Tele-Rehab and COVID-19

Updated: July 8, 2021
 Tele-Rehabilitation in Times of COVID-19 (2021) An outline of key questions for physiotherapists to consider when providing tele-rehab to ensure quality care.
Physiotherapy Digital Practice Experiences and Insights During COVID-19 (April 2021) This paper highlights the impact of COVID-19 on physiotherapy digital practice as reported by World Physiotherapy member organizations and individual physiotherapists. It includes reflections on changes in practice and potential implications for the future. Case studies illustrate the innovation and variability in changes to service delivery.
NEW Effectiveness of a telerehabilitation program for COVID-19 survivors (TERECO) on exercise capacity, pulmonary function, lower limb muscle strength, and quality of life: a randomized controlled trial (March 2021) As compared to a control group, authors reported those who participated in a telerehab program for COVID-19 survivors had improved exercise capacity, lower-limb muscle strength, and physical quality of life.
Continuity of Care During COVID-19 Lockdown: A Survey on Stakeholders' Experience With Telerehabilitation (January 2021) An observational transversal study on a web-based survey to explore participants' perception and satisfaction of telerehabilitation during COVID-19 lockdown. 
A systematic review about telemedicine in orthopedics (February 2021) A systematic review of the evidence for the use of telemedicine in orthopedics, including Telerehabilitation.

 Telerehab Implementation Toolkit (November 2020)

This webinar features team members from the Toronto Rehabilitation Institute’s Brain Rehabilitation Program and Mobility Innovations Centre sharing key learnings on their Telerehabilitation Toolkit for Outpatient Rehabilitation Programs. The toolkit helps rehabilitation organizations and providers implement, improve, and evaluate virtual rehabilitation.
COVID-19 Pandemic and Beyond: Considerations and Costs of Telehealth Exercise Programs for Older Adults With Functional Impairments Living at Home—Lessons Learned From a Pilot Case Study (August 2020) Study provides an overview of the process and costs of developing and delivering telehealth exercise programs for older adults with functional impairments.
Musculoskeletal Physical Therapy During the COVID-19 Pandemic: Is Telerehabilitation the Answer? (August 2020) Editorial of the benefits of Telerehab for patients with musculoskeletal rehab needs.
 Practical Considerations for Implementing Virtual Care in Physical Medicine and Rehabilitation. For the Pandemic and Beyond (June 2020) This article outlines a practical approach to implementing virtual care for physiatrists. Key themes covered in this article include selecting appropriate virtual care platforms, obtaining patient consent for virtual care and conducting successful virtual visits. It also reviews strategies for performing virtual physical examinations and engaging learners in virtual care.
 Rehab Care Alliance Tele-Rehab  Q&A Follow-Up Webinar (June 2020) This webinar addresses questions submitted during the Tele-Rehab Webinar of May 13 2020 (see below).
  • Questions and written responses can be found in the Q & A document.
  • Several resources on tele-rehab shared by the speakers are also provided.
Assessing long-term rehabilitation needs in COVID-19 survivors using a telephone screening tool (C19-YRS tool) (June 2020) Overview of a telephone screening tool recently developed by multi-disciplinary rehabilitation teams in the UK to screen for needs and target rehabilitation interventions in COVID-19 survivors after discharge from hospital care. The tool is free to use and covers the multiple body systems affected in COVID-19 and all domains of the WHO ICF framework.
 Dysphagia Assessment and Treatment During the COVID-19 Pandemic: Lessons Learned from the Transition to Telepractice (May 2020) This article, from Speech-Language and Audiology Canada, reviews relevant telepractice literature and shares the lessons learned from clinical implementation of virtual dysphagia assessment and treatment.
 Rehab Care Alliance Tele-Rehab Webinar (May 2020) This webinar shares experiences from providers across the province with implementing tele-rehab and includes:
  • Key considerations and enablers of using tele-rehab
  • Practical tips for setting up tele-rehab quickly
  • Learnings from those in the field who have implemented tele-rehab in individual and group formats.
 COVID-19 Virtual Care Toolkit (May 2020) Complimentary toolkit published by Accreditation Canada and Health Standards Organization. Provides considerations for patients, health professionals and digital teams involved in virtual care.
 A Pragmatic Overview of the Research and Implementation of Tele-Rehabilitation with Neurological Populations (April 2020)  This webinar provides an overview of the evidence for tele-rehab, including special considerations in using tele-rehab with individuals living with neurological conditions. The speakers also provide clinical examples and lessons learned from their own research.
 Rehabilitation for Patients with COVID-19 - Guidance for Occupational Therapists, Physical Therapists, Speech-Language Pathologists, and Assistants (April 2020) This document was developed by McMaster University's School of Rehabilitation Science in Canada and was informed by the best available evidence, including consultation with the clinical community. It consolidates findings from resources for frontline rehabilitation professionals.
Future-proofing cardiac rehabilitation: Transitioning services to telehealth during COVID-19 (April 2020) Letter to the Editor in the European Journal of Preventive Cardiology. 
How to Conduct an Outpatient Telemedicine Rehabilitation or Prehabilitation Visit (April 2020) Outlines the components of an outpatient telemedicine visit for physiatrists with a particular focus on an adapted virtual physical examination. Includes a description of the general approach to the visit, reviews definitions of terms commonly used in telemedicine, and offers tips for optimizing the encounter.
 Engaging Telepractice in your Occupational Therapy Practice: Considerations for attention during the COVID-19 pandemic (April 2020)

Resource document from the Ontario Society of Occupational Therapists. Provides information and resources to help determine when to use telepractice.

 Adopting and Integrating Virtual Visits into Care: Draft Clinical Guidance For Health Care Providers in Ontario (March 2020) This document was initiated by the Quality business unit of Ontario Health and the Ontario Telemedicine Network (OTN) based on discussions with clinician leaders about the need for additional clinical guidance to support the adoption and integration of virtual visits in health care in Ontario.