PTSurveyJMIR rehabilitation and assistive technologies2026

Telerehabilitation Trends in Australian Physiotherapy and an Exploration of Factors That Influence Use After COVID-19 Restrictions: Qualitative Content Analysis.

Megan H Ross, Joshua Simmich, Belinda J Lawford and 3 others

PMID 41592330

WHAT IT FOUND

Australian physiotherapists used telerehabilitation much more during COVID restrictions, but after restrictions eased use fell to 14% of caseload, still above prepandemic 4%.

Many preferred in-person care, thought patients did too, and doubted telerehabilitation effectiveness.

Key findings

01Only 3% had never provided telerehabilitation, while total telerehabilitation caseload rose to almost 47% during restrictions, fell to 14% after restrictions were eased, and remained above the prepandemic level of 4%.

02Most respondents (77%) intended to offer telerehabilitation after restrictions, but approximately 50% of those who intended to continue or actually continued were providing fewer telerehabilitation consultations than intended, mainly because patients preferred in-person services, demand reduced more than expected, and in-person consultations were easier.

03Confidence, perceived effectiveness, and satisfaction increased from before to after restrictions, and almost 85% said providing telerehabilitation had become easier.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

Only 152 of 222 respondents were included; 58 were excluded for not being eligible and 12 for insufficient data. The sample was a small convenience sample recruited online, so physiotherapists with strong opinions may have been more likely to respond. Participants recalled telerehabilitation use before and during the pandemic several years later, so answers may be affected by memory. Caseload percentages were self-estimated by respondents, not verified from practice records. The survey combined telephone and video consultations, so it cannot show whether these modalities differ. Only Australian physiotherapists were sampled, so findings may not apply to countries with different funding, policy, or attitudes. Questions about confidence, satisfaction, and perceived effectiveness after restrictions were misworded and may have asked about pandemic experiences instead, which could skew those ratings. No statistical tests were run for the plotted associations between caseload and confidence, satisfaction, perceived effectiveness, patient liking, or patient requests.

Declared interests

National Health and Medical Research Council grants and fellowships supported some authors; funders had no role in conduct, analysis, or reporting. The authors declared no conflicts of interest.

The easy way to misread this

Do not read the drop to 14% of caseload as evidence that telerehabilitation is ineffective. The survey reported physiotherapists' self-estimated use and perceptions, not patient outcomes.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →