Informing the Development of Telehealth Education in Physiotherapy Programs. Assessments and Interventions for Individuals Accessing Physiotherapy Care via Synchronous Telehealth. A Scoping Review

为物理治疗项目中的远程医疗教育发展提供信息。通过同步远程医疗获得物理治疗服务的个体的评估和干预:一项范围界定综述

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Abstract

BACKGROUND: In order to develop contemporary telehealth curricula for entry-to-practice physiotherapy programs that develop the capabilities required to practice telehealth, it is important to evaluate the delivery of telehealth practices within the physiotherapy profession. OBJECTIVE: To assess the current literature to (i) determine what types of assessments and interventions have been delivered via synchronous forms of telehealth (videoconferencing and telephone) by physiotherapists (ii) determine which platforms were used for service delivery and which practice areas have delivered synchronous telehealth physiotherapy assessments and interventions. DESIGN: Scoping review adhering to Joanna Briggs Institute guidelines. Three electronic databases (Medline, Embase, and CINAHL) were searched for articles involving physiotherapists using synchronous forms of telehealth (videoconferencing/telephone) to deliver assessments and/or interventions. STUDY SELECTION: Articles were included if they related to physiotherapists using synchronous forms of telehealth (videoconferencing and/or telephone) to deliver assessments and/or interventions. DATA SYNTHESIS: A narrative synthesis was conducted. RESULTS: From 2748 records, 134 studies were included. Standardised assessments (e.g. subjective assessments, range of motion, functional assessment) were the most commonly (82%) delivered. Most interventions delivered were exercise (82%), followed by education (27%). Freely available synchronous videoconferencing platforms including Zoom (n = 30, 34%), WhatsApp (n = 10, 11%), and Skype (n = 9, 10%) were commonly used. Telehealth-delivered physiotherapy assessment and interventions were primarily utilised in musculoskeletal (33%), neurological (23%) and respiratory (14%) practice areas. CONCLUSION: The diverse use of physiotherapy telehealth-delivered assessments and interventions across varied clinical practice settings and patient populations highlights the importance of preparing future physiotherapists with telehealth skills fit for contemporary practice.

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