A survey of the experiences of delivering physiotherapy services through telerehabilitation during the COVID-19 pandemic.
Tzu-Hsuan Peng, Janice J Eng, Anne Harris and 4 others
PMID 39512760WHAT IT FOUND
Physiotherapists felt video calls were better than phone calls for education and exercise guidance, but safety, balance training, pain, and limited client technology access remained big problems.
Key findings
01Most physiotherapists felt videoconference was more effective than phone, but fewer than half could effectively treat pain, upper extremity function, strength or range of motion by video.
02Client safety and the inability to provide standby assistance were major barriers, and physiotherapists said they could not effectively treat walking balance or mobility remotely.
03Despite barriers, 68.0% of physiotherapists planned to continue videoconference telerehabilitation after the pandemic, and 69.3% felt they could develop a therapeutic relationship by video.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
It reports physiotherapists' perceptions and self-reported practice changes, not patient outcomes or a comparison with in-person care. Responses came from 75 physiotherapists, about half of the outpatient physiotherapists in one Canadian health authority, so they may not apply to all physiotherapists or settings. Physiotherapists who had tried telerehabilitation or had positive experiences may have been more likely to respond. The authors noted sample size and nonresponse as limitations. The survey used a newly developed questionnaire rather than an established measurement tool. Data were collected during the pandemic, when providers were under extra strain, which may have affected perceptions of burden and safety.
Declared interests
The authors report financial support for the research and publication. Funding included a Scholar Award from Michael Smith Health Research BC awarded to CP and a Canada Research Chair in Neurological Rehabilitation awarded to JE.
The easy way to misread this
Do not read this as proof that telerehabilitation works as well as in-person physiotherapy. It reports physiotherapists' perceptions, not patient outcomes, and fewer than half felt they could effectively treat pain, upper extremity function, strength or range of motion by videoconference.