Physiotherapy Professionals: A Questionnaire for the Evaluation of Telerehabilitation Services in Egypt

Authors

  • Olfat Ibrahim Ali Physical Therapy Program, Batterjee Medical College, Jeddah 21442, Saudi Arabia and Basic Science for Physical Therapy, Faculty of Physical Therapy, Cairo University, Giza, Egypt
  • Omnia Mustafa Salem Faculty of Physiotherapy, Cairo University, Giza, Egypt
  • Salma Ashraf Abdelaziz Mohamed Faculty of Physical Therapy, Cairo University, Giza, Egypt
  • Sabah Abdlnaser Hassan Ali Faculty of Physical Therapy, Cairo University, Giza, Egypt
  • Eman Ahmed Embaby Faculty of Physical Therapy, Cairo University, Giza, Egypt

DOI:

https://doi.org/10.5195/ijt.2024.6654

Keywords:

Attitude, Awareness, COVID-19 pandemic, Perception, Physiotherapists, Telerehabilitation

Abstract

Purpose: This study aimed to evaluate the utilization of telerehabilitation services in Egypt and to investigate the concerns and barriers faced by Egyptian physiotherapists for implementation. Methods: This cross-sectional study recruited 306 Egyptian physiotherapists who were asked to complete an online survey including questions about the utilization of telerehabilitation services, awareness, perception, and attitude. Results: A total of 299 physiotherapists completed the online survey. Within the sample, 38.5% utilized telerehabilitation at work. Telerehabilitation was used frequently to deliver patient advice (17.6%), follow-up (16%), and exercise prescription (15.2%). Pain (16.2%) was the most common outcome assessed utilizing telerehabilitation. Additionally, 85.3% of physiotherapists agreed that the inclusion of telerehabilitation during the rehabilitation program is effective. The main barriers to implementing telerehabilitation in Egypt were lack of awareness (59.9%) and technical issues (58.2%). Conclusion: This study sheds light on the trends and challenges in utilizing telerehabilitation and may help in shaping the future of telerehabilitation in Egypt.

  

References

Albahrouh, S. I., & Buabbas, A. J. (2021). Physiotherapists’ perceptions of and willingness to use telerehabilitation in Kuwait during the Covid-19 pandemic. BMC Medical Informatics and Decision Making, 21(1). https://doi.org/10.1186/s12911-021-01478-x

Almutairi, S. (2023). Telehealth as a new model of healthcare delivery for physical therapist practice in Saudi Arabia: A cross-sectional study. Middle East Journal of Rehabilitation and Health Studies, 10(4). https://doi.org/10.5812/mejrh-136327

Aloyuni, S., Alharbi, R., Kashoo, F., Alqahtani, M., Alanazi, A., Alzhrani, M., & Ahmad, M. (2020). Knowledge, attitude, and barriers to telerehabilitation-based physical therapy practice in Saudi Arabia. Healthcare, 8(4), 460. https://doi.org/10.3390/healthcare8040460

Alvarez-Jimenez, M., Alcazar-Corcoles, M. A., González-Blanch, C., Bendall, S., McGorry, P. D., & Gleeson, J. F. (2014). Online, social media and mobile technologies for psychosis treatment: A systematic review on novel user-led interventions. Schizophrenia Research, 156(1), 96–106. https://doi.org/10.1016/j.schres.2014.03.021

Awotidebe, T. O., Fasakin, O. M., Oyewole, O. O., Bello, U. E., Ademoyegun, A. B., Onigbinde, A. T., Mbada, C. E., Odunlade, A. J., & Adedoyin, R. A. (2023). Nigerian physiotherapists’ knowledge, attitude, and practice of digital physical therapy: A cross-sectional study. Bulletin of Faculty of Physical Therapy, 28(1). https://doi.org/10.1186/s43161-022-00118-3

Berkowsky, R. W., Yost, E. A., & Cotten, S. R. (2018). Using technology to enhance resiliency among older adults. Resilience in Aging, 385–399.Springer (Cham). https://doi.org/10.1007/978-3-030-04555-5_21

