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Patient-Reported Experiences of Musculoskeletal Virtual Care Delivered by Advanced Practice Physiotherapists
Leslie Soever1,2, Andrew Courchene1, Marcia Correale1,2
1From the:Schroeder Arthritis Institute, Toronto Western Hospital, University Health Network, Toronto, Ontario, Canada.
Physiotherapy Canada. Physiotherapie Canada
|September 17, 2025
Summary
Patient perspectives on virtual care (VC) provided by advanced practice physiotherapists (APPs) were highly positive. Key factors for a good experience included personal connection and structured virtual examinations for musculoskeletal conditions.
Area of Science:
- Musculoskeletal Health
- Digital Health Technologies
- Patient-Centered Care
Background:
- Virtual care (VC) is increasingly utilized in physiotherapy.
- Understanding patient experiences is crucial for optimizing VC delivery.
- Advanced practice physiotherapists (APPs) play a key role in delivering specialized care via VC.
Purpose of the Study:
- To explore patient satisfaction with virtual care (VC) delivered by advanced practice physiotherapists (APPs).
- To identify key factors influencing patient experience with VC for various musculoskeletal conditions.
- To gather insights for improving the delivery of virtual physiotherapy services.
Main Methods:
- A patient satisfaction questionnaire with Likert scale and open-ended questions was electronically distributed.
- Data collected from patients seen by APPs between August 1, 2020, and January 31, 2021.
- Quantitative data analyzed using descriptive statistics; qualitative data analyzed using qualitative description.
Main Results:
- High response rate (74%) with videoconference as the primary VC method (91.7%).
- Overall patient satisfaction with VC was very high (4.7-4.8/5).
- Key themes included personal connection, preparatory materials, virtual examination effectiveness, practical advantages, and technical issues.
Conclusions:
- Patients reported a highly positive experience with virtual care for musculoskeletal issues.
- A systematic approach to virtual physical examination and comprehensive patient education materials are vital for positive patient outcomes.
- Virtual care, when implemented effectively, can enhance patient satisfaction and access to physiotherapy services.
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