Case Managers’ Perceptions About Synchronous Telerehabilitation versus Clinic-based Physical Therapy Services for People with Spinal Cord Injury
Keywords:Physical therapy, Service delivery models, Spinal cord injury, Synchronous telerehabilitation, Telehealth
People with spinal cord injury (SCI) require extensive rehabilitation to maximize independence and quality of life. Much of this treatment occurs on an outpatient basis through telerehabilitation or clinic-based services. Synchronous telerehabilitation has become increasingly common in recent years, but many professionals remain reluctant to suggest it when clinic-based services are available. This survey study explored case managers’ perceptions regarding advantages and disadvantages of synchronous telerehabilitation versus clinic-based physical therapy services for people with SCI. Respondents were 89 case managers responsible for service provision coordination. Results showed a significant preference for clinic-based rather than telerehabilitation physical therapy services. Relative experience with the two service delivery models significantly affected perceptions. Only facilitating travel convenience differed significantly as a reason for recommending one service delivery method over the other. The incongruity between perceptions about synchronous telerehabilitation and existing literature about its cost, convenience, and efficacy suggests a need for additional education.
American Telemedicine Association. (2020, October 5). ATA’s Standardized Telehealth Terminology and Policy Language for States on Medical Practice. https://www.americantelemed.org/wp-content/uploads/2020/10/ATA-_Medical-Practice-10-5-20.pdf
Anderson, K., Francis, T., Ibanez-Carrasco, F., & Globerman, J. (2017). Physician’s perceptions of telemedicine in HIV care provision: A cross-sectional web-based survey. JMIR Public Health and Surveillance, 3(2), e31. https://doi.org/10.2196/publichealth.6896
Cramer, S. C., Dodakian, L., Le, V., See, J., Augsburger, R., McKenzie, A., Zhou, R. J., Chiu, N. L., Heckhausen, J., Cassidy, J. M., Scacchi, W., Smith, M. T., Barrett, A. M., Knutson, J., Edwards, D., Putrino, D., Agrawal, K., Ngo, K., Roth, E. J., …Janis, S. (2019). Efficacy of home-based telerehabilitation vs in-clinic therapy for adults after stroke. JAMA Neurology, 76(9), 1079-1087. http://doi.org/10.1001/jamaneurol.2019.1604
Cranen, K., Drossaert, C. H., Brinkman, E. S., Braakman‐Jansen, A. L., IJzerman, M. J., & Vollenbroek‐Hutten, M. M. (2012). An exploration of chronic pain patients’ perceptions of home telerehabilitation services. Health Expectations, 15(4), 339-350. https://doi.org/10.1111/j.1369-7625.2011.00668.x
Derakhshanrad, N., Vosoughi, F., Yekaninejad, M.S., Moshayedi, P., & Saberi, H. (2015). Functional impact of multidisciplinary outpatient program on patients with chronic complete spinal cord injury. Spinal Cord, 53(12), 860-865. https://doi.org/10.1038/sc.2015.136
Dunphy, E., & Gardner, E. C. (2020). Telerehabilitation to address the rehabilitation gap in anterior cruciate ligament care: Survey of patients. JMIR Formative Research, 4(9), e19296. https://doi.org/10.2196/19296
Harkey, L. C., Jung, S. M., Newton, E. R., & Patterson, A. (2020). Patient satisfaction with telehealth in rural settings: A systematic review. International Journal of Telerehabilitation, 12(2), 53-64. https://doi.org/10.5195/ijt.2020.6303
Irgens, I., Rekand, T., Arora, M., Liu, N., Marshall, R., Biering-Sørensen, F., & Alexander, M. (2018). Telehealth for people with spinal cord injury: A narrative review. Spinal Cord, 56(7), 643-655. https://doi.org/10.1038/s41393-017-0033-3
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. https://doi.org/10.3390/ijerph10093998
Lee, A. C. (2020). COVID-19 and the advancement of digital physical therapist practice and telehealth. Physical Therapy, 100(7), 1054-1057. https://doi.org/10.1093/ptj/pzaa079
Levy, C. E., Siverman, E., Jia, H., Geiss, M., & Omura, D. (2015). Effects of physical therapy delivery via home video telerehabilitation on functional and health-related quality of life outcomes. Journal of Rehabilitation Research and Development, 52(3), 361-369. https://doi.org/10.1682/JRRD.2014.10.0239
Matamala-Gomez, M., Maisto, M., Montana, J. I., Mavrodiev, P. A., Baglio, F., Rossetto, F., Mantovani, F., Riva, G., & Realdon, O. (2020). The role of engagement in teleneurorehabilitation: A systematic review. Frontiers in Neurology, 11, 354. https://doi.org/10.3389/fneur.2020.00354
Miller, M. J., Pak, S. S., Keller, D. R., & Barnes, D. E. (2021). Evaluation of pragmatic telehealth physical therapy implementation during the COVID-19 pandemic. Physical Therapy, 101(1), 1-10. https://doi.org/10.1093/ptj/pzaa193
Nas, K., Yazmalar, L., Şah, V., Aydın, A., & Öneş, K. (2015). Rehabilitation of spinal cord injuries. World Journal of Orthopedics, 6(1), 8-16. https://doi.org/10.5312/wjo.v6.i1.8
Neo, J. H., Teo, S. T., Lee, C. L., & Cai, C. C. (2019). Telerehabilitation in the treatment of frozen shoulder: A case report. International Journal of Telerehabilitation, 11(2), 3-8. https://doi.org/10.5195/ijt.2019.6288
Niknamian, S. (2019). Systematic review on tele-wound-care in spinal cord injury (SCI) patients and the impact of telemedicine in decreasing the cost. Physical Medicine and Rehabilitation Research, 4, 1-6. https://doi.org/10.15761/PMRR.1000199
Schmeler, M. R., Schein, R. M., McCue, M., & Betz, K. (2009). Telerehabilitation clinical and vocational applications for assistive technology: research, opportunities, and challenges. International Journal of Telerehabilitation, 1(1), 59-72. https://doi:10.5195/ijt.2009.6014
Sineus, W., & Capellan, T. (2019). Physical therapists' perceptions on the use of telehealth in patient care (Publication No. 13886856). [Doctoral dissertation, Florida Gulf Coast University]. ProQuest Dissertations Publishing.
