Telerehabilitation

Digital physiotherapy significantly improves physical function in knee osteoarthritis compared with non-digital standard care, but the effect is small. Digital physiotherapy was generally more effective or non-inferior for pain relief, but heterogeneity prevented an overall pain meta-analysis. Telerehabilitation may reduce barriers and costs while supporting care from any location. Telerehabilitation has demonstrated effectiveness comparable to in-person care and eliminates transportation and access barriers. The telerehabilitation protocol consists of 40-minute sessions twice weekly (24 total), supervised in real-time by licensed physiotherapists with at least 5 years of musculoskeletal rehabilitation experience. Evidence for quality-of-life benefit from digital physiotherapy is inconsistent. Prior trials suggest telerehabilitation for non-specific neck pain can be at least as effective as traditional programmes. The platform adapts treatment recommendations using patient-reported outcomes and symptom changes across sessions. Telerehabilitation is delivered home-based via GDPR-compliant institutional videoconferencing for both trial groups. Each telerehabilitation session include…