Effectiveness of telerehabilitation in non-operatively managed shoulder conditions: a systematic review and meta-analysis
Abstract
Background: Non-operatively managed shoulder conditions, including rotator cuff tendinopathy, subacromial pain syndrome, adhesive capsulitis, and non-displaced proximal humerus fractures, frequently cause pain and restricted mobility. While traditional rehabilitation is effective, access to in-person therapy can be hindered by various factors. Telerehabilitation, which leverages telecommunication technologies, is a promising alternative to traditional in-person rehabilitation. However, its overall efficacy remains uncertain due to inconsistent findings in prior studies.
Methods: This systematic review and meta-analysis assessed the effectiveness of telerehabilitation for non-operatively managed shoulder conditions, concentrating on randomized controlled trials (RCTs). The control group received standard in-person rehabilitation or home-based exercise programs. The primary outcomes assessed were pain (using the visual Analog Scale [VAS]), range of motion (ROM) including flexion, abduction, external rotation and internal rotation, as well as functional outcomes evaluated through the Shoulder Pain and Disability Index [SPADI], Disabilities of the Arm, Shoulder, and Hand [DASH], and Quick DASH scores.
Results: Eight randomized controlled trials (RCTs) were included. Data synthesis employed random-effects or fixed-effects models based on heterogeneity, with the risk of bias evaluated via the Cochrane Collaboration tool. Telerehabilitation over 12 weeks significantly reduced pain…
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Evidence Hub reads this as a meta-analysis, done in people. Its evidence level is 1 of 5 (Highest · pooled evidence). Pooled evidence from several studies sits at the top of the evidence pyramid.
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