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Telerehabilitation Implementation: Perspectives from Physiotherapists Working in Complex Care.

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Physiotherapists found telerehabilitation useful during the COVID-19 pandemic, but barriers like limited evidence and lack of validated remote assessments hinder wider adoption. Future implementation requires updated guidelines and policy changes.

Keywords:
COVID-19assessmentsclinical implementationneurologytelerehabilitation.

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Area of Science:

  • Physiotherapy
  • Digital Health
  • Rehabilitation Medicine

Background:

  • The COVID-19 pandemic accelerated the adoption of telerehabilitation in physiotherapy.
  • Understanding physiotherapists' experiences is crucial for optimizing future telerehabilitation implementation.

Purpose of the Study:

  • To identify barriers and facilitators of clinical telerehabilitation implementation among physiotherapists.
  • To explore physiotherapists' perceptions and experiences with telerehabilitation during the initial phase of the pandemic.

Main Methods:

  • A mixed-method study involving Canadian physiotherapists during the first wave of the COVID-19 pandemic.
  • Utilized the Assessing Determinants of Prospective Uptake of Virtual Reality (ADOPT-VR) instrument adapted for telerehabilitation.
  • Conducted online focus groups to gather qualitative data on implementation experiences.

Main Results:

  • Physiotherapists reported positive experiences, rating telerehabilitation as enjoyable (7.5/10) and useful (7.3/10).
  • Identified barriers included limited access to implementation evidence, reduced hands-on approach, and lack of validated remote assessments.
  • Physiotherapists expressed low agreement on the necessity of minimal mental effort (4.4/10) and familiarity with evidence (4.7/10).

Conclusions:

  • Telerehabilitation was positively adopted by physiotherapists early in the pandemic.
  • Key factors for improving telerehabilitation implementation include clinical practice guidelines, validated remote assessments, curriculum changes, and policy development.