Cochrane · systematic review · CD010508

Telerehabilitation for persons with multiple sclerosis

Khan, F, Amatya, B, Kesselring, J, et al. · Cochrane Database of Systematic Reviews · 2015 · Cochrane Library

SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
14
current version
GRADE rated
9
No studies
2
Included studies
NR
No studies 2 · 14.3%Ungraded 3 · 21.4%Very low 1 · 7.1%Low 8 · 57.1%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Comparison

Population: People with multiple sclerosis
14 questions
OutcomeEffectEvidenceStatus / GRADE
Change in disability directly post‐intervention Measures: GLTEQ, DGI, BBS, ARAT, NHPT, 25FWT, CES, VPR
no estimate extracted6 studies · 232 participantsLow
Downgraded: risk of bias, imprecision
Change in short‐term disability 3 months or less after the start of the intervention Measures: GLTEQ
no estimate extracted1 study · 45 participantsLow
Downgraded: risk of bias, imprecision
Change in long‐term disability more than 3 months after the intervention Measure:6MWT
no estimate extracted1 study · 82 participantsLow
Downgraded: risk of bias, imprecision
Change in impairments directly post‐intervention Measures: FIS, FSS, MFIS, MS Symptom Cheklist
no estimate extracted4 studies · 265 participantsLow
Downgraded: risk of bias, imprecision
Change in short‐term impairments 3 months or less after the start of the intervention Measures: FIS
no estimate extracted1 study · 190 participantsLow
Downgraded: risk of bias, imprecision
Change in long‐term impairments more than 3 months after the intervention Measures: FIS, FSS
no estimate extracted3 studies · 299 participantsLow
Downgraded: risk of bias, imprecision
Change in participation
no estimate extractedNRNo studies
Change in psychological outcomes Measures:CES‐D, HADS, SDMT
no estimate extracted3 studies · 139 participantsLow
Downgraded: risk of bias, imprecision
Change in quality of life Measures: QWB, HAQUAMS, MSIS‐29, SF‐36, LMSQOLS,
no estimate extracted6 studies · 392 participantsLow
Downgraded: risk of bias, imprecision
Change in other outcomes
no estimate extractedNRNo studies
Cost effectiveness
no estimate extracted9 studies · 531 participantsUngraded
Process evaluation (user satisfaction) Measures: Self‐designed Likert scale, VAS scale
no estimate extracted2 studies · 80 participantsVery low
Downgraded: risk of bias, imprecision
Serious adverse events
no estimate extracted9 studies · 531 participantsUngraded
Caregivers‐related outcomes
no estimate extracted9 studies · 531 participantsUngraded