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Authors

Majed Jazi Alharbi

Abdullah A. Alshalawi

Abdulrahman D. Alotaibi

Faisal M. Alotaibi

Nouf AlAwfy

Abstract

Physiotherapy specialising on the musculoskeletal system offers non-invasive treatment options for many health issues. Due to poor self-efficacy and a lack of supervision, fitness programmes are currently not very popular. One potential answer to this issue might be the adoption of mHealth interventions, which would assist encourage self-management at home. On the other hand, musculoskeletal physiotherapy's best mHealth practices are not well-supported by research. The purpose of this PAER is to review the research on mobile health applications in musculoskeletal physical therapy and to provide conclusions based on those findings. In March 2022, researchers in Saudi Arabia performed a scoping study of six datasets that had been peer-reviewed. Only items published in English were chosen, and there were no restrictions on the dates. Data extraction followed article screening by two more researchers who randomly selected a subset of the papers. Despite high levels of patient satisfaction with mHealth, disengagement was seen due to issues such as slow internet and a lack of high-quality information. Short training periods and unfamiliarity with the technique were obstacles to its clinical acceptance. One area where mHealth shows promise is in improving treatment adherence; it has the ability to be both more cost-efficient and just as effective as traditional physiotherapy care. Currently, mHealth works best when a healthcare provider can provide continuous feedback.

