Telerehabilitation versus face-to-face rehabilitation in the management of musculoskeletal conditions: a systematic review and meta-analysis

Krzyżaniak, Natalia; Cardona, Magnolia; Peiris, Ruwani; Michaleff, Zoe A; Greenwood, Hannah; Clark, Justin; Scott, Anna Mae; Glasziou, Paul

doi:10.1080/10833196.2023.2195214

Cited by 12 publications

(5 citation statements)

References 27 publications

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“…In a systematic review and meta-analysis conducted pre-pandemic with 13 studies (n = 1,520 participants) evaluating the effectiveness of real-time telerehabilitation in comparison to in-person management of musculoskeletal conditions, Cottrell et al (2017) found equivalent changes in pain and function across the two modes of treatment delivery (17). In another systematic review and meta-analysis post-pandemic of ve randomized control trials (n = 402 participants) comparing telehealth to in-person consultations for patients with any musculoskeletal condition, Krzyzaniak et al (2023) found that there were no signi cant differences between telerehabilitation and in-person consultations for adults after knee surgeries (18). In a randomized control trial studying the effectiveness of digital interventions for chronic low back pain (n = 140), Cui et al…”

Section: Discussionmentioning

confidence: 99%

Evaluating Effectiveness of Telerehabilitation Services Among Injured Workers Treated in a Canadian Workers’ Compensation System: A Population-Based Study

Brehon,

Nagra,

Miciak

et al. 2023

Preprint

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Purpose To evaluate the effectiveness of telerehabilitation for promoting return-to-work (RTW) among injured workers. Methods We conducted a pragmatic, quasi-experimental study comparing telerehabilitation, in-person, or hybrid services. Descriptive statistics analyzed demographics, occupational factors, and patient-reported outcome measures (PROMs). ANOVAs and Kruskal-Wallis tests investigated differences between mode of delivery and changes in PROM scores. Logistic and Cox proportional hazard regression examined associations between mode of delivery and RTW status or days receiving wage replacement benefits in the first year post-discharge, respectively, while controlling for potential confounders. Results A slight majority of 3,708 worker sample were male (52.8%). Mean (standard deviation (SD)) age across all delivery formats was 45.5 (12.5) years. Edmonton zone had the highest amount of telerehabilitation delivery (53.5%). The majority of workers had their program delivered in a hybrid format (54.1%) and returned to work (74.4%) at discharge. All PROMs showed improvement although differences across delivery formats were not clinically meaningful. Delivery via telerehabilitation had significantly lower odds of RTW at discharge (Odds Ratio: 0.82, 95% Confidence Interval: 0.70–0.97) and a significantly lower risk of experiencing suspension of wage replacement benefits in the first year following discharge (Hazard Ratio: 0.92, 95% Confidence Interval: 0.84–0.99). Associations were no longer significant when confounders were controlled for. Conclusion RTW outcomes were not statistically different across delivery formats, suggesting that telerehabilitation is a novel strategy that may improve equitable access and earlier engagement in occupational rehabilitation. Factors such as gender and geographic location should be considered when deciding on service delivery format.

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Section: Discussionmentioning

confidence: 99%

Evaluating Effectiveness of Telerehabilitation Services Among Injured Workers Treated in a Canadian Workers’ Compensation System: A Population-Based Study

Brehon,

Nagra,

Miciak

et al. 2023

Preprint

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“…However, despite equivalent results and clinical e cacy, some studies report less patient satisfaction with telerehabilitation (9). The possible reasons for this could be differences in telehealth delivery, heterogeneity of physical therapists, reporting of results, and follow-ups (10). Another important factor for physical therapy research is the measurement of patients' quality of life.…”

Section: Introductionmentioning

confidence: 99%

Role of Telephysical Therapy in Quality of Life and Satisfaction Among Patients With Musculoskeletal Disorders.