Stein, J., Visco, C. J., & Barbuto, S. (2020). Rehabilitation medicine response to the COVID-19 pandemic. American Journal of Physical Medicine & Rehabilitation. Advance online publication. https://doi.org/10.1097/PHM.0000000000001470
Theodoros, D., Russell, T., & Latifi, R. (2008). Telerehabilitation: Current perspectives. In R. Latifi (Ed.), Current principles and practices of telemedicine and e-health (pp. 191-210). IOS Press.
Tsai, J. M., Cheng, M. J., Tsai, H. H., Hung, S. W., & Chen, Y. L. (2019). Acceptance and resistance of telehealth: The perspective of dual-factor concepts in technology adoption. International Journal of Information Management, 49, 34-44. https://doi.org/10.1016/j.ijinfomgt.2019.03.003
Turolla, A., Rossettini, G., Viceconti, A., Palese, A., & Geri, T. (2020). Musculoskeletal physical therapy during the COVID-19 pandemic: Is telerehabilitation the answer? Physical Therapy, 100(8), 1260-1264. https://doi.org/10.1093/ptj/pzaa093
Whiteneck, G. G., Gassaway, J., Dijkers, M. P., Lammertse, D. P., Hammond, F., Heinemann, A. W., Backus, D., Charlifue, Sl., Ballard, P. D., & Zanca, J. M. (2011). Inpatient and postdischarge rehabilitation services provided in the first year after spinal cord injury: Findings from the SCIRehab Study. Archives of Physical Medicine and Rehabilitation, 92(3), 361-368. https://doi.org/10.1016/j.apmr.2010.07.241
Yuen, J., Thiyagarajan, C. A., & Belci, M. (2015). Patient experience survey in telemedicine for spinal cord injury patients. Spinal Cord, 53(4), 320-323. https://doi.org/10.1038/sc.2014.247
How to Cite
Authors who publish with this journal agree to the following terms:
- The Author retains copyright in the Work, where the term “Work” shall include all digital objects that may result in subsequent electronic publication or distribution.
- Upon acceptance of the Work, the author shall grant to the Publisher the right of first publication of the Work.
- The Author shall grant to the Publisher and its agents the nonexclusive perpetual right and license to publish, archive, and make accessible the Work in whole or in part in all forms of media now or hereafter known under a Creative Commons Attribution 4.0 International License or its equivalent, which, for the avoidance of doubt, allows others to copy, distribute, and transmit the Work under the following conditions:
- Attribution—other users must attribute the Work in the manner specified by the author as indicated on the journal Web site;
- The Author is able to enter into separate, additional contractual arrangements for the nonexclusive distribution of the journal's published version of the Work (e.g., post it to an institutional repository or publish it in a book), as long as there is provided in the document an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post online a prepublication manuscript (but not the Publisher’s final formatted PDF version of the Work) in institutional repositories or on their Websites prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work. Any such posting made before acceptance and publication of the Work shall be updated upon publication to include a reference to the Publisher-assigned DOI (Digital Object Identifier) and a link to the online abstract for the final published Work in the Journal.
- Upon Publisher’s request, the Author agrees to furnish promptly to Publisher, at the Author’s own expense, written evidence of the permissions, licenses, and consents for use of third-party material included within the Work, except as determined by Publisher to be covered by the principles of Fair Use.
- The Author represents and warrants that:
- the Work is the Author’s original work;
- the Author has not transferred, and will not transfer, exclusive rights in the Work to any third party;
- the Work is not pending review or under consideration by another publisher;
- the Work has not previously been published;
- the Work contains no misrepresentation or infringement of the Work or property of other authors or third parties; and
- the Work contains no libel, invasion of privacy, or other unlawful matter.
- The Author agrees to indemnify and hold Publisher harmless from Author’s breach of the representations and warranties contained in Paragraph 6 above, as well as any claim or proceeding relating to Publisher’s use and publication of any content contained in the Work, including third-party content.
Revised 7/16/2018. Revision Description: Removed outdated link.