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. 2022 Mar 11;9(1):e33609. doi: 10.2196/33609

Table 3.

Outcome measures and findings.

Study Outcome measures Findings
Adamse et al [46]
  • Outcome measure not stated

  • Telemedicine vs no intervention showed lower scores for pain (MDa –0.57, 95% CI –0.81 to –0.34)

  • Nonsignificant effects shown for function (MD 19.93, 95% CI –5.20 to 45.06 minutes per week)

Adhikari et al [47]
  • Pain: NPRSb

  • NPRS demonstrated significantly decreased pain: at rest: F=3.5, P<.04; when worst: F=26.4, P<.001; during activity: F=16.6, P<.001; during occupation: F=15.6, P<.001

Azma et al [48]
  • Pain: KOOSc

  • Function: WOMACd

  • In both groups, KOOS scores increased from baseline to 6 months (50.6 to 83.1 and 49.8 to 81.8)

  • No significant difference in either group in any of the studied scales

Bini and Mahajan [49]
  • PROe: VASf, VR-12g, and KOOS-PSh

  • No statistically significant difference between groups on any outcome

  • Overall use of hospital resources 60% less than traditional group

Chen et al [50]
  • Pain: VAS

  • Function: qDASHi

  • Exercise completion rate: self-reported and motion sensor data

  • MSDj exhibited good to excellent reliability for shoulder ROMk (intraclass correlation coefficient range 0.771-0.979)

  • MSD rehab assisted group displayed better shoulder mobility and function

Correia et al [51]
  • Primary outcomes: TUGl score

  • Secondary outcomes: KOOS and knee ROM in degrees

  • For primary outcome at 6 months, the median difference between groups was 4.87 (95% CI 1.85 to 7.47) seconds in favor of the intervention group

Dunphy et al [52]
  • Interviews analyzed using pragmatic thematic analysis

  • Patients’ six themes: experience of TRAKm, reasons for engagement, strengths, weaknesses, future use, and attitudes to digital health care

  • Physiotherapists’ three themes: potential benefits, availability of resources, and service organization to support TRAK

Eriksson et al [53]
  • Qualitative content analysis

  • Six categories were identified: a different reinforced communication, pain-free exercising as an effective routine, from a dependent patient to a strengthened person at home, closeness at a distance, facilitated daily living, and continuous physiotherapy chain

Eriksson et al [54]
  • Pain: VAS

  • Function: Constant-Murley

  • ROM: Goniometer

  • Shoulder condition: SRQ-Sn

  • Statistically significant improvements in all outcomes for both groups, with the telemedicine group improving more (P<.001 for all)

Gialanella et al [55]
  • Pain: VAS

  • Function: Neck Disability Index

  • At 6 months, neck pain and disability decreased in both groups (P<.001), with the decline being more marked in HBTo group (P=.001)

  • 87.2% of patients undergoing HBT and 65.9% of control participants were performing home exercises (2-7 sessions per week)

Irvine et al [56]
  • Self-reported 14-point questionnaire measuring physical activity status to behavioral intentions to change

  • At posttest, intervention participation showed significant improvement on 13 of 14 outcome measures compared with control participants

  • At 6 months, intervention participants maintained large improvements on all 14 outcomes compared with control participants

Jay et al [57]
  • Descriptive statistics: training frequency, use of written and video material, training adherence, and pre- to posttraining self-perceived pain of the neck, shoulder, arm, and wrist

  • Unilateral shoulder external rotation had a higher normalized error score in the V group of 22.19 (SD 9.30) to 12.64 (SD 6.94) in the P group (P=.002)

Lade et al [58]
  • Unclear

  • There was substantial agreement for validity in systems diagnosis (73%; P=.01)

  • Almost perfect intrarater reliability (90%; P=.001)

  • Interrater reliability had a weaker agreement (64%; P=.11)

Lawford et al [59]
  • Thematic analysis

  • Participants described positive experiences with received therapy via telephone, valuing convenience and accessibility

  • Some desired visual contact with the physiotherapist

  • Participants valued undivided attention from the physiotherapist and were able to communicate effectively over the phone

  • Participants felt confident performing their exercise program without supervision

Lovo et al [60]
  • Interviews analyzed qualitatively and quantitatively

  • Patients were very satisfied (62.1%) or satisfied (31.6%) with the overall experience

  • Patients were very (63.1%) or somewhat (36.9%) confident with the assessment

Mani et al [61]
  • Methodological quality: QARELp and QUADASq

  • 11 articles were reviewed

  • Studies were moderate to good in quality

  • Physiotherapy assessments of pain, swelling, ROM, muscle strength, balance, gait, and functional assessment demonstrated good validity

  • Low to moderate validity for lumbar spine posture, special orthopedic tests, neurodynamic tests, and scar assessments

