McLaughlin Kevin, Minick Kate I, Fritz Julie M, Tannahill Nicole, Spar Anne, Feinsilver Marissa, Weber Matthew, Opoku Erika, Adams Jeff, Skolasky Richard L
Johns Hopkins University School of Medicine, Department of Physical Medicine and Rehabilitation, 600 N. Wolfe St, Meyer 1-130, Baltimore, MD 21287.
Intermountain Health, Rehabilitation Services, 383 W Vine Street, Murray, UT 84123.
medRxiv. 2025 Jan 18:2025.01.17.25320739. doi: 10.1101/2025.01.17.25320739.
To examine physical therapists' experience providing telerehabilitation and their perceptions of telerehabilitation for patients with musculoskeletal conditions.
Survey of members of the Academy of Orthopaedic Physical Therapy.
We 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.
Physical 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.
Physical therapists consider telerehabilitation to be a viable care option for patients with musculoskeletal pain.
探讨物理治疗师提供远程康复的经验以及他们对肌肉骨骼疾病患者远程康复的看法。
对骨科物理治疗学会的成员进行调查。
我们收到了208份对调查邀请的完整回复。大多数回复我们调查的物理治疗师报告称，在疫情大流行之前很少或几乎没有使用远程康复，但在疫情大流行期间使用量增加，随后在疫情大流行之后远程康复的使用量减少。受访者报告称，疫情大流行之后他们使用远程康复的频率比之前略高。物理治疗师表示，他们认为自己可以通过远程康复提供有效的护理，但不如门诊护理有效，并且他们更愿意将远程康复作为混合护理模式的一部分来使用，而不是仅使用远程康复。物理治疗师指出，某些患者比其他患者更有可能从远程康复中受益，并确定了影响他们认为谁最适合远程康复的具体因素（例如，患者偏好、自我效能、术后状态）。“患者的技术问题”被确定为远程康复使用最常见的障碍。大多数物理治疗师报告称，他们计划在未来使用远程康复，并一致认为远程康复在美国扩大物理治疗服务的可及性方面发挥着重要作用。
物理治疗师认为远程康复在疫情后的世界中继续发挥重要作用。尽管物理治疗师报告称他们认为远程康复是一种有效的护理提供方式，但他们并不认为它可以替代门诊护理，并认为某些患者比其他患者更有可能从这种方法中受益。
物理治疗师认为远程康复是肌肉骨骼疼痛患者可行的护理选择。
