Patient-reported outcomes measures (PROMs) and patient-reported experience measures (PREMs) of COVID-19 telerehabilitation: Prospective pilot program

Abstract

Telemedicine is proving to be a useful tool in the telemonitoring of respiratory patients and telerehabilitation programs. The use of telemedicine has been proposed by the main medical societies because of the limited resources and the healthcare workers infection risk in the Coronavirus Disease 2019 (COVID-19) pandemic.The aim of this pilot program is to evaluate the feasibility of COVID-19 telerehabilitation program from the hospital to the home with clinical, functional and patient satisfaction outcomes. Rehabilitation was initiated in the hospital by a physiotherapist and complemented by "Estoi" (a mobile application), which was continued at home with telemonitoring and messaging with the medical team. Patients' habitual use of smartphones was not queried for inclusion.Sixteen patients were consecutively enrolled, 47% women with a mean age of 63 years old. 50% of patients completed ≥15 rehabilitation sessions. In total, 88% of patients referred that the mobile application incentive them to do more physical therapy, and 63% would choose telerehabilitation instead of center-based rehabilitation for new rehabilitation programs. Patient satisfaction (0-10) for the mobile application was 8.4 and 8.9 for the telerehabilitation program.Beginning telerehabilitation in the hospital could increase the efficacy and efficiency of physical therapy, which is safe for patients and healthcare workers. Following at home, this telerehabilitation program seems to encourage and empower patients who have reported high satisfaction. Further randomized studies with larger numbers of patients and multicenter studies are required to evaluate these results.

Effectiveness of Telemedicine for Musculoskeletal Disorders: Umbrella Review

“…This definition includes "telerehabilitation," "health technologies," "digital medicine," and similar keywords [1,2]. During the COVID-19 pandemic, the spread of smart devices and accessible internet connections made telemedicine grow exponentially, become increasingly popular, and be tested for many health conditions [3,4]. Musculoskeletal disorders usually require multidisciplinary and multifacility treatment throughout different settings and providers (physiotherapy, rehabilitation, prehabilitation, and orthopedics; inpatient, outpatient, and home); therefore, the adoption of telemedicine can improve clinical and patient-reported outcomes along with organizational arrangements and cost savings [5,6].…”