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Systematic Review

Telerehabilitation for Neurological Motor Impairment: A Systematic Review and Meta-Analysis on Quality of Life, Satisfaction, and Acceptance in Stroke, Multiple Sclerosis, and Parkinson’s Disease

by
Sara Federico
1,
Luisa Cacciante
1,
Błażej Cieślik
1,
Andrea Turolla
2,3,
Michela Agostini
4,
Pawel Kiper
1,* and
Alessandro Picelli
5,6 on behalf of the RIN_TR_Group
1
Laboratory of Healthcare Innovation Technology, IRCCS San Camillo Hospital, 30126 Venice, Italy
2
Department of Biomedical and Neuromotor Sciences—DIBINEM, Alma Mater Studiorum Università di Bologna, Via Massarenti, 9, 40138 Bologna, Italy
3
Unit of Occupational Medicine, IRCCS Azienda Ospedaliero—Universitaria di Bologna, 40138 Bologna, Italy
4
Rehabilitation Unit, Department of Neuroscience, University—General Hospital of Padova, 35128 Padova, Italy
5
Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, 37100 Verona, Italy
6
Canadian Advances in Neuro-Orthopedics for Spasticity Congress (CANOSC), Kingston, ON K7K 1Z6, Canada
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2024, 13(1), 299; https://doi.org/10.3390/jcm13010299
Submission received: 28 November 2023 / Revised: 24 December 2023 / Accepted: 30 December 2023 / Published: 4 January 2024
(This article belongs to the Section Clinical Rehabilitation)
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Abstract

Telerehabilitation (TR) seems to be a viable and feasible solution to face the rehabilitative challenges posed by neurological impairments and to improve patients’ quality of life (QoL). This review aims to synthesize and analyze the evidence on the impact of physiotherapy intervention through TR on QoL in patients with stroke, Parkinson’s disease (PD), and multiple sclerosis (MS), together with an evaluation of their satisfaction and technology acceptance levels. Through a systematic search of the literature and a screening process, treatment effects were assessed with meta-analyses using the standardized mean difference, setting the confidence interval at 95%. We included 28 studies in the review, which were analyzed for methodological quality, whereas 16 studies were included in the meta-analyses. The results suggest a significant improvement in QoL in patients who underwent TR. We were unable to perform analyses for satisfaction and technology acceptance outcomes due to insufficient data. Overall, motor TR has a positive impact on the QoL of patients with neurological diseases, especially in stroke patients; although caution is needed in the interpretation of the results due to the high heterogeneity found. For PD and MS, TR seems to yield comparable results to in-person treatment.
Keywords: stroke; multiple sclerosis; Parkinson’s disease; telerehabilitation; QoL; satisfaction; technology acceptance stroke; multiple sclerosis; Parkinson’s disease; telerehabilitation; QoL; satisfaction; technology acceptance

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MDPI and ACS Style

Federico, S.; Cacciante, L.; Cieślik, B.; Turolla, A.; Agostini, M.; Kiper, P.; Picelli, A., on behalf of the RIN_TR_Group. Telerehabilitation for Neurological Motor Impairment: A Systematic Review and Meta-Analysis on Quality of Life, Satisfaction, and Acceptance in Stroke, Multiple Sclerosis, and Parkinson’s Disease. J. Clin. Med. 2024, 13, 299. https://doi.org/10.3390/jcm13010299

AMA Style

Federico S, Cacciante L, Cieślik B, Turolla A, Agostini M, Kiper P, Picelli A on behalf of the RIN_TR_Group. Telerehabilitation for Neurological Motor Impairment: A Systematic Review and Meta-Analysis on Quality of Life, Satisfaction, and Acceptance in Stroke, Multiple Sclerosis, and Parkinson’s Disease. Journal of Clinical Medicine. 2024; 13(1):299. https://doi.org/10.3390/jcm13010299

Chicago/Turabian Style

Federico, Sara, Luisa Cacciante, Błażej Cieślik, Andrea Turolla, Michela Agostini, Pawel Kiper, and Alessandro Picelli on behalf of the RIN_TR_Group. 2024. "Telerehabilitation for Neurological Motor Impairment: A Systematic Review and Meta-Analysis on Quality of Life, Satisfaction, and Acceptance in Stroke, Multiple Sclerosis, and Parkinson’s Disease" Journal of Clinical Medicine 13, no. 1: 299. https://doi.org/10.3390/jcm13010299

APA Style

Federico, S., Cacciante, L., Cieślik, B., Turolla, A., Agostini, M., Kiper, P., & Picelli, A., on behalf of the RIN_TR_Group. (2024). Telerehabilitation for Neurological Motor Impairment: A Systematic Review and Meta-Analysis on Quality of Life, Satisfaction, and Acceptance in Stroke, Multiple Sclerosis, and Parkinson’s Disease. Journal of Clinical Medicine, 13(1), 299. https://doi.org/10.3390/jcm13010299

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