Bernal-Utrera, C., Anarte-Lazo, E., De-La-Barrera-Aranda, E., Fernandez-Bueno, L., Saavedra-Hernandez, M., Gonzalez-Gerez, J. J., Serrera-Figallo, M. A., & Rodriguez-Blanco, C. (2021). Perspectives and attitudes of patients with COVID-19 toward a telerehabilitation programme: A qualitative study. International Journal of Environmental Research and Public Health, 18(15), 7845. https://doi.org/10.3390/ijerph18157845

Bernhardsson, S., Larsson, A., Bergenheim, A., Ho-Henriksson, C.-M., Ekhammar, A., Lange, E., Larsson, M. E., Nordeman, L., Samsson, K. S., & Bornhöft, L. (2023). Digital physiotherapy assessment vs conventional face-to-face physiotherapy assessment of patients with musculoskeletal disorders: A systematic review. PLOS ONE, 18(3). https://doi.org/10.1371/journal.pone.0283013

Bezuidenhout, L., Joseph, C., Thurston, C., Rhoda, A., English, C., & Conradsson, D. M. (2022). Telerehabilitation during the COVID-19 pandemic in Sweden: A survey of use and perceptions among physiotherapists treating people with neurological diseases or older adults. BMC Health Services Research, 22(1). https://doi.org/10.1186/s12913-022-07968-6

Buckingham, S. A., Sein, K., Anil, K., Demain, S., Gunn, H., Jones, R. B., Kent, B., Logan, A., Marsden, J., Playford, E. D., & Freeman, J. (2022). Telerehabilitation for physical disabilities and movement impairment: A service evaluation in South West England. Journal of Evaluation in Clinical Practice, 28(6), 1084–1095. https://doi.org/10.1111/jep.13689

Cottrell, M. A., & Russell, T. G. (2020). Telehealth for musculoskeletal physiotherapy. Musculoskeletal Science and Practice, 48, 102193. https://doi.org/10.1016/j.msksp.2020.102193

Damhus, C. S., Emme, C., & Hansen, H. (2018). Barriers and enablers of COPD telerehabilitation- a frontline staff perspective. International Journal of Chronic Obstructive Pulmonary Disease, 13, 2473–2482. https://doi.org/10.2147/copd.s167501

Davies, L., Lawford, B., Bennell, K. L., Russell, T., & Hinman, R. S. (2023). Telehealth education and training in entry‐to‐practice physiotherapy programs in Australian universities: A qualitative study with university educators. Musculoskeletal Care, 21(2), 491–501. https://doi.org/10.1002/msc.1723

Dicianno, B. E., Parmanto, B., Fairman, A. D., Crytzer, T. M., Yu, D. X., Pramana, G., Coughenour, D., & Petrazzi, A. A. (2015). Perspectives on the evolution of mobile (mhealth) technologies and application to rehabilitation. Physical Therapy, 95(3), 397–405. https://doi.org/10.2522/ptj.20130534.

Dingli, A., & Seychell, D. (2015). “Who are the digital natives?” In The New Digital Natives, Berlin: Springer, 9–22. https://doi.org/10.1007/978-3-662-46590-5_2

D’Souza, A. F., & Rebello, S. R. (2021). Perceptions and willingness of physiotherapists in India to use telerehabilitation during the COVID-19 pandemic. International Journal of Telerehabilitation, 13(2). https://doi.org/10.5195/ijt.2021.6425

Fernandes, L. G., Oliveira, R. F. F., Barros, P. M., Fagundes, F. R. C., Soares, R. J., & Saragiotto, B. T. (2022). Physical therapists and public perceptions of telerehabilitation: An online open survey on acceptability, preferences, and needs. Brazilian Journal of Physical Therapy, 26(6), 100464. https://doi.org/10.1016/j.bjpt.2022.100464

Fernández‐Lago, H., Climent‐Sanz, C., Bravo, C., Bosch‐Barceló, P., Masbernat‐Almenara, M., Sanjuan‐Sánchez, D., & Briones‐Vozmediano, E. (2023). Physiotherapists’ experiences on assisting physiotherapy users during the COVID‐19 pandemic with lockdown measures in Spain. Physiotherapy Research International, 28(4). https://doi.org/10.1002/pri.2015

