关键词: 脑性瘫痪；远程康复；Meta分析

Abstract: Objective: To evaluate the effects of telerehabilitation in patients with Cerebral Palsy through Meta-analysis. Methods: Database such as Cochrane Library, PubMed, Web of Science, CNKI, VIP and Wanfang were searched to retrieve Randomized Controlled Trials (RCT) on telerehabilitation for Cerebral Palsy. The Meta-analysis was conducted by RevMan 5.3 after data extraction and quality appraisal of the eligible RCTs. Results: A total of 9 RCTs were included in this study, with a total of 281 subjects.The results of Meta-analysis supported the effectiveness of telerehabilitation on improving the function of standing, walking, running and jumping, and increasing the limb sensitivity of the patients with Cerebral Palsy (P<0.05). It failed to support the effectiveness of improvement of walking speed and reduction of the muscle tone of lower limb (P>0.05). When the Pediatric Balance Scale (PBS) was used as the evaluation criteria, the balance function of patients with Cerebral Palsy could be significantly improved (P<0.05). When the Timed-Up and Go Test (TUGT) was used as the evaluation criteria, there was no significant effect on the balance function of children with Cerebral Palsy (P>0.05). Conclusion: Telerehabilitation can significantly improve the motor function and increased the limb sensitivity of patients with Cerebral Palsy. However, it failed to enhance the effect of improving walking speed and reducing the muscle tone of lower limbs on patients with Cerebral Palsy. There is no conclusion on promoting the balance function of patients with Cerebral Palsy, which needs further research to verify.

Key words: Cerebral Palsy; telerehabilitation; Meta-analysis