دوره 24، شماره 2 - ( 3-1405 )
جلد 24 شماره 2 صفحات 192-185 |
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Ethics code: UH24100762
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Darwis M Z, Mubarak H, Warliani M, Alfian Zainuddin A, Waluyo Y, Sam N. Effectiveness of App-based Telerehabilitation For Hemiplegic Shoulder Pain: A Randomized Controlled Trial. Iranian Rehabilitation Journal 2026; 24 (2) :185-192
URL: http://irj.uswr.ac.ir/article-1-2650-fa.html
URL: http://irj.uswr.ac.ir/article-1-2650-fa.html
Effectiveness of App-based Telerehabilitation For Hemiplegic Shoulder Pain: A Randomized Controlled Trial. مجله انگلیسی زبان توانبخشی. 1405; 24 (2) :185-192
چکیده: (879 مشاهده)
Objectives: This study aimed to evaluate the efficacy of a mobile application–based telerehabilitation program as a supplementary intervention to conventional rehabilitation in enhancing range of motion (ROM), pain relief, and functional shoulder capacity among stroke patients with hemiplegic shoulder pain (HSP).
Methods: This randomized controlled trial involved 40 stroke patients with HSP (n=20 per group) and was conducted over a 12-week period from November 2024 to July 2025. The participants were divided into an intervention group (conventional rehabilitation plus telerehabilitation) and a control group (conventional rehabilitation only). The outcomes measured were ROM and the shoulder pain and disability index (SPADI).
Results: Both the intervention and control groups showed significant within-group improvement (P≤0.01) across all shoulder ROM and SPADI outcomes, demonstrating large effect sizes (r=0.7–0.88). Details of the within-group improvements (reported as Mean±SD change) are as follows: for flexion ROM (intervention, 11.67±9.2; control, 19.44±16.6), abduction ROM (intervention, 20.0±15.9; control, 27.77±19.86), SPADI pain (intervention, 16.4±7.75; control, 13.5±6.68), and SPADI disability (intervention, 24.89±8.06; control, 19.39±6.14). When comparing the two groups, the intervention group showed superior improvement, notably in disability scores (P=0.031), with a mean difference change of 5.5 (95% CI, 0.6%, 10.3%) and a medium effect size (r=0.35). No statistically significant between-group differences were observed in pain (P=0.134), flexion ROM (P=0.181), or abduction ROM (P=0.204).
Discussion: The supplementary telerehabilitation program provides a superior improvement, specifically in disability scores for HSP patients, though it does not significantly enhance pain relief or ROM beyond conventional rehabilitation.
Methods: This randomized controlled trial involved 40 stroke patients with HSP (n=20 per group) and was conducted over a 12-week period from November 2024 to July 2025. The participants were divided into an intervention group (conventional rehabilitation plus telerehabilitation) and a control group (conventional rehabilitation only). The outcomes measured were ROM and the shoulder pain and disability index (SPADI).
Results: Both the intervention and control groups showed significant within-group improvement (P≤0.01) across all shoulder ROM and SPADI outcomes, demonstrating large effect sizes (r=0.7–0.88). Details of the within-group improvements (reported as Mean±SD change) are as follows: for flexion ROM (intervention, 11.67±9.2; control, 19.44±16.6), abduction ROM (intervention, 20.0±15.9; control, 27.77±19.86), SPADI pain (intervention, 16.4±7.75; control, 13.5±6.68), and SPADI disability (intervention, 24.89±8.06; control, 19.39±6.14). When comparing the two groups, the intervention group showed superior improvement, notably in disability scores (P=0.031), with a mean difference change of 5.5 (95% CI, 0.6%, 10.3%) and a medium effect size (r=0.35). No statistically significant between-group differences were observed in pain (P=0.134), flexion ROM (P=0.181), or abduction ROM (P=0.204).
Discussion: The supplementary telerehabilitation program provides a superior improvement, specifically in disability scores for HSP patients, though it does not significantly enhance pain relief or ROM beyond conventional rehabilitation.
نوع مقاله: پژوهشي |
موضوع مقاله:
طب فیزیکی و توانبخشی
دریافت: 1404/8/7 | پذیرش: 1404/12/3 | انتشار: 1405/1/12
دریافت: 1404/8/7 | پذیرش: 1404/12/3 | انتشار: 1405/1/12