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

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.

Keywords: COVID-19; physiology; protocols & guidelines; rehabilitation medicine; telemedicine.

Figure 1

PRISMA flow diagram that charts the study identification process. PRISMA, Preferred Reporting Items for Systematic Reviews and Meta-Analyses.