| Abstract [eng] |
Vilnius University, Faculty of Medicine Health Science Institute Department of Rehabilitation, Physical and Sports Medicine Rehabilitation Master's Degree Program THE EFFECT OF TELEREHABILITATION ON PAIN, QUALITY OF LIFE AND DISABILITY IN PATIENTS WITH MUSCULOSKELETAL DISORDERS: A SYSTEMATIC REVIEW THESIS OF THE MASTER'S DEGREE OF REHABILITATION The Author: Julija Bukavinaitė, 2nd year student of the Rehabilitation study program of the Department of Rehabilitation, Physical and Sports Medicine, Institute of Health Sciences, Faculty of Medicine, Vilnius University. Academic supervisor: assist. dr. Inga Muntianaitė, Department of Rehabilitation, Physical and Sports Medicine, Institute of Health Sciences, Faculty of Medicine, Vilnius University. Keywords: musculoskeletal disorders, musculoskeletal diseases, telerehabilitation, telemedicine, online rehabilitation, pain, quality of life, disability. Aim of the study: to evaluate the effectiveness of telerehabilitation on pain, quality of life and disability in patients with musculoskeletal disorders. Question of the study: is effectiveness of the telerehabilitation comparable to conventional rehabilitation analyzing pain, quality of life and disability? Tasks of work: 1. To evaluate the effectiveness of telerehabilitation on pain analyzing selected scientific articles; 2. To analyze the effectiveness of telerehabilitation on quality of life based on selected scientific articles; 3. To evaluate the effectiveness of telerehabilitation on disability analyzing selected scientific articles. Methodology of investigation: systematic review was written based on PRISMA guidelines. The search was conducted by single researcher in the PubMed and Web of Science databases using tailored strategy fore each database. The number of publications selected by keyword combinations was 607, of which 13 publications were included in the systematic literature review after selection according to the criteria of inclusion and exclusion of the systematic literature review. Results: 13 publications were analyzed of which twelve included pain, five- quality of life and six- disability. The result was considered statistically significant if p value was below 0.05. Eight publications analyzing pain, three analyzing quality of life and four, analyzing disability, showed statistically significant difference in between group results, with better improvements in the experimental group. Three publications analyzing pain, one- quality of life and two- disability showed no statistically significant difference respectively, while one research, analyzing pain and quality of life does not give statistical values. Within group results are shown in four out of thirteen publications. Analyzing pain and quality of life, one publication shows statistically significant improvements only in experimental group apart from social functioning field of quality of life. Three other publications, show statistically significant improvements in both experimental and control groups when analyzing pain, quality of life and disability. Conclusions: 1. According to the results and size effects of analyzed publications, telerehabilitation is an effective, practically applicable and comparable to conventional rehabilitation or more effective method to reduce pain in musculoskeletal disorders; 2. In accordance with results and size effects of analyzed publications, telerehabilitation is an effective, comparable to traditional rehabilitation or more effective method for improving quality of life but practical applicability is limited; 3. According to the results of the systematic review, telerehabilitation might be and effective method for reducing disability, but further studies are needed to evaluate effectiveness and to compare it with conventional methods. |
