The Effectiveness of Exercise Interventions Supported by Telerehabilitation For Recently Hospitalized Adult Medical Patients: A Systematic Review

  • Simone Leslie Royal Brisbane and Women’s Hospital, Brisbane, 4029, Australia
  • Junmin Tan School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, 4072, Australia
  • Prudence J. McRae Internal Medicine Research Unit, Royal Brisbane And Women’s Hospital, Brisbane, 4029, Australia
  • Shaun P. O'Leary Physiotherapy Department, Royal Brisbane and Women’s Hospital, Brisbane, 4029, Australia, School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, 4072, Australia
  • Julie A. Adsett Physiotherapy Department, Royal Brisbane and Women’s Hospital, Brisbane, 4029, Australia
Keywords: Exercise training, General medicine, Physical therapy, Physiotherapy, Telehealth, Telerehabilitation

Abstract

Objective: To evaluate the effectiveness of exercise interventions delivered via telerehabilitation (via videoconference) for recently hospitalized adult medical patients. Data sources: A search was undertaken across six databases for English language publications from inception to May 2020. Methods: Studies were selected if they included an exercise intervention for recently hospitalized adults, delivered by a physiotherapist via videoconference. Two reviewers independently screened 1,122 articles (21 full text screening) and assessed methodological quality using the Downs and Black Checklist. A narrative synthesis of the included studies was undertaken. Results: Three studies met eligibility criteria involving 201 participants with chronic heart failure or chronic obstructive pulmonary disease. Findings demonstrated limited evidence supporting the effectiveness of exercise delivered via telerehabilitation in improving physical function and patient reported quality of life outcomes in recently hospitalized medical patients. Telerehabilitation in this setting was also associated with high attendance rates and patient satisfaction. Conclusions: Findings provide preliminary support for the benefits of exercise interventions delivered via telerehabilitation for recently hospitalized medical patients. Results do need to be interpreted with caution as further high-quality studies specific to this method of exercise intervention delivery are needed.

  

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Published
2021-12-15
How to Cite
Leslie, S., Tan, J., McRae, P. J., O’Leary, S. P., & Adsett, J. A. (2021). The Effectiveness of Exercise Interventions Supported by Telerehabilitation For Recently Hospitalized Adult Medical Patients: A Systematic Review. International Journal of Telerehabilitation, 13(2). https://doi.org/10.5195/ijt.2021.6356
Section
Systematic Review of Research