Disability and rehabilitation · 2025
Effectiveness of telerehabilitation on motor and respiratory function in duchenne muscular dystrophy: a systematic review and meta-analysis.
СтатьяМетаанализСистематический обзорНазвание и аннотация: Перевод пока не подготовлен
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Vinolo-Gil Maria Jesus, Muñoz-Pérez Lorena, Dominguez-Vera Pedro Alfonso, García-Campanario Ismael, Estebánez-Pérez Maria José, Martín-Valero Rocío
Аннотация
BACKGROUND: Duchenne muscular dystrophy (DMD) is a progressive neuromuscular disorder causing muscle degeneration, mobility loss, and respiratory decline. Telerehabilitation (TR) may improve access to physiotherapy.
OBJECTIVE: To evaluate the effectiveness of TR in improving motor and respiratory function in individuals with DMD, compared to conventional rehabilitation or no intervention.
METHODS: A systematic review was conducted following PRISMA 2020 guidelines (PROSPERO CRD42024534835). Fourteen studies (3 RCTs, 11 observational) involving 377 participants were included. Interventions lasted 6-12 weeks and used synchronous or asynchronous modalities. Methodological quality was assessed with PEDro and JBI tools, and risk of bias with Cochrane RoB. A meta-analysis was performed for studies reporting 6-minute walk test (6MWT), while other outcomes were narratively synthesized.
RESULTS: Meta-analysis of three RCTs showed no significant difference in 6MWT between TR and conventional therapy (MD = 24.6 m; 95% CI = -12.4 to 62.4; p = 0.80). Narrative synthesis indicated TR may improve motor and respiratory function, as well as muscle strength, with moderate risk of bias. Synchronous TR showed more consistent improvements.
CONCLUSION: TR appears feasible and potentially effective as a complement to conventional rehabilitation in DMD. Larger, high-quality trials are needed to confirm long-term efficacy and optimize implementation.
OBJECTIVE: To evaluate the effectiveness of TR in improving motor and respiratory function in individuals with DMD, compared to conventional rehabilitation or no intervention.
METHODS: A systematic review was conducted following PRISMA 2020 guidelines (PROSPERO CRD42024534835). Fourteen studies (3 RCTs, 11 observational) involving 377 participants were included. Interventions lasted 6-12 weeks and used synchronous or asynchronous modalities. Methodological quality was assessed with PEDro and JBI tools, and risk of bias with Cochrane RoB. A meta-analysis was performed for studies reporting 6-minute walk test (6MWT), while other outcomes were narratively synthesized.
RESULTS: Meta-analysis of three RCTs showed no significant difference in 6MWT between TR and conventional therapy (MD = 24.6 m; 95% CI = -12.4 to 62.4; p = 0.80). Narrative synthesis indicated TR may improve motor and respiratory function, as well as muscle strength, with moderate risk of bias. Synchronous TR showed more consistent improvements.
CONCLUSION: TR appears feasible and potentially effective as a complement to conventional rehabilitation in DMD. Larger, high-quality trials are needed to confirm long-term efficacy and optimize implementation.