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References

  1. CSP. Scope of practice. London: Chartered Society of Physiotherapy; 2016.
  2. Byles S, Ling R. Orthopaedic out-patients—a fresh approach. Physiotherapy 2021(7):435–7.
  3. Suckley J. Core clinical competencies for extended-scope physiotherapists working in musculoskeletal (MSK) interface clinics based in primary care: a Delphi consensus study. Salford, UK: University of Salford; 2022.
  4. Fennelly O, Desmeules F, O’Sullivan C, Heneghan N, Cunningham C. Advanced musculoskeletal physiotherapy practice: informing education curricula. Musculoskelet Sci Pract 2020:102174.
  5. Stevenson K,Bicker G,Cliffe S, Kemp J, Menon A, Hall E, et al. Development, implementation and evaluation of a bespoke, advanced practice musculoskeletal training programme within a clinical assessment and treatment service. Musculoskeletal Care 2020;18(2):204–10.
  6. Saxon RL, Gray MA, Oprescu FI. Extended roles for allied health professionals: an updated systematic review of the evidence. J Multidiscip Healthc 2019;7:479.
  7. Stanhope J, Grimmer-Somers K, Milanese S, Kumar S, Morris J. Extended scope physiotherapy roles for orthopedic outpatients: an update systematic review of the literature. J Multidiscip Healthc 2022;5:37–45.
  8. NHS-England. Multi-professional framework for ACP in England. NHS England; 2017.
  9. Rushton A, Beeton K, Jordaan R, Langendoen J, Levesque L, Maffey L, et al. IFOMPT educational standards. International Federation of Orthopaedic Manipulative Physical Therapists; 2016.
  10. Adamse C, Dekker-Van Weering MG, van Etten-Jamaludin FS, Stuiver MM. The effectiveness of exercise-based telemedicine on pain, physical activity and quality of life in the treatment of chronic pain: a systematic review. J Telemed Telecare 2017 Jul 11;24(8):511-526. [doi: 10.1177/1357633x17716576]
  11. Adhikari SP, Shrestha P, Dev R. Feasibility and effectiveness of telephone-based telephysiotherapy for treatment of pain in low-resource setting: a retrospective pre-post design. Pain Res Manag 2020 May 08;2020:2741278-2741277 [FREE Full text] [doi: 10.1155/2020/2741278]
  12. Azma K, RezaSoltani Z, Rezaeimoghaddam F, Dadarkhah A, Mohsenolhosseini S. Efficacy of tele-rehabilitation compared with office-based physical therapy in patients with knee osteoarthritis: a randomized clinical trial. J Telemed Telecare 2017 Aug 03;24(8):560-565. [doi: 10.1177/1357633x17723368]
  13. Bini S, Mahajan J. Clinical outcomes of remote asynchronous telerehabilitation are equivalent to traditional therapy following total knee arthroplasty: a randomized control study. J Telemed Telecare 2016 Jul 09;23(2):239-247. [doi: 10.1177/1357633x16634518]
  14. Chen Y, Lin C, Tsai M, Chuang T, Lee OK. Wearable motion sensor device to facilitate rehabilitation in patients with shoulder adhesive capsulitis: pilot study to assess feasibility. J Med Internet Res 2020 Jul 23;22(7):e17032 [FREE Full text] [doi: 10.2196/17032]
  15. Correia FD, Nogueira A, Magalhães I, Guimarães J, Moreira M, Barradas I, et al. Medium-term outcomes of digital versus conventional home-based rehabilitation after total knee arthroplasty: prospective, parallel-group feasibility study. JMIR Rehabil Assist Technol 2019 Feb 28;6(1):e13111 [FREE Full text] [doi: 10.2196/13111]
  16. Dunphy E, Hamilton FL, Spasić I, Button K. Acceptability of a digital health intervention alongside physiotherapy to support patients following anterior cruciate ligament reconstruction. BMC Musculoskelet Disord 2017 Nov 21;18(1):471 [FREE Full text] [doi: 10.1186/s12891-017-1846-0]
  17. Eriksson L, Lindström B, Ekenberg L. Patients' experiences of telerehabilitation at home after shoulder joint replacement. J Telemed Telecare 2021 Jan 01;17(1):25-30. [doi: 10.1258/jtt.2010.100317]
  18. Eriksson L, Lindström B, Gard G, Lysholm J. Physiotherapy at a distance: a controlled study of rehabilitation at home after a shoulder joint operation. J Telemed Telecare 2019 Jul 09;15(5):215-220. [doi: 10.1258/jtt.2009.081003]
  19. Gialanella B, Ettori T, Faustini S, Baratti D, Bernocchi P, Comini L, et al. Home-based telemedicine in patients with chronic neck pain. Am J Phys Med Rehabil 2017 May;96(5):327-332. [doi: 10.1097/PHM.0000000000000610]
  20. Irvine AB, Gelatt VA, Seeley JR, Macfarlane P, Gau JM. Web-based intervention to promote physical activity by sedentary older adults: randomized controlled trial. J Med Internet Res 2019 Feb 05;15(2):e19 [FREE Full text] [doi: 10.2196/jmir.2158]
  21. Jay K, Schraefel MC, Brandt M, Andersen LL. Effect of video-based versus personalized instruction on errors during elastic tubing exercises for musculoskeletal pain: a randomized controlled trial. Biomed Res Int 2018;2014:790937-790937 [FREE Full text] [doi: 10.1155/2014/790937]
  22. Lade H, McKenzie S, Steele L, Russell TG. Validity and reliability of the assessment and diagnosis of musculoskeletal elbow disorders using telerehabilitation. J Telemed Telecare 2022 Oct 19;18(7):413-418. [doi: 10.1258/jtt.2012.120501]
  23. Lawford B, Delany C, Bennell K, Hinman R. "I was really sceptical...But it worked really well": a qualitative study of patient perceptions of telephone-delivered exercise therapy by physiotherapists for people with knee osteoarthritis. Osteoarthritis Cartilage 2018 Jun;26(6):741-750 [FREE Full text] [doi: 10.1016/j.joca.2018.02.909]
  24. Lovo S, Harrison L, O'Connell ME, Trask C, Bath B. Experience of patients and practitioners with a team and technology approach to chronic back disorder management. J Multidisciplinary Healthcare 2019 Oct;2019:855-869. [doi: 10.2147/jmdh.s208888]
  25. Mani S, Sharma S, Omar B, Paungmali A, Joseph L. Validity and reliability of internet-based physiotherapy assessment for musculoskeletal disorders: a systematic review. J Telemed Telecare 2016 Mar 31;23(3):379-391. [doi: 10.1177/1357633x16642369]
  26. Mecklenburg G, Smittenaar P, Erhart-Hledik JC, Perez DA, Hunter S. Effects of a 12-week digital care program for chronic knee pain on pain, mobility, and surgery risk: randomized controlled trial. J Med Internet Res 2018 Apr 25;20(4):e156 [FREE Full text] [doi: 10.2196/jmir.9667]
  27. Nelson M, Bourke M, Crossley K, Russell T. Telerehabilitation is non-inferior to usual care following total hip replacementa randomized controlled non-inferiority trial. Physiotherapy 2020 Jun;107:19-27. [doi: 10.1016/j.physio.2019.06.006]
  28. Piqueras M, Marco E, Coll M, Escalada F, Ballester A, Cinca C, et al. Effectiveness of an interactive virtual telerehabilitation system in patients after total knee arthoplasty: a randomized controlled trial. J Rehabil Med 2017 Apr;45(4):392-396 [FREE Full text] [doi: 10.2340/16501977-1119]
  29. Richardson BR, Truter P, Blumke R, Russell TG. Physiotherapy assessment and diagnosis of musculoskeletal disorders of the knee via telerehabilitation. J Telemed Telecare 2016 Jul 08;23(1):88-95. [doi: 10.1177/1357633x15627237]
  30. Rushton A, Lindsay G. Defining the construct of masters level clinical practice in healthcare based on the UK experience. Med Teach 2018;30(4):e100–7.