERO. The selection process involved strict criteria, including studies focusing on people with MS, telerehabilitation centred on regular exercise, a control group receiving usual care, valid exercise testing, and adherence to randomized controlled trial principles. Methodological quality was assessed using the TESTEX tool, ensuring rigour in study design and reporting.
Results: Among the 281 records screened, 10 studies met the criteria. Telerehabilitation interventions varied in format and outcomes were assessed using diverse exercise tests and questionnaires. Despite variations, the studies collectively demonstrated promising feasibility and safety, with minimal withdrawals and minor adverse events. Effectiveness varied, with 5 out of 10 studies showing significant improvements in the intervention group. Adherence rates ranged from 38% to 100%.
Conclusion: In most of the assessed aspects, telerehabilitation is comparable to regular centre-based rehabilitation.
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| format | Article |
| id | doaj-art-24697ec009534e4297bad63b43f6711a |
| institution | OA Journals |
| issn | 1651-2081 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Medical Journals Sweden |
| record_format | Article |
| series | Journal of Rehabilitation Medicine |
| spelling | doaj-art-24697ec009534e4297bad63b43f6711a2025-08-20T02:14:58ZengMedical Journals SwedenJournal of Rehabilitation Medicine1651-20812024-11-015610.2340/jrm.v56.40641Exercise-based telerehabilitation for patients with multiple sclerosis using physical activity: a systematic reviewMichaela Sladeckova0https://orcid.org/0000-0003-1235-3121Jan Kocica1Eva Vlckova2https://orcid.org/0000-0003-2322-5539Filip Dosbaba3https://orcid.org/0000-0003-0707-2739Garyfallia Pepera4https://orcid.org/0000-0001-8012-0325Jing Jing Su5https://orcid.org/0000-0002-8242-811XLadislav Batalik6https://orcid.org/0000-0003-2147-1541Department of Neurology University Hospital Brno, Brno, Czech Republic; Department of Rehabilitation University Hospital Brno, Brno, Czech Republic; Department of Public Health, Faculty of Medicine, Masaryk University, Brno, Czech Republic; Department of Physiotherapy and Rehabilitation, Faculty of Medicine, Masaryk University, Brno, Czech RepublicDepartment of Neurology, University Hospital Brno, Brno, Czech Republic; Faculty of Medicine, Masaryk University, Brno, Czech RepublicDepartment of Neurology, University Hospital Brno, Brno, Czech Republic; Faculty of Medicine, Masaryk University, Brno, Czech RepublicDepartment of Rehabilitation, University Hospital Brno, Brno, Czech Republic; Department of Physiotherapy and Rehabilitation, Faculty of Medicine, Masaryk University, Brno, Czech Republic; Department of Rehabilitation, Faculty of Medicine, Masaryk University, Brno, Czech RepublicClinical Exercise Physiology and Rehabilitation Laboratory, Department of Physiotherapy, School of Health Sciences, University of Thessaly, Lamia, GreeceSchool of Nursing, Tung Wah College, Hong Kong, ChinaDepartment of Rehabilitation, University Hospital Brno, Brno, Czech Republic; Department of Public Health, Faculty of Medicine, Masaryk University, Brno, Czech Republic; Department of Physiotherapy and Rehabilitation, Faculty of Medicine, Masaryk University, Brno, Czech Republic; Department of Rehabilitation, Faculty of Medicine, Masaryk University, Brno, Czech RepublicBackground: Telerehabilitation is a practical option for individuals with multiple sclerosis (MS) to engage in sustained physical activity without -visiting a rehabilitation facility. The aim of this systematic review was to evaluate the feasibility, effectiveness, safety, and adherence of exercise-based telerehabilitation as compared with usual care for MS patients. Methods: A comprehensive literature search adhering to PRISMA guidelines was conducted, focusing on studies published in English since 2000. The systematic review protocol was registered in PROSPERO. The selection process involved strict criteria, including studies focusing on people with MS, telerehabilitation centred on regular exercise, a control group receiving usual care, valid exercise testing, and adherence to randomized controlled trial principles. Methodological quality was assessed using the TESTEX tool, ensuring rigour in study design and reporting. Results: Among the 281 records screened, 10 studies met the criteria. Telerehabilitation interventions varied in format and outcomes were assessed using diverse exercise tests and questionnaires. Despite variations, the studies collectively demonstrated promising feasibility and safety, with minimal withdrawals and minor adverse events. Effectiveness varied, with 5 out of 10 studies showing significant improvements in the intervention group. Adherence rates ranged from 38% to 100%. Conclusion: In most of the assessed aspects, telerehabilitation is comparable to regular centre-based rehabilitation. https://medicaljournalssweden.se/jrm/article/view/40641Multiple sclerosisTelerehabilitationRehabilitationPatient Repoorted Outcome MeasuresExerciseSystematic Review |
| spellingShingle | Michaela Sladeckova Jan Kocica Eva Vlckova Filip Dosbaba Garyfallia Pepera Jing Jing Su Ladislav Batalik Exercise-based telerehabilitation for patients with multiple sclerosis using physical activity: a systematic review Journal of Rehabilitation Medicine Multiple sclerosis Telerehabilitation Rehabilitation Patient Repoorted Outcome Measures Exercise Systematic Review |
| title | Exercise-based telerehabilitation for patients with multiple sclerosis using physical activity: a systematic review |
| title_full | Exercise-based telerehabilitation for patients with multiple sclerosis using physical activity: a systematic review |
| title_fullStr | Exercise-based telerehabilitation for patients with multiple sclerosis using physical activity: a systematic review |
| title_full_unstemmed | Exercise-based telerehabilitation for patients with multiple sclerosis using physical activity: a systematic review |
| title_short | Exercise-based telerehabilitation for patients with multiple sclerosis using physical activity: a systematic review |
| title_sort | exercise based telerehabilitation for patients with multiple sclerosis using physical activity a systematic review |
| topic | Multiple sclerosis Telerehabilitation Rehabilitation Patient Repoorted Outcome Measures Exercise Systematic Review |
| url | https://medicaljournalssweden.se/jrm/article/view/40641 |
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