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https://doi.org/10.14300/mnnc.2025.20085

Physical training under online medical monitoring for patients with musculoskeletal system pathology: literature review

[Reviews]
Natalia Evgenievna Koretskaya; Igor Aleksandrovich Vongai; Andrey Stanislavovich Salnikov; Elena Vasilevna Rzhevskaya; Olga Boeva;

In practice, the availability of physician-monitored physical activities may be insufficient due to the patient’s limited mobility, for example. The aim of this review was to analyze the results of clinical trials where home-based physical training was part of rehabilitation programs offered to patients with musculoskeletal issues, and was subject to remote monitoring of different intensity. Respective literature search was carried out on PubMed, Google Scholar and eLIBRARY.RU keyword platforms. The analysis included twenty-two studies published between 2011 and 2022, which fell within the inclusion criteria. The data concerning the effectiveness and safety of face-to-face individual or group physical training compared to telerehabilitation with regard to the intensity of remote monitoring pointed at comparable positive results. Adherence to telerehabilitation programs was generally high. Patients were satisfied with the intervention due to the affordable and convenient programs. The outcomes suggest that remotely supervised training can be as effective as face-to-face training and provides opportunities for individualized support to be offered to patients staying in their conventional living environment through the entire outpatient rehabilitation course.

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Keywords: musculoskeletal pathology, home-based physical training, remote monitoring of training, telerehabilitation