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Scope, context and quality of telerehabilitation guidelines for physical disabilities: a scoping review

Scope, context and quality of telerehabilitation guidelines for physical disabilities: a scoping review
Scope, context and quality of telerehabilitation guidelines for physical disabilities: a scoping review

Objective: to identify the available guidance and training to implement telerehabilitation movement assessments for people (adults and children) with a physical disability, including those recovering from COVID-19. 

Design: rapid scoping review. Included sources and articles PubMed, CINAHL, PsychInfo, Cochrane, Embase, Web of Science, PEDro, UK Health Forum, WHO, National Archives and NHS England were searched using the participant-concept-context framework from 2015 to August 2020. Primary studies that recruited individuals with physical disabilities and guidance documents aimed at providers to implement movement-related telerehabilitation were included. 

Results: 23 articles (11 primary research studies, 3 systematic reviews and 9 guidance documents) were included out of 7857 that were identified from the literature search. Two main issues were found: (1) telerehabilitation guidance (from both research studies and guidance documents) was not specific to movement-related assessment and (2) most primary research studies provided neither guidance nor training of movement-specific assessment to practitioners. Of the COVID-19 related guidance, two articles reported COVID-19 management that only referred to identifying COVID-19 status without references to specific movement-related guidance. 

Conclusions: telerehabilitation guidance and training have existed pre-COVID-19, yet the lack of specific movement-related information and provider support is surprising. This gap must be addressed to optimise effective implementation of remote assessments for those with physical disabilities. 

Review registration Open Science Framework: osf.io/vm6sp

COVID-19, physiology, protocols & guidelines, rehabilitation medicine, telemedicine
2044-6055
Anil, Krithika
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Freeman, Jennifer A
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Buckingham, Sarah
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Demain, Sara
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Gunn, Hilary
2f6d03a5-20b5-431f-8f64-596e511ad4f5
Jones, Ray B
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Logan, Angela
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Marsden, Jonathan
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Playford, Diane
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Sein, Kim
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Kent, Bridie
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Anil, Krithika
2b2690a5-37f4-4b3e-9b4c-df721d12a2f3
Freeman, Jennifer A
903a013e-c7da-497a-aed0-abe72a9692df
Buckingham, Sarah
d52782ec-f034-40dc-a76c-26b477d5b175
Demain, Sara
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Gunn, Hilary
2f6d03a5-20b5-431f-8f64-596e511ad4f5
Jones, Ray B
b96fe4b3-7405-4b67-8154-68647a59491f
Logan, Angela
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Marsden, Jonathan
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Playford, Diane
51707e0d-5490-4d2f-99cc-cd6297464d61
Sein, Kim
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Kent, Bridie
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Anil, Krithika, Freeman, Jennifer A, Buckingham, Sarah, Demain, Sara, Gunn, Hilary, Jones, Ray B, Logan, Angela, Marsden, Jonathan, Playford, Diane, Sein, Kim and Kent, Bridie (2021) Scope, context and quality of telerehabilitation guidelines for physical disabilities: a scoping review. BMJ Open, 11 (8), [e049603]. (doi:10.1136/bmjopen-2021-049603).

Record type: Article

Abstract

Objective: to identify the available guidance and training to implement telerehabilitation movement assessments for people (adults and children) with a physical disability, including those recovering from COVID-19. 

Design: rapid scoping review. Included sources and articles PubMed, CINAHL, PsychInfo, Cochrane, Embase, Web of Science, PEDro, UK Health Forum, WHO, National Archives and NHS England were searched using the participant-concept-context framework from 2015 to August 2020. Primary studies that recruited individuals with physical disabilities and guidance documents aimed at providers to implement movement-related telerehabilitation were included. 

Results: 23 articles (11 primary research studies, 3 systematic reviews and 9 guidance documents) were included out of 7857 that were identified from the literature search. Two main issues were found: (1) telerehabilitation guidance (from both research studies and guidance documents) was not specific to movement-related assessment and (2) most primary research studies provided neither guidance nor training of movement-specific assessment to practitioners. Of the COVID-19 related guidance, two articles reported COVID-19 management that only referred to identifying COVID-19 status without references to specific movement-related guidance. 

Conclusions: telerehabilitation guidance and training have existed pre-COVID-19, yet the lack of specific movement-related information and provider support is surprising. This gap must be addressed to optimise effective implementation of remote assessments for those with physical disabilities. 

Review registration Open Science Framework: osf.io/vm6sp

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More information

Accepted/In Press date: 31 July 2021
Published date: 12 August 2021
Additional Information: Funding Information: Funding This work was supported by UKRI-NIHR (MRC Section), Covid-19; Reference MR/V021060/1. © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY. Published by BMJ.
Keywords: COVID-19, physiology, protocols & guidelines, rehabilitation medicine, telemedicine

Identifiers

Local EPrints ID: 451074
URI: http://eprints.soton.ac.uk/id/eprint/451074
ISSN: 2044-6055
PURE UUID: 1500a2eb-a8ec-41c1-bfeb-ca08d096707b
ORCID for Krithika Anil: ORCID iD orcid.org/0000-0002-8027-1665

Catalogue record

Date deposited: 07 Sep 2021 16:30
Last modified: 16 Mar 2024 13:47

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Contributors

Author: Krithika Anil ORCID iD
Author: Jennifer A Freeman
Author: Sarah Buckingham
Author: Sara Demain
Author: Hilary Gunn
Author: Ray B Jones
Author: Angela Logan
Author: Jonathan Marsden
Author: Diane Playford
Author: Kim Sein
Author: Bridie Kent

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