PTOTQualitativeJournal of neuroengineering and rehabilitation2025

Human interactions remain at the heart of rehabilitation with advanced technology: a practice-embedded longitudinal qualitative study with allied health clinicians.

Louise Michelle Nettleton Pearce, Leanne Hassett, Catherine Sherrington and 1 others

PMID 40050924

WHAT IT FOUND

Clinicians integrating robotics, virtual reality and sensors described uptake as heavy learning, emotional work and expectation management.

They said advanced technology helped more repetitions and engagement, but conventional therapy stayed essential for daily life.

Key findings

01Uptake did not happen simply by providing devices; it required substantial learning, practice change and targeted initiatives.

02Clinicians described cognitive and emotional labour, including time pressures and managing patients' high expectations.

03Clinicians reported the main benefit was more therapy repetitions through engagement, but conventional therapy was still needed for real-world function.

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for OTs

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What it does not show

The study was done at one well-resourced Australian site, so costs and funding barriers may differ in other services. The interviewers were insider researchers, one working clinically at the site and one as director of research, so relationships may have shaped the interviews and interpretation. Only 25 clinicians took part, and some disciplines were few, including 2 speech pathologists and 1 dietician. The study did not include patient perspectives, although patient expectations were a major theme. Advanced technology was defined as robotics, virtual reality, multi-channel functional electrical stimulation and sensor-based devices, so other technologies were not covered.

The easy way to misread this

Do not read this as evidence that advanced technology improves patient outcomes. It is a single-site qualitative study of clinician experiences, not an effectiveness trial.

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