Önal Birol, Eldemir Sefa, Ceren Ali Naim, Eldemir Kader
Atatürk University, Department of Physical Therapy and Rehabilitation, Erzurum, Turkey.
Sivas Cumhuriyet University, Department of Physical Therapy and Rehabilitation, Sivas, Turkey.
Braz J Phys Ther. 2025 May-Jun;29(3):101195. doi: 10.1016/j.bjpt.2025.101195. Epub 2025 Mar 22.
Telerehabilitation has been widely used in neurological diseases in recent years. The experiences of physical therapists and the difficulties they face are critical to the effectiveness of telerehabilitation.
To examine in depth the technical challenges, patient interaction strategies, and session management processes faced by physical therapists who use telerehabilitation for patients with neurological conditions and to assess the opinions of physical therapists about the advantages, disadvantages, technological infrastructure needs, and support strategies of telerehabilitation.
In this study, phenomenological qualitative research method was used. In-depth interviews were conducted with eight physical therapists who treated patients with neurological disorders with telerehabilitation in our country. Interview data were analyzed using content analysis.
The analysis revealed seven key themes and 26 sub-themes, which were categorized into two main areas: telerehabilitation session management and perceptions of telerehabilitation sessions. In the area of session management, physical therapists reported challenges related to the adaptation of traditional rehabilitation techniques to the online environment, including difficulties with assessing patients' physical conditions remotely, ensuring patient engagement, and managing technical issues such as internet connectivity and software limitations. They also highlighted the importance of clear communication, structured session planning, and the need for additional training to effectively conduct telerehabilitation sessions.
Considering the advantages and disadvantages stated by physical therapists using telerehabilitation with patients with neurological conditions, solutions should be developed to increase the efficiency of telerehabilitation. Applications with simple interfaces, a home environment suitable for exercise sessions, and strategies to support technology adaptation can significantly improve the efficiency of telerehabilitation.
近年来，远程康复已广泛应用于神经系统疾病。物理治疗师的经验及其面临的困难对远程康复的有效性至关重要。
深入研究使用远程康复治疗神经系统疾病患者的物理治疗师所面临的技术挑战、患者互动策略和疗程管理流程，并评估物理治疗师对远程康复的优势、劣势、技术基础设施需求和支持策略的看法。
本研究采用现象学定性研究方法。对我国八位使用远程康复治疗神经系统疾病患者的物理治疗师进行了深入访谈。访谈数据采用内容分析法进行分析。
分析揭示了七个关键主题和26个子主题，分为两个主要领域：远程康复疗程管理和对远程康复疗程的认知。在疗程管理领域，物理治疗师报告了传统康复技术适应在线环境方面的挑战，包括远程评估患者身体状况、确保患者参与度以及处理互联网连接和软件限制等技术问题的困难。他们还强调了清晰沟通、结构化疗程规划的重要性，以及有效开展远程康复疗程所需的额外培训。
考虑到使用远程康复治疗神经系统疾病患者的物理治疗师所述的优势和劣势，应制定解决方案以提高远程康复的效率。具有简单界面的应用程序、适合锻炼疗程的家庭环境以及支持技术适应的策略可显著提高远程康复的效率。