Jiménez-Rodríguez, D., Santillán García, A., Montoro Robles, J., Rodríguez Salvador, M. del, Muñoz Ronda, F. J., & Arrogante, O. (2020). Increase in video consultations during the COVID-19 pandemic: healthcare professionals' perceptions about their implementation and adequate management. International Journal of Environmental Research and Public Health, 17(14), 5112. https://doi.org/10.3390/ijerph17145112

Kumar, R., Osborne, C., Rinaldi, R., Smith, J. A. D., Juengst, S. B., & Barshikar, S. (2021). Rehabilitation providers’ experiences with rapid telerehabilitation implementation during the COVID-19 pandemic in the United States. Journal of Physical Medicine and Rehabilitation, 3(2). https://doi.org/10.33696/rehabilitation.3.020

Malliaras, P., Merolli, M., Williams, C. M., Caneiro, J. P., Haines, T., & Barton, C. (2021). 'It's not hands-on therapy, so it's very limited': Telehealth use and views among allied health clinicians during the Coronavirus pandemic. Musculoskeletal Science and Practice, 52, 102340. https://doi.org/10.1016/j.msksp.2021.102340

Mani, S., Sharma, S., Omar, B., Paungmali, A., & Joseph, L. (2016). Validity and reliability of internet-based physiotherapy assessment for musculoskeletal disorders: A Systematic Review. Journal of Telemedicine and Telecare, 23(3), 379–391. https://doi.org/10.1177/1357633x16642369

Mbada CE, Baderinwa TA, Sanuade CT, Ademoyegun AB, Fatoye C, Maikudi L, et al (2021). Awareness, attitude and expectations of physiotherapy students on telerehabilitation. Medical Science Educator, 31(2), 627–636. https://doi.org/10.1007/s40670-021-01234-w

Michell, A., Besomi, M., Seron, P., Voigt, M., Cubillos, R., Parada-Hernández, F., Urrejola, O., Ferreira-Pacheco, T. B., De Oliveira-Silva, D., Bianca Aily, J., Moreno-Collazos, J. E., Pinzón-Ríos, I. D., Aguirre-Aguirre, C. L., Hinman, R. S., Bennell, K. L., & Russell, T. G. (2022f). Implementation of physiotherapy telerehabilitation before and post Covid-19 outbreak: A comparative narrative between South American countries and Australia. Salud Pública de México, 64. https://doi.org/10.21149/13160

Odetunde, M. O., Okonji, A. M., Adeoye, A. P., & Onigbinde, A. T. (2024b). Acceptance and adoption of telerehabilitation by physiotherapists from Nigeria, a low resource setting: A mixed-method study. Bulletin of Faculty of Physical Therapy, 29(1). https://doi.org/10.1186/s43161-024-00181-y

Partanen, T., Seppänen-Järvelä, R., Hiekkala, S., & Lindh, J. (2023). Telerehabilitation in the Finnish outpatient rehabilitation setting from the perspective of the socio-technical systemstheory. International Journal of Environmental Research and Public Health, 20(15), 6519. https://doi.org/10.3390/ijerph20156519

Paul, L., Thomson, K., Asibey, S. O., Brady, M., van Wijck, F., Antwi, D., Opoku, E. N., & Sarfo, F. S. (2024). Views of service users, their family or carers, and health care professionals on telerehabilitation for people with neurological conditions in Ghana: Qualitative study. JMIR mhealth and uhealth, 12. https://doi.org/10.2196/49501

Peretti, A., Amenta, F., Tayebati, S. K., Nittari, G., & Mahdi, S. S. (2017). Telerehabilitation: Review of the state-of-the-art and areas of application. JMIR Rehabilitation and Assistive Technologies, 4(2). https://doi.org/10.2196/rehab.7511

Peterson, S., Young, J., King, V., & Meadows, J. (2022). Patient expectations for synchronous telerehabilitation visits: A survey study of telerehabilitation-naive patients. Telemedicine and E-Health, 28(3), 422–432. https://doi.org/10.1089/tmj.2021.0083

Polit DF, Beck CT. (2006). The content validity index: Are you sure you know what’s being reported? Critique and recommendations. Research in Nursing and Health, 29(5):489–97. https://doi.org/10.1002/ nur.20147