Mecklenburg et al [62]
  • Pain: KOOS

  • Function: KOOS-PS

  • Digital care program demonstrated a statistically significantly higher reduction in pain (7.7, 95% CI 3.0 to 12.3; P=.002)

  • A statistically significantly greater improvement in function (7.2, 95% CI 3.0 to 11.5; P=.001)

Meijer et al [63]
  • Outcome measures not stated

  • 12 studies were included

  • Studies were low to moderate quality

  • 2 studies found beneficial effects of serious games compared with conventional therapy

  • 1 of 3 studies found beneficial effects of serious games

  • 1 of 5 trials found a statistically significant advantage in the serious game group regarding treatment adherence

Nelson et al [64]
  • Function: SF-12r

  • QoLs: HOOSt subscale

  • No between-group difference detected in the HOOS subscale (P=.97)

  • Strength, balance, and self-reported function showed no between-group difference

Pastora-Bernal et al [65]
  • Function: Constant-Murley

  • Telerehabilitation group was shown to have improved functional outcome: mean of 43.5 (SD 3.21) points and 68.5 (SD 0.86) points after 12 weeks

Peterson [66]
  • Function: Oswestry Disability Index

  • All patients met their individual goals

  • Excellent home exercise program adherence was displayed

  • Temporary increase in pain was noted; however, patients managed via telerehabilitation booster sessions and no other resources

Piqueras et al [67]
  • Function: WOMAC

  • Muscle strength, walk speed, and pain data collected

  • All participants improved after the 2-week intervention on all outcomes (P<.05)

  • Telerehabilitation group achieved similar functional improvements to the control group

Richardson et al [68]
  • Reference given to assessment findings measured via Likert and binary scales

  • System of pathology in agreement in 17 (94%) out of 18 cases

  • Comparisons of objective findings demonstrated substantial agreement (Cohen κ=0.635) for categorical and binary data (χ2=400.4; P<.001)

  • High intrarater (89%) and moderate interrater (67%) reliability was evident for telerehabilitation assessments

Rothgangel et al [69]
  • Data regarding platform use and acceptance measured using 7- and 11-point numerical scales

  • Platform use was generally limited, with the number of log-ins ranging from 3 to 73

  • Overall, therapists’ acceptance was low to moderate

  • Average scores ranged from 2.5 (SD 1.1) to 4.9 (SD 1.5)

Russell et al [70]
  • Clinical observations rated on a series of Likert and binary scales

  • Similar agreement (93.3%) was found in pathoanatomical diagnoses

  • An 80% agreement (χ2=4.3; P<.04) in primary systems diagnoses found between face-to-face and web-based assessments

  • Very strong agreement (κ=.92) for categorical data and significant agreement (93.3% agreement; χ2=234.4; P<.001) for binary data

Shukla et al [71]
  • Pain: VAS

  • Functional assessment: TUG test

  • Functional capacity: WOMAC

  • Knee movement and quadriceps strength

  • Six studies included

  • No statistically significant difference in change in active knee extension or flexion in the home telerehabilitation group compared with the control group (MD −0.52, 95% CI −1.39 to 0.35, P=.24 and MD 1.14, 95% CI −0.61 to 2.89, P=.20)

Tousignant et al [72]
  • Function: WOMAC

  • QoL: SF-36u

  • Disability: 30-second chair stand test

  • Clinical outcomes improved significantly in both groups between end points

  • Some variables showed larger improvements in the usual care group 2 months after discharge

Wijnen et al [73]
  • Function: TUG test, HOOS, five times Sit-to-Stand test

  • QoL: SF-36

  • Intervention group performed functional tests significantly faster at 12 weeks and 6 months postoperatively

  • Large effect sizes were found on functional tests at 12 weeks and 6 months (Cohen d=0.5-1.2)

aMD: mean difference.

bNPRS: Numerical Pain Rating Scale.

cKOOS: Knee Osteoarthritis Outcome Score.

dWOMAC: Western Ontario and McMaster Universities Osteoarthritis Index.

ePRO: patient-reported outcome.

fVAS: visual analog scale.

gVR-12: Veterans-RAND 12.

hKOOS-PS: KOOS short form.

iqDASH: Quick Disabilities of the Arm, Shoulder, and Hand.

jMSD: motion sensor device.

kROM: range of motion.

lTUG: Timed Up and Go test.

mTRAK: Taxonomy for RehAbilitation of Knee conditions.

nSRQ-S: Shoulder Rating Questionnaire.

oHBT: home-based telemedicine.

pQAREL: Quality Appraisal tool for studies of diagnostic reliability.

qQUADAS: Quality Assessment of Diagnostic Accuracy Studies.

rSF-12: 12-Item Short Form Health Survey.

sQoL: quality of life.

tHOOS: Hip disability and Osteoarthritis Outcome Score.

uSF-36: 36-Item Short Form Health Survey.