Out-patient physiotherapy service delivery post COVID-19: opportunity for a re-set and a new normal?

Rawlinson, Gillian; Connell, Louise

doi:10.1016/j.physio.2021.02.001

Cited by 4 publications

(2 citation statements)

References 34 publications

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“…Digitally enhanced outpatient care has been labelled as a positive legacy of COVID-19, with the use of VC opening the door to remote working, remote assessment, remote monitoring and rehabilitation [ 7 ]. Outpatient physiotherapy services are now seen to have the opportunity to use blended digital approaches with traditional face-to-face (F2F) appointments, to suit the needs of patients, in an individualized manner [ 8 ]. Although VC was embraced during the pandemic, less than half of clinicians in a cross-sectional survey believed telehealth was as effective as F2F care [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

A qualitative investigation into the results of a discrete choice experiment and the impact of COVID-19 on patient preferences for virtual consultations

et al. 2021

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Objectives To conduct a qualitative investigation on a subset of participants from a previously completed Discrete Choice Experiment (DCE) to understand why factors identified from the DCE are important, how they influenced preference for virtual consultations (VC) and how COVID-19 has influenced preference for VC. Methods A quota sample was recruited from participants who participated in our DCE. We specifically targeted participants who were strongly in favour of face-to-face consultations (F2F - defined as choosing all or mostly F2F in the DCE) or strongly in favour of virtual consultations (VC - defined as choosing all or mostly VC consultations in the DCE) to elicit a range of views. Interviews were conducted via telephone or videoconference, audio recorded, transcribed verbatim and uploaded into NVIVO software. A directed content analysis of transcripts was undertaken in accordance with a coding framework based on the results of the DCE and the impact of COVID-19 on preference. Results Eight F2F and 5 VC participants were included. Shorter appointments were less ‘worth’ travelling in for than a longer appointment and rush hour travel had an effect on whether travelling was acceptable, particularly when patients experienced pain as a result of extended journeys. Socioeconomic factors such as cost of travel, paid time off work, access to equipment and support in its use was important. Physical examinations were preferable in the clinic whereas talking therapies were acceptable over VC. Several participants commented on how VC interferes with the patient-clinician relationship. VC during COVID-19 has provided patients with the opportunity to access their care virtually without the need for travel. For some, this was extremely positive. Conclusions This study investigated the results of a previously completed DCE and the impact of COVID-19 on patient preferences for VC. Theoretically informative insights were gained to explain the results of the DCE. The use of VC during the COVID-19 pandemic provided opportunities to access care without the need for face-to-face social interactions. Many felt that VC would become more commonplace after the pandemic, whereas others were keen to return to F2F consultations as much as possible. This qualitative study provides additional context to the results of a previously completed DCE.

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Section: Introductionmentioning

confidence: 99%

A qualitative investigation into the results of a discrete choice experiment and the impact of COVID-19 on patient preferences for virtual consultations

et al. 2021

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“…Bei vielen physiotherapierelevanten Beschwerden ist die Teletherapie eine gute Option 39 , 40 . Telerehabilitation stellt daher eine mögliche Alternative für die Physiotherapie dar, unter anderem auch für Patient*innen nach TEP, wie auch eine weitere Übersichtsarbeit 41 zeigt.…”

Section: Diskussionunclassified

Teletherapie – Möglichkeiten der Rehabilitation bei Patient*innen nach Knie-Totalendoprothese

Ayzikov

2022

MSK – Muskuloskelettale Physiotherapie

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ZusammenfassungUm den Bedarf an Physiotherapie bei der steigenden Zahl an Patient*innen nach einer endoprothetischen Versorgung auch in Zukunft zu decken, benötigen die Gesundheitsdienstleister*innen eine Lösung für die Bereitstellung einer angemessenen Therapie. Eine mögliche Option könnte die Teletherapie sein, die aufgrund der pandemischen Lage von SARS-COV-2 zunehmend an Bedeutung gewinnt. Teletherapie kann Menschen, die aus diversen Gründen nicht in die Praxis kommen können, eine Therapie ermöglichen, und birgt ein kostensparendes Potenzial.Diese Arbeit sollte klären, ob die physiotherapeutische Teletherapie bei Patient*innen nach einer endprothetischen Versorgung des Knies mit einer konventionellen Physiotherapie vergleichbar ist. Anhand einer Literaturrecherche auf den Datenbanken Cochrane, Europe PMC und PubMed vom 01.01.-04.05.2021 wurden 4 geeignete RCTs gefunden. Alle 4 RCTs zeigten, dass die Teletherapie positive Auswirkungen auf die Funktion der Patient*innen nach einer Knie-Totalendoprothese hat und einer konventionellen Physiotherapie nicht unterlegen ist. Die Ergebnisse waren klinisch signifikant. Die Teletherapie kann demnach als Alternative in Betracht gezogen werden.Allerdings sind manche Studien auf Grund von methodologischen Schwächen kritisch zu betrachten, sodass diese Arbeit keine eindeutige Empfehlung aussprechen kann. Für ein eindeutiges Ergebnis und eine starke klinische Empfehlung bei Patient*innen nach Knie-Totalendoprothese sind weitere Studien nötig.

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Seated push-up tests: Reliable and valid measures for older individuals when used by primary healthcare providers

Chokphukiao

Poncumhak

Thaweewannakij

et al. 2023

BMR

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BACKGROUND: Body composition decline, lower limb impairments, and mobility deficits affect independence of older people. The exploration for a practical measure involving upper extremities may offer an alternative tool to be used by primary healthcare (PHC) providers for these individuals. OBJECTIVE: To explore reliability and validity of seated push-up tests (SPUTs) among older participants when used by PHC providers. METHODS: Older participants (n= 146) with an average age of > 70 years were cross-sectionally assessed using various demanding forms of SPUTs and standard measures to assess validity of the SPUTs. Reliability of the SPUTs were assessed in nine PHC raters, including an expert, health professionals, village health volunteers, and care givers. RESULTS: The SPUTs demonstrated very good agreement, with excellent rater and test-retest reliability (kappa values > 0.87 and ICCs > 0.93, p< 0.001). Moreover, the SPUT outcomes significantly correlated with lean body mass, bone mineral contents, muscle strength and mobility of older participants (r, rp⁢b=-0.270 to 0.758, p< 0.05). CONCLUSION: SPUTs are reliable and valid for older adults when used by PHC members. The incorporation of such practical measures is particularly important during this COVID-19 pandemic with limited people’s hospital access.

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Out-patient physiotherapy service delivery post COVID-19: opportunity for a re-set and a new normal?

Cited by 4 publications

References 34 publications

A qualitative investigation into the results of a discrete choice experiment and the impact of COVID-19 on patient preferences for virtual consultations

A qualitative investigation into the results of a discrete choice experiment and the impact of COVID-19 on patient preferences for virtual consultations

Teletherapie – Möglichkeiten der Rehabilitation bei Patient*innen nach Knie-Totalendoprothese

Seated push-up tests: Reliable and valid measures for older individuals when used by primary healthcare providers

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