Ramanandi, V. H. (2022). Awareness, attitude, belief and utilization of telerehabilitation services among the physical therapists of Gujarat State. Archives of Occupational Health, 6 (3):1256-64. https://doi.org/10.18502/aoh.v6i3.10700

Rausch, A.-K., Baur, H., Reicherzer, L., Wirz, M., Keller, F., Opsommer, E., Schoeb, V., Vercelli, S., & Barbero, M. (2021). Physiotherapists’ use and perceptions of digital remote physiotherapy during COVID-19 lockdown in Switzerland: An online cross-sectional survey. Archives of Physiotherapy, 11(1). https://doi.org/10.1186/s40945-021-00112-3

Rowe, M., & Sauls, B. (2020). The use of smartphone apps in clinical practice: A survey of South African physiotherapists. South African Journal of Physiotherapy, 76(1). https://doi.org/10.4102/sajp.v76i1.1327

Rutberg, S., Kostenius, C., & Öhrling, K. (2013). Professional tools and a personal touch–experiences of physical therapy of persons with Migraine. Disability and Rehabilitation, 35(19), 1614–1621. https://doi.org/10.3109/09638288.2012.748838

Saaei, F., & Klappa, S. G. (2021). Rethinking telerehabilitation: Attitudes of physical therapists and patients. Journal of Patient Experience, 8. https://doi.org/10.1177/23743735211034335

Seelman, K. & Hartman, L. (2009) Telerehabilitation: Policy issues and research tools. International Journal of Telerehabilitation, 4;1(1):47-58. https://doi/org/10.5195/ijt.2009.6013 eCollection 2009 Fall.

Shalabi, K. M., Almodaraa, A. N., Ali Alrajhi, R., Alotaibi, L. N., & Batt, W. H. (2022). Perceptions and understanding of tele-physiotherapy: A cross-sectional study in Saudi Arabia. Technology and Disability, 34(3), 141–152. https://doi.org/10.3233/tad-220375

Sia, L. L., Sharma, S., Kumar, S., & Ajit Singh, D. K. (2024). Exploring physiotherapists’ perceptions of telerehabilitation for musculoskeletal disorders: Insights from focus groups. Digital Health, 10. https://doi.org/10.1177/20552076241248916

Tsekoura, M., Fousekis, K., Lampropoulou, S., Xergia, S., Bania, T., Tsepis, E., & Billis, E. (2022). Physiotherapists’ perceptions and willingness to use telerehabilitation in Greece: A cross-sectional study. Cureus. 8;14(12):e32317.https://doi.org/10.7759/cureus.32317

Yusoff MSB. (2019). ABC of content validation and content validity index calculation. Education in Medicine Journal, 11(2):49–54. https://doi.org/10.21315/eimj2019.11.2.6

Zahid, Z., Atique, S., Saghir, M. H., Ali, I., Shahid, A., & Malik, R. A. (2017). A commentary on telerehabilitation services in Pakistan: Current trends and future possibilities. International Journal of Telerehabilitation, 71–76. https://doi.org/10.5195/ijt.2017.6224

Zampolini, Mauro & Todeschini, Elisabetta & Guitart, Montserrat & Hermens, Hermie & Ilsbroukx, Stephan & Macellari, Velio & Magni, Riccardo & Rogante, Marco & Marchese, Sandro & Vollenbroek - Hutten, Miriam & Giacomozzi, Claudia. (2008). Telerehabilitation: Present and future. Annali dell'Istituto Superiore di Sanità, 44, 125-134.

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Published

2025-01-15

How to Cite

Ali, O. I., Salem, O. M., Mohamed , S. A. A., Ali, S. A. H., & Embaby, E. A. (2025). Physiotherapy Professionals: A Questionnaire for the Evaluation of Telerehabilitation Services in Egypt. International Journal of Telerehabilitation, 16(2). https://doi.org/10.5195/ijt.2024.6654

Issue

Vol. 16 No. 2 (2024)

Section

Physical Therapy Telehealth

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Copyright (c) 2024 Olfat Ibrahim Ali, Omnia Mustafa Salem, Salma Ashraf Abdelaziz Mohamed , Sabah Abdlnaser Hassan Ali, Eman Ahmed Embaby

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