Dataset Information

Physical therapists' perceptions of and satisfaction with delivering telerehabilitation sessions to patients with knee osteoarthritis during the Covid-19 pandemic: Preliminary study.

ABSTRACT:

Objective

This preliminary study was conducted to explore physical therapists' (PT) perceptions of and satisfaction with delivering telerehabilitation sessions to patients with knee osteoarthritis during the Covid-19 pandemic.

Study design

An exploratory preliminary study using an internet-based survey followed by focus group sessions.

Methods

A programme of sessions was administered by 12 PTs from the Physical Therapy Department at Prince Sultan Military Medical City. An internet-based survey containing 17 statements was completed by the PTs.

Results

With regard to telephone-delivered care, four statements related to patients' privacy, programme convenience, safe patients time and money achieved consensus agreement (≥75% agreed or strongly agreed), there was majority agreement (≥50% of respondents agreed or strongly agreed) with seven of the statements regarding the effectiveness, affordability and safety of the programme, but there was no consensus with regard to the remaining five statements. In addition, most of the participants (84.6%) believed that a telephone consultation should cost 25% or 50% less than a face-to-face session.

Conclusion

Despite the lack of physical contact with patients, the PTs agreed that telerehabilitation would offer patients an easy method of being prescribed a therapeutic programme, save time and money, and maintain patient privacy. Further, the PTs reported barriers and suggested adaptations for this method of service delivery.

SUBMITTER: Alrushud A

PROVIDER: S-EPMC9350341 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature

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Publications

Physical therapists' perceptions of and satisfaction with delivering telerehabilitation sessions to patients with knee osteoarthritis during the Covid-19 pandemic: Preliminary study.

Alrushud Asma A Alamam Dalyah D Alharthi Ameerah A Shaheen Afaf A Alotaibi Nada N AlSabhan Rand R Alharbi Shatha S Ali Nour N Mohammed Elaf E Sweeh Joud J

Musculoskeletal care 20220614 4

<h4>Objective</h4>This preliminary study was conducted to explore physical therapists' (PT) perceptions of and satisfaction with delivering telerehabilitation sessions to patients with knee osteoarthritis during the Covid-19 pandemic.<h4>Study design</h4>An exploratory preliminary study using an internet-based survey followed by focus group sessions.<h4>Methods</h4>A programme of sessions was administered by 12 PTs from the Physical Therapy Department at Prince Sultan Military Medical City. An i ...[more]

PMID: 35698900

Similar Datasets

Project description:ObjectiveTo examine physical therapists' experience providing telerehabilitation and their perceptions of telerehabilitation for patients with musculoskeletal conditions.MethodsSurvey of members of the Academy of Orthopaedic Physical Therapy.ResultsWe received 208 completed responses to our survey invitation. Most physical therapists responding to our survey reported using little to no telerehabilitation prior to the pandemic but increased use during the pandemic, followed by decreased use of telerehabilitation after the pandemic. Respondents reported using telerehabilitation slightly more after the pandemic than beforehand. Physical therapists reported that they believed they could deliver effective care using telerehabilitation but that it was not as effective as in-clinic care and they would prefer to use telerehabilitation as part of a hybrid care model versus using only telerehabilitation. Physical therapists suggested that certain patients were more likely than others to benefit from telerehabilitation and identified specific factors (e.g., patient preference, self-efficacy, postoperative status) that influenced whom they would consider to be most appropriate for telerehabilitation. "Patient issues with technology" was identified as the most common barrier to telerehabilitation use. Most physical therapists reported that they planned to use telerehabilitation in the future and agreed that telerehabilitation plays an important role in expanding access to physical therapy in the United States.ConclusionsPhysical therapists believed that telerehabilitation continues to play an important role in a post-pandemic world. Although physical therapists reported that they considered telerehabilitation to be an effective method for delivering care, they did not consider it to be a replacement for in-clinic care and believed that certain patients are more likely than others to benefit from this approach.Impact statementPhysical therapists consider telerehabilitation to be a viable care option for patients with musculoskeletal pain.

