PTOTMeta-AnalysisJournal of occupational rehabilitation2025

The Era of Technology in Healthcare-An Evaluation of Telerehabilitation on Client Outcomes: A Systematic Review and Meta-analysis.

Sharan Jaswal, Joyce Lo, Aaron Howe and 4 others

PMID 39340733

WHAT IT FOUND

Telerehabilitation did not significantly improve physical functioning, mental health, or pain compared to face-to-face care in working-age adults.

The evidence quality is very low, with high variability between studies, so no clear advantage for either delivery method was found.

Key findings

01Telerehabilitation showed no significant effect on physical functioning compared to face-to-face interventions.

02Telerehabilitation showed no significant effect on mental health functioning compared to face-to-face interventions.

03Telerehabilitation showed no significant effect on pain reduction compared to face-to-face interventions.

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 quality of evidence was rated very low to low, primarily due to high heterogeneity between studies and a lack of blinding. Many included studies had small sample sizes, which increases the risk of false positives and reduces the reliability of the pooled results. Long-term follow-up data were incomplete in many studies, so the sustained effects of telerehabilitation are unknown. The review focused only on employed adults absent from work, so findings may not apply to children, elderly patients, or those not in the workforce.

Declared interests

No specific funding sources or conflicts of interest were declared in the provided text.

The easy way to misread this

Do not interpret the lack of significant difference as proof that telerehabilitation is equally effective as face-to-face care. The very low certainty of evidence and high variability between studies mean that a true difference could exist but was not detected. This paper does not support replacing in-person therapy with remote care based on efficacy.

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 →