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dc.contributor.authorRintala, Aki
dc.contributor.authorPäivärinne, Ville
dc.contributor.authorHakala, Sanna
dc.contributor.authorPaltamaa, Jaana
dc.contributor.authorHeinonen, Ari
dc.contributor.authorKarvanen, Juha
dc.contributor.authorSjögren, Tuulikki
dc.date.accessioned2019-06-28T07:25:50Z
dc.date.available2020-08-02T21:35:10Z
dc.date.issued2019fi
dc.identifier.citationRintala, A., Päivärinne, V., Hakala, S., Paltamaa, J., Heinonen, A., Karvanen, J., & Sjögren, T. (2019). Effectiveness of technology-based distance physical rehabilitation interventions for improving physical functioning in stroke : a systematic review and meta-analysis of randomized controlled trials. <em>Archives of Physical Medicine and Rehabilitation</em>, 100 (7), 1339-1358. <a href="https://doi.org/10.1016/j.apmr.2018.11.007">doi:10.1016/j.apmr.2018.11.007</a>fi
dc.identifier.otherTUTKAID_79823
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/64911
dc.description.abstractObjective To study the effectiveness of technology-based distance physical rehabilitation interventions on physical functioning in stroke. Data Sources A systematic literature search was conducted in 6 databases from January 2000 to May 2018. Study Selection Inclusion criteria applied the patient, intervention, comparison, outcome, study design framework as follows: (P) stroke; (I) technology-based distance physical rehabilitation interventions; (C) any comparison without the use of technology; (O) physical functioning; (S) randomized controlled trials (RCTs). The search identified in total 693 studies, and the screening of 162 full-text studies revealed 13 eligible studies. Data Extraction The studies were screened using the Preferred Reporting Items for Systematic Reviews and Meta-analysis guidelines and assessed for methodological quality and quality of evidence. Meta-analysis was performed if applicable. Data Synthesis A total of 13 studies were included, and online video monitoring was the most used technology. Seven outcomes of physical functioning were identified—activities of daily living (ADL), upper extremity functioning, lower extremity functioning, balance, walking, physical activity, and participation. A meta-analysis of 6 RCTs indicated that technology-based distance physical rehabilitation had a similar effect on ADL (standard mean difference 0.06; 95% confidence interval: −0.22 to 0.35, P=.67) compared to the combination of traditional treatments (usual care, similar and other treatment). Similar results were obtained for other outcomes, except inconsistent findings were noted for walking. Methodological quality of the studies and quality of evidence were considered low. Conclusions The findings suggest that the effectiveness of technology-based distance physical rehabilitation interventions on physical functioning might be similar compared to traditional treatments in stroke. Further research should be performed to confirm the effectiveness of technology-based distance physical rehabilitation interventions for improving physical functioning of persons with stroke.fi
dc.format.mimetypeapplication/pdf
dc.language.isoeng
dc.publisherW.B. Saunders Co.
dc.relation.ispartofseriesArchives of Physical Medicine and Rehabilitation
dc.rightsCC BY-NC-ND 4.0
dc.subject.otheraivoinfarktifi
dc.subject.otherkuntoutusfi
dc.subject.otherfysikaalinen hoitofi
dc.subject.otheretäpalvelutfi
dc.subject.othersystemaattiset kirjallisuuskatsauksetfi
dc.subject.othersystematic reviewfi
dc.subject.otherrehabilitation technologyfi
dc.subject.otherdistance physical rehabilitationfi
dc.subject.otherstrokefi
dc.titleEffectiveness of technology-based distance physical rehabilitation interventions for improving physical functioning in stroke : a systematic review and meta-analysis of randomized controlled trialsfi
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-201906253436
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.oppiaineTerveyskasvatus
dc.contributor.oppiaineTilastotiede
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.date.updated2019-06-25T12:15:22Z
dc.description.reviewstatuspeerReviewed
dc.format.pagerange1339-1358
dc.relation.issn0003-9993
dc.relation.numberinseries7
dc.relation.volume100
dc.type.versionacceptedVersion
dc.rights.copyright© 2018 by the American Congress of Rehabilitation Medicine
dc.rights.accesslevelopenAccessfi
dc.format.contentfulltext
dc.rights.urlhttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.relation.doi10.1016/j.apmr.2018.11.007


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