Project description:BackgroundKnee osteoarthritis (OA) is a chronic, degenerative bone and joint disease. It can lead to major pressure to the quality of life and mental health of patients, and also brings a serious economic burden to society. However, it is difficult for patients with knee OA to access rehabilitation when discharging from the hospital. Internet-based rehabilitation is one of the promising telemedicine strategies for the improvement of knee OA, but the effect of different telerehabilitation strategies on knee OA is not clear.ObjectiveThe aim of this systematic review and meta-analysis was to identify telerehabilitation strategies attributing to the improvement of pain and physical function outcomes in patients with knee OA.MethodsWe reviewed and analyzed telerehabilitation strategies from randomized controlled trials (RCTs) comparing telerehabilitation with conventional treatment or usual care. For each strategy, we examined whether RCTs that applied the telerehabilitation strategy resulted in a significant improvement in pain or physical function compared with conventional treatment or usual care.ResultsWe included 6 RCTs (n=734) incorporating 8 different telerehabilitation strategies. The duration of the interventions ranged from 1 to 48 weeks, and sample sizes ranged from 20 to 350 patients. The results showed that RCTs that provided telerehabilitation were found to be more effective than conventional treatments for improving pain (P=.003; standardized mean difference [SMD] -0.21, 95% CI -0.35 to -0.07), but not physical function (P=.24; SMD -0.09, 95% CI -0.25 to 0.06). Furthermore, this systematic review and meta-analysis indicated that there is no significant correlation between different telerehabilitation strategies and the pain and physical function of patients with knee OA.ConclusionsThis systematic review and meta-analysis showed that telerehabilitation programs could relieve pain but not improve physical function for patients with knee OA. These results indicated that telerehabilitation is beneficial for the implementation of home rehabilitation exercises for patients with knee OA, thereby reducing the economic burden of health. However, there were limitations in terms of the number of search results and the number of studies that were eligible for this review and meta-analysis. Therefore, the results need to be interpreted with caution, and more high-quality studies with large samples are needed to focus on the long-term outcomes of telerehabilitation for patients with knee OA to address this limitation.

Project description:ImportanceTelerehabilitation was widely used during the COVID-19 pandemic to maintain access to physical therapy. However, its use has declined since the pandemic, potentially due to changes in patient demand.ObjectiveTo explore patients' beliefs, attitudes, and preferences regarding telerehabilitation for spine pain treatment.DesignEmail or telephone administered survey.SettingOutpatient physical therapy network affiliated with an academic healthcare system.ParticipantsPatients recently evaluated for spine pain by a physical therapist (n=100).Main outcomes and measuresSurvey items addressed patients' perceptions of telerehabilitation effectiveness, preferences for care delivery, barriers to telerehabilitation, and factors influencing telerehabilitation use.ResultsPatients viewed telerehabilitation as effective for treating spine pain but not as effective as in-clinic physical therapy. Patients reported a preference for receiving care in-clinic care or using a hybrid model, rather than receiving care through telerehabilitation alone. Barriers to telerehabilitation included a lack of awareness of who offers telerehabilitation and uncertainty about its effectiveness. Patients indicated that evidence supporting telerehabilitation effectiveness would increase their likelihood of using telerehabilitation in the future. Patients also reported that transportation challenges or increased COVID-19 rates would encourage them to use telerehabilitation in the future.ConclusionsThe results of this survey suggest that patients with spine pain believe telerehabilitation may be an effective treatment approach, but they are skeptical about using telerehabilitation instead of in-clinic physical therapy. These results also suggest that patients are open to hybrid approaches that incorporate telerehabilitation, as well as using telerehabilitation if circumstances prevented them from receiving their care in-clinic. The largest patient concern surrounding telerehabilitation seems to be the lack of evidence supporting its effectiveness.RelevanceThis study suggests that patients believe telerehabilitation will continue to play an important role post-pandemic. However, comparative effectiveness research is needed to address patient concerns surrounding the effectiveness of telerehabilitation and guide informed decision-making.

Dataset Information

Physical therapists' perceptions of and satisfaction with delivering telerehabilitation sessions to patients with knee osteoarthritis during the Covid-19 pandemic: Preliminary study.

Objective

Study design

Methods

Results

Conclusion

Publications

Physical therapists' perceptions of and satisfaction with delivering telerehabilitation sessions to patients with knee osteoarthritis during the Covid-19 pandemic: Preliminary study.

Similar Datasets

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