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      Efficacy of telerehabilitation in patients with nonspecific neck pain: A meta-analysis

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          Abstract

          Introduction

          At a rate of more than 30% annually, neck pain is a very prevalent musculoskeletal ailment that is second only to low back pain as the most common cause of disability. Most occurrences of neck pain are nonspecific. Telerehabilitation is regarded as a potentially effective healthcare approach in this setting. This review aims to evaluate how a telerehabilitation-based intervention affected individuals with nonspecific neck pain (NNP) in terms of pain and disability.

          Methods

          PubMed, Web of Science, Scopus, Embase, MEDLINE, Cochrane library, ClinicalTrials.gov, CNKI, and WanFang were consulted from inception to September 2023, with the inclusion of randomized controlled trials only. The experimental data were meta-analyzed using RevMan 5.3.

          Results

          The meta-analysis contained eight studies; there was no significant difference in pain improvement in patients with NNP by telerehabilitation compared to conventional care (SMD = −0.10, 95% CI: −0.48 to 0.28), but there was a significant effect on disability improvement (SMD = −0.41, 95% CI: −0.78 to −0.03). Telerehabilitation demonstrated more significant improvements in pain (SMD = −1.16, 95% CI: −1.99 to −0.32) and disability (MD = −3.78, 95% CI: −5.29 to −2.27) compared to minimal or no intervention.

          Discussion

          This study emphasizes the potential benefits of employing telerehabilitation in patients with NNP, especially in reducing pain intensity and improving disability. But additional study is required to fully grasp the potential of telerehabilitation in this field.

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          Most cited references44

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          The Cochrane Collaboration’s tool for assessing risk of bias in randomised trials

          Flaws in the design, conduct, analysis, and reporting of randomised trials can cause the effect of an intervention to be underestimated or overestimated. The Cochrane Collaboration’s tool for assessing risk of bias aims to make the process clearer and more accurate
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            Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement

            David Moher and colleagues introduce PRISMA, an update of the QUOROM guidelines for reporting systematic reviews and meta-analyses
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              The PRISMA extension statement for reporting of systematic reviews incorporating network meta-analyses of health care interventions: checklist and explanations.

              The PRISMA statement is a reporting guideline designed to improve the completeness of reporting of systematic reviews and meta-analyses. Authors have used this guideline worldwide to prepare their reviews for publication. In the past, these reports typically compared 2 treatment alternatives. With the evolution of systematic reviews that compare multiple treatments, some of them only indirectly, authors face novel challenges for conducting and reporting their reviews. This extension of the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) statement was developed specifically to improve the reporting of systematic reviews incorporating network meta-analyses. A group of experts participated in a systematic review, Delphi survey, and face-to-face discussion and consensus meeting to establish new checklist items for this extension statement. Current PRISMA items were also clarified. A modified, 32-item PRISMA extension checklist was developed to address what the group considered to be immediately relevant to the reporting of network meta-analyses. This document presents the extension and provides examples of good reporting, as well as elaborations regarding the rationale for new checklist items and the modification of previously existing items from the PRISMA statement. It also highlights educational information related to key considerations in the practice of network meta-analysis. The target audience includes authors and readers of network meta-analyses, as well as journal editors and peer reviewers.
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                Author and article information

                Contributors
                Journal
                Journal of Telemedicine and Telecare
                J Telemed Telecare
                SAGE Publications
                1357-633X
                1758-1109
                March 01 2024
                Affiliations
                [1 ]Sports Rehabilitation Research Center, China Institute of Sport Science, Beijing, China
                [2 ]College of Sports Medicine and Physical Therapy, Beijing Sport University, Beijing, China
                Article
                10.1177/1357633X241235982
                22958ab6-26e5-4296-9e64-b9480c7fe1b3
                © 2024

                https://journals.sagepub.com/page/policies/text-and-data-mining-license

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