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The Effect of Community-Based Physiotherapy Programs on Chronic Disease Management in Rural Settings: A Systematic Review.

Background & Objective: This systematic review evaluates the impact of community-based physiotherapy programs on the management of chronic diseases in rural areas. The study included 11 articles examining various chronic conditions, including diabetes, hypertension, chronic obstructive pulmonary dis...

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Published in:Journal of Advances in Medical & Biomedical Research Vol. 33; no. 158; pp. 179 - 192
Main Authors: Oshomoji, Olawale Isreal, Ajiroba, Johnson Olasunkanmi
Format: research systematic review tables/charts Journal Article
Published: Zanjan University of Medical Sciences & Health Services May/Jun2025
Online Access:View this record in EBSCOhost
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      dt: May/Jun2025
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      pub: Zanjan University of Medical Sciences & Health Services
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        atl: The Effect of Community-Based Physiotherapy Programs on Chronic Disease Management in Rural Settings: A Systematic Review.
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        au:
          Oshomoji, Olawale Isreal
          Ajiroba, Johnson Olasunkanmi
        affil: Department of Medical Rehabilitation, Faculty of Basic Medicals, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria.
      sug:
        subj:
          Rehabilitation, Community-Based Evaluation
          Physical Therapy
          Community Programs
          Program Evaluation
          Chronic Disease Rehabilitation
          Rural Health Services
          Rural Areas
          Human
          Systematic Review
          PubMed
          CINAHL Database
          Cochrane Library
          Thematic Analysis
          Descriptive Statistics
          Sensitivity and Specificity
          Therapeutic Exercise
          Patient Education
          Self-Management
          Physical Activity
          Functional Status
          Quality of Life
          Cost Benefit Analysis
          Healthcare Disparities
          Diabetes Mellitus Rehabilitation
          Pulmonary Disease, Chronic Obstructive Rehabilitation
          Low Back Pain Rehabilitation
          Health Resource Utilization
          Checklists
      ab: Background & Objective: This systematic review evaluates the impact of community-based physiotherapy programs on the management of chronic diseases in rural areas. The study included 11 articles examining various chronic conditions, including diabetes, hypertension, chronic obstructive pulmonary disease (COPD), and persistent low back pain. The evidence indicates that these programs substantially improve health outcomes, reduce healthcare utilization, and are cost-effective. Materials & Methods: The review analyzed data from 11 articles focused on managing chronic diseases through community-based physiotherapy programs. It assessed their effectiveness in rural populations across conditions such as diabetes, hypertension, COPD, and persistent low back pain. The review adhered to PRISMA guidelines for conducting and reporting systematic reviews. Results: The findings suggest that community-based physiotherapy programs significantly improve health outcomes, decrease healthcare utilization, and are economically viable. However, barriers such as a shortage of physiotherapists, financial constraints, and cultural differences limit widespread implementation. The potential role of telehealth in expanding the reach of these services was also highlighted, although challenges related to internet access and digital literacy persist. Conclusion: Future research should aim to address these barriers, explore long-term effects, and develop culturally tailored interventions to enhance the effectiveness of physiotherapy programs in rural settings. Policy recommendations include increasing financial support, facilitating the recruitment of physiotherapists, and integrating telehealth into rural healthcare delivery systems.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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