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Digital Rehabilitation Programs Improve Therapeutic Exercise Adherence for Patients With Musculoskeletal Conditions: A Systematic Review With Meta-Analysis / Zhi-Yuan Zhang in Journal of Orthopaedic & Sports Physical Therapy, Vol. 52,11 (Novembre 2022)
[article]
in Journal of Orthopaedic & Sports Physical Therapy > Vol. 52,11 (Novembre 2022) . - p. 726-739
Titre : Digital Rehabilitation Programs Improve Therapeutic Exercise Adherence for Patients With Musculoskeletal Conditions: A Systematic Review With Meta-Analysis Type de document : article de périodique Auteurs : Zhi-Yuan Zhang ; [et al.] Année de publication : 2022 Article en page(s) : p. 726-739 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus HELB]:Paramédical:adhésion et observance thérapeutiques
[Thésaurus HELB]:Paramédical:exercise therapy,
[Thésaurus HELB]:Paramédical:troubles musculo-squelettiquesRésumé : To investigate the effects of digital rehabilitation for improving adherence to therapeutic exercise in people with musculoskeletal conditions.
DESIGN: Intervention systematic review with meta-analysis.
LITERATURE SEARCH: Five databases were searched from their inception to March 2022.
STUDY SELECTION CRITERIA: We included randomized controlled trials evaluating digital rehabilitation programs to improve adherence to therapeutic exercise for people with musculoskeletal conditions.DATA SYNTHESIS: We calculated standardized mean differences (SMDs) or mean differences (MDs) and 95% confidence intervals (CIs). Certainty of evidence was rated using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach. Bias was assessed using the Cochrane risk of bias tool.RESULTS: Eleven trials were included in the meta-analysis (n = 1144 participants). At short-term follow-up, digital rehabilitation was no better than nondigital rehabilitation (3 trials, adherence rate of prescribed exercise test SMD 0.50, 95% CI: −0.13, 1.13; 2 trials, self-reported exercise adherence test MD 1.07, 95% CI: 0.58, 1.56; 2 trials, assessor-reported exercise adherence test SMD −0.10, 95% CI: −0.56, 0.36). At intermediate-term follow-up, digital rehabilitation improved exercise adherence compared with nondigital rehabilitation (6 trials, adherence rate of prescribed exercise test SMD 0.53, 95% CI: 0.35, 0.70; 2 trials, self-reported exercise adherence test MD 1.50, 95% CI: 0.76, 2.25; 2 trials, Exercise Adherence Rating Scale test MD 5.86, 95% CI: 0.08, 11.65). At long-term follow-up, there was no clinically important difference between digital and nondigital rehabilitation (2 trials, adherence rate of prescribed exercise test SMD 0.28, 95% CI: −0.14, 0.70; 1 trial, self-reported exercise adherence test MD 0.20, 95% CI: −0.91, 1.31).CONCLUSION: Digital rehabilitation was effective at improving therapeutic exercise adherence in musculoskeletal conditions at mid-term follow-up, but not at short- and long-term follow-up.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité JOU Périodique Erasme - périodiques Périodiques Disponible Effects of Pilates-Based Exercises on Pain and Disability in Individuals With Persistent Nonspecific Low Back Pain : A Systematic Review With Meta-analysis in Journal of Orthopaedic & Sports Physical Therapy, vol.41, 02 (Février 2011)
[article]
in Journal of Orthopaedic & Sports Physical Therapy > vol.41, 02 (Février 2011) . - 70-80
Titre : Effects of Pilates-Based Exercises on Pain and Disability in Individuals With Persistent Nonspecific Low Back Pain : A Systematic Review With Meta-analysis Type de document : article de périodique Article en page(s) : 70-80 Descripteurs (mots clés) : [Thésaurus HELB]:Paramédical:exercise therapy,
[Thésaurus HELB]:Paramédical:lumbar spine,
[Thésaurus HELB]:Paramédical:RéhabilitationMots-clés : exercise therapy, rehabilitation lumbar spine, Résumé : STUDY DESIGN: A systematic review with meta-analysis. OBJECTIVES: To compare pain and disability in individuals with persistent nonspecific low back pain who were treated with Pilates exercises compared to minimal or other interventions. METHODS: Searches of Medline, CINAHL, Embase, Cochrane library, PEDro, and ProQuest Dissertations and Thesis databases were conducted. Randomized controlled trials (RCTs) were selected and reviewed if they compared pain and disability in individuals with persistent nonspecific low back pain who were treated with Pilates exercises compared to other treatment approaches. Quality of the trials was evaluated. Data for pain and disability scores were extracted. Narrative synthesis plus meta-analyses were performed, with either a fixed-effects or random-effects model, standardized mean differences (SMDs), and tests for heterogeneity. RESULTS: Seven RCTs were identified and included in the meta-analyses. Data pooling was performed using RevMan 5. When compared to minimal intervention, Pilates-based exercise provided superior pain relief (pooled SMD, –2.72; 95% CI: –5.33, –0.11; P = .04) but the pooled disability scores were not significantly different (pooled SMD, –0.74; 95% CI: –1.81, 0.33;P = .17). No significant differences were found when comparing Pilates-based exercise to other forms of exercise for pain (pooled SMD, 0.03; 95% CI: –0.52, 0.58; P = .92) or disability scores (pooled SMD, –0.41; 95% CI: –0.96, 0.14; P = .14). CONCLUSION: Pilates-based exercises are superior to minimal intervention for pain relief. Existing evidence does not establish superiority of Pilates-based exercise to other forms of exercise to reduce pain and disability for patients with persistent nonspecific low back pain. However, the relatively low quality of existing studies and the heterogeneity of pooled studies in this systematic review combine to suggest that these results should be interpreted with caution. LEVEL OF EVIDENCE: Therapy, level 1a–. Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité Périodique Erasme - périodiques Périodiques Disponible