Telehealth in PM&amp;R: Past, present, and future in clinical practice and opportunities for translational research

Tenforde, Adam S.; Alexander, Joshua J.; Alexander, Marcalee; Annaswamy, Thiru M.; Carr, Conley J.; Chang, Philip; Díaz, Monique; Iaccarino, Mary A.; Lewis, Stephen B.; Millett, Carolyn; Pandit, Sindhu; Ramirez, Claudia P.; Rinaldi, Robert; Roop, Megan; Slocum, Chloe S.; Tekmyster, Gene; Venesy, Deborah; Verduzco‐Gutierrez, Monica; Zorowitz, Richard D.; Rowland, Todd R.

doi:10.1002/pmrj.13029

PM&R

2023

DOI: 10.1002/pmrj.13029

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Telehealth in PM&R: Past, present, and future in clinical practice and opportunities for translational research

Adam S. Tenforde,

Joshua J. Alexander,

Marcalee Alexander

et al.

Abstract: Telehealth refers to the use of telecommunication devices and other forms of technology to provide services outside of the traditional in‐person health care delivery system. Growth in the use of telehealth creates new challenges and opportunities for implementation in clinical practice. The American Academy of Physical Medicine and Rehabilitation (AAPM&R) assembled an expert group to develop a white paper to examine telehealth innovation in Physical Medicine and Rehabilitation (PM&R). The resultant whi… Show more

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Cited by 3 publications

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Responding to “Telehealth in PM&R: Past, present and future in clinical practice and opportunities for translational research”

Hubbell

2024

PM&R

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Responding to “Telehealth in PM&R: Past, present and future in clinical practice and opportunities for translational research”

Hubbell

2024

PM&R

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AAPM&R consensus guidance on spasticity assessment and management

Verduzco‐Gutierrez,

Raghavan,

Pruente

et al. 2024

PM&R

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BackgroundThe American Academy of Physical Medicine and Rehabilitation (AAPM&R) conducted a comprehensive review in 2021 to identify opportunities for enhancing the care of adult and pediatric patients with spasticity. A technical expert panel (TEP) was convened to develop consensus‐based practice recommendations aimed at addressing gaps in spasticity care.ObjectiveTo develop consensus‐based practice recommendations to identify and address gaps in spasticity care.MethodsThe Spasticity TEP engaged in a 16‐month virtual meeting process, focusing on formulating search terms, refining research questions, and conducting a structured evidence review. Evidence quality was assessed by the AAPM&R Evidence, Quality and Performance Committee (EQPC), and a modified Delphi process was employed to achieve consensus on recommendation statements and evidence grading. The Strength of Recommendation Taxonomy (SORT) guided the rating of individual studies and the strength of recommendations.ResultsThe TEP approved five recommendations for spasticity management and five best practices for assessment and management, with one recommendation unable to be graded due to evidence limitations. Best practices were defined as widely accepted components of care, while recommendations required structured evidence reviews and grading. The consensus guidance statement represents current best practices and evidence‐based treatment options, intended for use by PM&R physicians caring for patients with spasticity.ConclusionThis consensus guidance provides clinicians with practical recommendations for spasticity assessment and management based on the best available evidence and expert opinion. Clinical judgment should be exercised, and recommendations tailored to individual patient needs, preferences, and risk profiles. The accompanying table summarizes the best practice recommendations for spasticity assessment and management, reflecting principles with little controversy in care delivery.

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Enhancing physiotherapists' knowledge and perceptions of telerehabilitation: A before‐after educational intervention study

Bonet‐Collantes,

Niño‐Pinzón,

Chaustre‐Porras

et al. 2024

Physiotherapy Res Intl

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Background and purposeIn the evolving landscape of healthcare, telerehabilitation is emerging as a pivotal modality, especially in delivering services to vulnerable populations. With the increasing reliance on digital health solutions, there is a pressing need for physiotherapists to be adequately trained in telerehabilitation. This training is essential for them to adapt to new technologies and methodologies, ensuring effective and efficient patient care. The aim of this study was to evaluate the effect of a telerehabilitation educational intervention on physiotherapists' knowledge and perceptions in Bucaramanga and its metropolitan area.MethodsA group of 27 physiotherapists underwent an educational intervention focused on telerehabilitation. Before‐ and after‐intervention assessments were conducted to gauge their perceptions and knowledge.ResultsParticipants generally held a positive perception of telerehabilitation both before and after the intervention [Before Median (Md) and interquartile range (IQR): Md = 2.5 (IQR = 2.1–3); after: Md = 2.7 (IQR = 2.4–3.1), p = 0.256]. A significant increase in their knowledge after‐intervention was observed [Before: Md = 55.5 (IQR = 33.3–66.6)]; after: Md = 77.7 (IQR = 66.6–88.8), p = <0.001, emphasizing the potential benefits of targeted educational interventions.ConclusionsThe educational intervention significantly improved physiotherapists' knowledge of telerehabilitation, underscoring the importance of professional training in this domain. While perceptions remained consistently positive, the notable increase in knowledge suggests that such educational programs are crucial for enhancing the adoption and effective use of telerehabilitation in physiotherapy practice.

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Telehealth in PM&R: Past, present, and future in clinical practice and opportunities for translational research

Cited by 3 publications

References 186 publications

Responding to “Telehealth in PM&R: Past, present and future in clinical practice and opportunities for translational research”

Responding to “Telehealth in PM&R: Past, present and future in clinical practice and opportunities for translational research”

AAPM&R consensus guidance on spasticity assessment and management

Enhancing physiotherapists' knowledge and perceptions of telerehabilitation: A before‐after educational intervention study

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