telehealth research

knee arthritis & after surgery


TELEHEALTH PHYSIO FOR KNEE ARTHRITIS Odole, A. C., & Ojo, O. D. (2013). A telephone-based physiotherapy intervention for patients with osteoarthritis of the knee. International journal of telerehabilitation, 5(2), 11. This study demonstrated that telehealth physio to monitor specific exercises for patients with achieved comparable results to physiotherapy conducted in the clinic. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4352988/ TELEHEALTH PHYSIO AFTER KNEE SURGERY Kairy, D., Tousignant, M., Leclerc, N., Côté, A. M., & Levasseur, M. (2013). The patient’s perspective of in-home telerehabilitation physiotherapy services following total knee arthroplasty. International journal of environmental research and public health, 10(9), 3998-4011. This Canadian study explored patients’ perceptions of telehealth physio after total knee replacement. Patients reported (1) improving access to services with reduced need for transportation; (2) developing a strong therapeutic relationship with therapist while maintaining a sense of personal space; (3) complementing telerehabilitation with in-person visits; (4) providing standardised yet tailored and challenging exercise programs using telerehabilitation; (5) perceived ease-of-use of telerehabilitation equipment; and (6) feeling an ongoing sense of support. https://www.mdpi.com/1660-4601/10/9/3998




overall benefits of telehealth


Howard, I. M., & Kaufman, M. S. (2018). Telehealth applications for outpatients with neuromuscular or musculoskeletal disorders. Muscle & nerve, 58(4), 475-485. This was a 2018 US review of earlier research. The researchers suggested that telehealth provides a promising avenue to promote access to high‐quality care, decrease the cost and burden of travel for patients, and with the expansion of software to personal computing and mobile devices, offer flexible, low‐overhead practice opportunities for clinicians. Providers embarking on careers in telehealth should be aware of current legal restrictions impacting care to minimize risk and avoid liability. https://onlinelibrary.wiley.com/doi/abs/10.1002/mus.26115 Speyer, R., Denman, D., Wilkes-Gillan, S., Chen, Y. W., Bogaardt, H., Kim, J. H., & Cordier, R. (2018). Effects of telehealth by allied health professionals and nurses in rural and remote areas: a systematic review and meta-analysis. Journal of rehabilitation medicine, 50(3), 225-235. In this 2018 Australian study, the researchers suggested telehealth services may be as effective as face-to-face interventions. The potential benefits of telehealth in rural and remote areas include improved access to healthcare, and time and cost savings. https://www.ingentaconnect.com/content/mjl/sreh/2018/00000050/00000003/art00001 Shang L, Zuo M, Ma D, Yu Q. (2019). The Antecedents and Consequences of Health Care Professional–Patient Online Interactions: Systematic Review J Med Internet Res 2019;21(9):e13940 This was a review of international research by Chinese authors. The authors of this review found that access to clinicians, self-management, and unmet needs were the main reasons patients participated in telehealth. Benefits for patients included patient empowerment, health promotion, and clarifying areas of uncertainty. Clinicians benefited from more patient appointments, and improved communications. https://www.jmir.org/2019/9/e13940/




telehealth diagnosis by physios


Cottrell, M. A., O'Leary, S. P., Swete-Kelly, P., Elwell, B., Hess, S., Litchfield, M. A.,& Russell, T. G. (2018). Agreement between telehealth and in-person assessment of patients with chronic musculoskeletal conditions presenting to an advanced-practice physiotherapy screening clinic. Musculoskeletal Science and Practice, 38, 99-105. In this 2018 Australian study, researchers found a high level of agreement between telehealth and in-person assessments with respect to clinical management decisions and diagnosis of patients with chronic musculoskeletal conditions managed in an advanced-practice physiotherapy screening clinic. Telehealth can be considered as a viable and effective medium to assess those patients who are unable to attend these services in person. https://www.sciencedirect.com/science/article/pii/S2468781218300961




chronic back & musculoskeletal pain


CHRONIC MUSCULOSKELETAL PAIN (back, knee etc) Cottrell, M. A., Hill, A. J., O’Leary, S. P., Raymer, M. E., & Russell, T. G. (2018). Patients are willing to use telehealth for the multidisciplinary management of chronic musculoskeletal conditions: a cross-sectional survey. Journal of telemedicine and telecare, 24(7), 445-452. In this Australian study, the researchers found over half of the patients with chronic musculoskeletal conditions were willing to use telehealth if it reduced the costs (53%) and time (57%) associated with attending appointments. Patients in paid employment were more likely (65%) to use telehealth if it reduced work absenteeism. Overall, 78% of patients were identified as having appropriate technology access to enable home telehealth. Specifically, 43% of patients would prefer home telehealth over having to travel to attend their appointments.
https://journals.sagepub.com/doi/abs/10.1177/1357633X17706605 BACK PAIN Dario, A. B., Cabral, A. M., Almeida, L., Ferreira, M. L., Refshauge, K., Simic, M., ... & Ferreira, P. H. (2017). Effectiveness of telehealth-based interventions in the management of non-specific low back pain: a systematic review with meta-analysis. The Spine Journal, 17(9), 1342-1351. Australian physio researchers summarised earlier studies of telehealth for people with back pain. The researchers found combining telehealth with usual care was better than usual care for people with recent onset low back pain. Telehealth made no difference to pain or disability in the short or medium term. However, the quality of life improved follwoing telehealth for patients with long term back pain. The researchers also suggested that telehealth remains understudied https://www.sciencedirect.com/science/article/pii/S1529943017301420





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