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dc.contributor.authorRintala, Aki
dc.contributor.authorHakala, Sanna
dc.contributor.authorPaltamaa, Jaana
dc.contributor.authorHeinonen, Ari
dc.contributor.authorKarvanen, Juha
dc.contributor.authorSjögren, Tuulikki
dc.date.accessioned2017-11-16T06:33:34Z
dc.date.available2017-12-15T22:45:11Z
dc.date.issued2017
dc.identifier.citationRintala, A., Hakala, S., Paltamaa, J., Heinonen, A., Karvanen, J., & Sjögren, T. (2017). Effectiveness of technology-based distance physical rehabilitation interventions on physical activity and walking in multiple sclerosis : a systematic review and meta-analysis of randomized controlled trials. <em>Disability and Rehabilitation</em>, 40 (4), 373-387. <a href="https://doi.org/10.1080/09638288.2016.1260649">doi:10.1080/09638288.2016.1260649</a>
dc.identifier.otherTUTKAID_72157
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/55889
dc.description.abstractObjective: To determine the effectiveness of technology-based distance physical rehabilitation interventions in multiple sclerosis (MS) on physical activity and walking. Data sources: A systematic literature search was conducted in seven databases from January 2000 to September 2016. Randomized controlled trials of technology-based distance physical rehabilitation interventions on physical activity and walking outcome measures were included. Methods: Methodological quality of the studies was determined and a meta-analysis was performed. In addition, a subanalysis of technologies and an additional analysis comparing to no treatment were conducted. Results: The meta-analysis consisted of 11 studies. The methodological quality was good (8/13). The Internet, telephone, exergaming, and pedometers were the technologies enabling distance physical rehabilitation. Technology-based distance physical rehabilitation had a large effect on physical activity (standard mean difference (SMD) 0.59; 95% confidence interval (95% CI) 0.38 to 0.79; p < 0.00001) compared to control group with usual care, minimal treatment, and no treatment. A large effect was also observed on physical activity (SMD 0.59; 95% CI 0.34 to 0.83; p < 0.00001) when compared to no treatment alone. There were no differences in walking and the subanalysis of technologies. Conclusions: Technology-based distance physical rehabilitation increased physical activity among persons with MS, but further research on walking in MS is needed. Implications for Rehabilitation Technology-based distance physical rehabilitation interventions increase physical activity among persons with MS. This study was unable to identify if the technologies (Internet, telephone, or combinations) lead to differing effects on physical activity or walking in the distance physical rehabilitation interventions in MS. Further research on the effectiveness of technology-based distance physical rehabilitation interventions on walking in MS is needed.
dc.language.isoeng
dc.publisherInforma Healthcare
dc.relation.ispartofseriesDisability and Rehabilitation
dc.subject.otherkuntoutus
dc.subject.otherMS-tauti
dc.subject.otherteknologia
dc.subject.othersystematic review
dc.subject.otherrehabilitation technology
dc.subject.otherdistance physical rehabilitation
dc.subject.othermultiple sclerosis
dc.subject.otherwalking
dc.subject.otherphysical activity
dc.titleEffectiveness of technology-based distance physical rehabilitation interventions on physical activity and walking in multiple sclerosis : a systematic review and meta-analysis of randomized controlled trials
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-201711144245
dc.contributor.laitosLiikuntatieteellinen tiedekuntafi
dc.contributor.laitosMatematiikan ja tilastotieteen laitosfi
dc.contributor.laitosFaculty of Sport and Health Sciencesen
dc.contributor.laitosDepartment of Mathematics and Statisticsen
dc.contributor.oppiaineFysioterapia
dc.contributor.oppiaineTilastotiede
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.date.updated2017-11-14T10:15:08Z
dc.type.coarjournal article
dc.description.reviewstatuspeerReviewed
dc.format.pagerange373-387
dc.relation.issn0963-8288
dc.relation.volume40
dc.type.versionacceptedVersion
dc.rights.copyright© 2016 Informa UK Limited, trading as Taylor & Francis Group. This is a final draft version of an article whose final and definitive form has been published by Taylor & Francis. Published in this repository with the kind permission of the publisher.
dc.rights.accesslevelopenAccessfi
dc.relation.doi10.1080/09638288.2016.1260649


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