McLaughlin Kevin H, Caan Olivia, Skolasky Richard L
Johns Hopkins University School of Medicine, Physical Medicine and Rehabilitation.
Johns Hopkins University School of Medicine, Orthopaedic Surgery.
medRxiv. 2025 Feb 25:2025.02.24.25322777. doi: 10.1101/2025.02.24.25322777.
Telerehabilitation was widely used during the COVID-19 pandemic to maintain access to physical therapy. However, its use has declined since the pandemic, potentially due to changes in patient demand.
To explore patients' beliefs, attitudes, and preferences regarding telerehabilitation for spine pain treatment.
Email or telephone administered survey.
Outpatient physical therapy network affiliated with an academic healthcare system.
Patients recently evaluated for spine pain by a physical therapist (n=100).
Survey items addressed patients' perceptions of telerehabilitation effectiveness, preferences for care delivery, barriers to telerehabilitation, and factors influencing telerehabilitation use.
Patients viewed telerehabilitation as effective for treating spine pain but not as effective as in-clinic physical therapy. Patients reported a preference for receiving care in-clinic care or using a hybrid model, rather than receiving care through telerehabilitation alone. Barriers to telerehabilitation included a lack of awareness of who offers telerehabilitation and uncertainty about its effectiveness. Patients indicated that evidence supporting telerehabilitation effectiveness would increase their likelihood of using telerehabilitation in the future. Patients also reported that transportation challenges or increased COVID-19 rates would encourage them to use telerehabilitation in the future.
The results of this survey suggest that patients with spine pain believe telerehabilitation may be an effective treatment approach, but they are skeptical about using telerehabilitation instead of in-clinic physical therapy. These results also suggest that patients are open to hybrid approaches that incorporate telerehabilitation, as well as using telerehabilitation if circumstances prevented them from receiving their care in-clinic. The largest patient concern surrounding telerehabilitation seems to be the lack of evidence supporting its effectiveness.
This study suggests that patients believe telerehabilitation will continue to play an important role post-pandemic. However, comparative effectiveness research is needed to address patient concerns surrounding the effectiveness of telerehabilitation and guide informed decision-making.
在新冠疫情期间，远程康复被广泛应用以维持物理治疗服务的可及性。然而，自疫情以来其使用有所下降，这可能是由于患者需求的变化。
探讨患者对用于脊柱疼痛治疗的远程康复的信念、态度和偏好。
通过电子邮件或电话进行的调查。
隶属于一个学术医疗系统的门诊物理治疗网络。
最近由物理治疗师评估过脊柱疼痛的患者（n = 100）。
调查问卷涉及患者对远程康复有效性的看法、护理提供方式的偏好、远程康复的障碍以及影响远程康复使用的因素。
患者认为远程康复对治疗脊柱疼痛有效，但不如门诊物理治疗有效。患者表示更倾向于接受门诊护理或采用混合模式，而不是仅通过远程康复接受护理。远程康复的障碍包括对谁提供远程康复缺乏了解以及对其有效性存在不确定性。患者表示，支持远程康复有效性的证据将增加他们未来使用远程康复的可能性。患者还报告说，交通困难或新冠感染率上升会促使他们未来使用远程康复。
本次调查结果表明，脊柱疼痛患者认为远程康复可能是一种有效的治疗方法，但他们对使用远程康复而非门诊物理治疗持怀疑态度。这些结果还表明，患者对结合远程康复的混合方法持开放态度，并且如果情况使他们无法接受门诊护理，也愿意使用远程康复。患者对远程康复最大的担忧似乎是缺乏支持其有效性的证据。
本研究表明，患者认为远程康复在疫情后将继续发挥重要作用。然而，需要进行比较有效性研究来解决患者对远程康复有效性的担忧，并指导明智的决策。
