Study Summary

Eight studies including 358 patients with non-operatively managed shoulder conditions were included in comparing telerehabilitation versus in-person rehabilitation or home-based exercise. Pooled outcomes of interest included pain (VAS), range of motion (ROM) including flexion, abduction, internal rotation, and external rotation, the Shoulder Pain and Disability Index (SPADI), Disabilities of the Arm, Shoulder and Hand (DASH) and shortened Quick Disabilities of the Arm, Shoulder and Hand (Quick DASH). Telerehabilitation significantly improved pain after ≥12 weeks in flexion, abduction, external rotation, and SPADI scores, but showed no significant differences in DASH scores or internal rotation. Overall, telerehabilitation appears comparable or superior to traditional rehabilitation for improving pain and function, particularly with longer treatment duration.