Arwa,

Chaikumarn

2024

Preprint

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Background: The efficacy of telephysical therapy has been tailored in several previous researches. However, its role in improving the quality of life and satisfaction of musculoskeletal disorder patients is ambiguous. The study aimed to determine the role of telephysical therapy in quality of life and satisfaction among patients with musculoskeletal disorders. Method: A pre-post study was conducted recruiting 327 musculoskeletal disorder patients through the platform of MARHAM. The participants were requested to fill telehealth usability questionnaire (TUQ) and the European quality of life-5-dimension questionnaire (EQ-5D) before the start of tele sessions and at the end via email and WhatsApp. All the participants answered 10 open-ended questions related to their experience and perception of telephysical therapy at the end of the intervention. The participant was excluded if he/she had any cognitive impairment, any serious medical/psychological comorbidity, or was unable to commit to the study protocol. Results: The majority of the participants belonged to Lahore with a mean age of 41.80 (+14.84). Paired sample t-tests showed significant differences between pre and post-values of TUQ and EQ-5D scores. Overall health score was also improved after tele sessions. Multiple regression analysis showed 35.4% of variance in satisfaction and 35% in quality of life. Age, gender, and number of sessions were the most influencing independent variables. 85.33% of participants were highly satisfied and 83% had excellent experience. They suggested in-person initial assessment and follow-up sessions. Conclusion: Telephysical therapy had a positive role in improving the quality of life and satisfaction among patients with musculoskeletal disorders.

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“…Research comparing the effectiveness of telerehabilitation suggests that telerehabilitation can be equally as effective as in-person services [ 7 , 8 , 9 , 10 ]. Telerehabilitation has also been reported to promote higher rates of attendance [ 11 ] and reduce costs for patients compared to in-person services [ 12 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

Access, Readiness and Willingness to Engage in Allied Health Telerehabilitation Services for Adults: Does Cultural and Linguistic Diversity Make a Difference?

Tang,

Bastani,

Sidhu

et al. 2024

Healthcare

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Telerehabilitation is an appealing service delivery option for optimising recovery. Internationally, the equity of telerehabilitation services for people from culturally and linguistically diverse (CALD) backgrounds has been questioned. Using a 31-item survey, our study explored the access, readiness and willingness of 260 patients receiving allied health services from a large tertiary health service located in Sydney, Australia, to use telerehabilitation for adults. Overall, 72% patients reported having access to technology, 38% met our readiness criteria and 53% reported willingness to engage in telerehabilitation. There were no differences in access, readiness and willingness to engage in telerehabilitation between patients from CALD and non-CALD backgrounds. Age was the only factor that influenced access (OR = 0.94, 95% CI 0.90 to 0.97), readiness (OR = 0.95, 95% CI 0.92 to 0.98) and willingness (OR = 0.97, 95% CI 0.95 to 1.00) to engage in telerehabilitation. Past experience of telerehabilitation was related to willingness (OR = 2.73, 95% CI 1.55–4.79) but not access (OR = 1.79, 95% CI 0.87 to 3.68) or readiness (OR = 1.90, 95% CI 0.93 to 3.87). Our findings highlight the importance of ensuring positive patient experiences to promote ongoing willingness to use telerehabilitation. Efforts are needed to improve patients’ digital health literacy, especially patients from older age groups, to ensure equitable engagement in telerehabilitation services.

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Telerehabilitation versus face-to-face rehabilitation in the management of musculoskeletal conditions: a systematic review and meta-analysis

Cited by 12 publications

References 27 publications

Evaluating Effectiveness of Telerehabilitation Services Among Injured Workers Treated in a Canadian Workers’ Compensation System: A Population-Based Study

Evaluating Effectiveness of Telerehabilitation Services Among Injured Workers Treated in a Canadian Workers’ Compensation System: A Population-Based Study

Role of Telephysical Therapy in Quality of Life and Satisfaction Among Patients With Musculoskeletal Disorders.

Access, Readiness and Willingness to Engage in Allied Health Telerehabilitation Services for Adults: Does Cultural and Linguistic Diversity Make a Difference?

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