Physical training under remote control in patients with musculoskeletal system pathology: literature review

Authors:

Koretskaya Natalia Evgen’evna – Doctor of Physical and Rehabilitation Medicine, Head of the Outpatient Department of Medical Rehabilitation of the Polyclinic No. 1, Administrative Directorate of the President of the Russian Federation, 26/28 Sivtsev Vrazhek Lane, 119002 Moscow, Russian Federation; e-mail: n.koretskaya@vipmed.ru; https://orcid.org/0009-0008-3217-3578.

Igor Alexandrovich Vongai – Orthopedic Traumatologist at the Outpatient Surgery Center of the Polyclinic No. 1, Administrative Directorate of the President of the Russian Federation, 26/28 Sivtsev Vrazhek Lane, 119002 Moscow, Russian Federation; e-mail: i.vongai@vipmed.ru; https://orcid.org/0009-0004-2558-9314.

Andrey Stanislavovich Salnikov – Doctor of Physical and Rehabilitation Medicine at the Outpatient Department of Medical Rehabilitation of the Polyclinic No. 1, Administrative Directorate of the President of the Russian Federation, 26/28 Sivtsev Vrazhek Lane, 119002 Moscow, Russian Federation; e-mail: a.salnikov@vipmed.ru; https://orcid.org/0009-0006-0000-3801.

Rzhevskaya Elena Vasilyevna – PhD in Medical Sciences (Cand. Med. Sci.), Chief Medical Officer of the Polyclinic No. 1, Administrative Directorate of the President of the Russian Federation, 26/28 Sivtsev Vrazhek Lane, 119002 Moscow, Russian Federation; e-mail: e.rzhevskaya@vipmed.ru; https://orcid.org/https://orcid. org/0009-0006-2534-0118.

Boeva Olga Igorevna – PhD in Medical Sciences (Cand. Med. Sci.), Professor, Department of Polyclinic Medicine, Institute of Clinical Medicine, Pirogov Russian National Research Medical University; Scientific Consultant, Therapeutist, Polyclinic No. 1, Administrative Directorate of the President of the Russian Federation, 26/28 Sivtsev Vrazhek Lane, 119002 Moscow, Russian Federation; e-mail: box0271@mail.ru; https://orcid. org/0000-0002-1816-8309.

Annotation:

Introduction. Full rehabilitation in patients with musculoskeletal disorders is usually impossible without physical exercise. In practice, the availability of physician-monitored physical training may be insufficient to, for example, limited mobility of the patient. Currently, standardized telemonitoring systems capable of accurately assessing the quality of exercise performance and physical functioning are not available.

The aim is to analyze the results of clinical trials in which home-based physical training was part of rehabilitation programs in patients with musculoskeletal problems and was remotely monitored with different intensity.

Material and methods. A literature search was conducted on PubMed, Google Scholar, and eLibrary keyword platforms. Twenty-two studies published between 2011 and 2022 meeting the inclusion criteria were included in the analysis.

Results. Trials of the effectiveness and safety of face-to-face individual or group physical training versus telerehabilitation with regard to the intensity of remote monitoring (direct and indirect, including video-conferencing, audio, webcam video, phone calls, smartphone applications, and special software for personal computers) demonstrated comparable positive results. Adherence to telerehabilitation programs was generally high. Patients were satisfied with the intervention due to the affordable and convenient programs.

Summary. Remotely supervised training can be as effective as face-to-face training and provides the opportunity for individualized support for patients in their usual living conditions during the outpatient phase of rehabilitation. Telerehabilitation as a tool for physical and partly socio-psychological re-integration of the patient is becoming increasingly promising as digital and information and communication technologies continue to develop.

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