Telehealth sounds a bit challenging, but it has potential: participant and physiotherapist experiences of gym-based exercise intervention for Achilles tendinopathy monitored via telehealth

BMC Musculoskeletal Disorders

A. Moran¹  P. Jansons²  S. E. Munteanu³  J. Ridgway⁴  P. Nicklen⁵  P. Malliaras⁵  F. Hasani⁶  J. White⁷  T. Haines⁸ 

[1] Back in Motion Physical Therapy, 3195, Melbourne, Victoria, Australia;Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia;Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Geelong, Australia;Discipline of Podiatry, School of Allied Health, Human Services and Sport, College of Science, Health and Engineering, La Trobe University, 3086, Melbourne, Victoria, Australia;La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, College of Science, Health and Engineering, La Trobe University, 3086, Melbourne, Victoria, Australia;Physiotherapy Department, Peninsula Health, 3199, Frankston, Victoria, Australia;Physiotherapy Department, School of Primary and Allied Health Care, Monash University, 3199, Frankston, Victoria, Australia;Physiotherapy Department, School of Primary and Allied Health Care, Monash University, 3199, Frankston, Victoria, Australia;Physiotherapy Department, Security Forces Hospital, 11481, Riyadh, Kingdom of Saudi Arabia;Research Centre for Generational Health and Ageing, School of Medicine and Public Health, University of Newcastle, 2308, Callaghan, NSW, Australia;School of Primary and Allied Health Care, Faculty of Medicine, Nursing, and Health Sciences, Monash University, 3199, Frankston, Victoria, Australia;

关键词: Achilles tendinopathy;    Exercise;    Telehealth;    Barriers;    Enablers;    Satisfaction;    Qualitative;   

DOI  :  10.1186/s12891-020-03907-w

来源: Springer

【 摘 要 】

BackgroundAlthough telehealth is becoming more popular for delivery of care for individuals with musculoskeletal pain, to our knowledge telehealth has not been used to manage Achilles tendinopathy. This research aimed to explore the experience of participants and physiotherapists with gym-based exercise interventions for Achilles tendinopathy monitored via videoconference.MethodsA qualitative, interpretive description design was performed using semi-structured interviews (8 participants) and a focus group (7 physiotherapists). Participants and physiotherapists were interviewed about their experiences of the use of telehealth during a gym-based exercise intervention incorporating different calf load parameters for Achilles tendinopathy. We employed an inductive thematic analysis approach to analyse the data.ResultsThree themes identified from both participants and physiotherapists included i) acceptability of telehealth; ii) enablers to adherence with telehealth; and iii) barriers to adherence with telehealth. Two extra themes arose from participants regarding adherence with gym-based exercise, including enablers to adherence with the exercise intervention, and barriers to adherence with the exercise intervention. Both participants and physiotherapists expressed overall satisfaction and acceptability of telehealth monitoring of gym-based exercise.ConclusionGym-based exercise intervention for Achilles tendinopathy involving weekly telehealth monitoring was acceptable to both participants and physiotherapists. Potential enablers and barriers were identified that may improve adherence to this type of intervention.

【 授权许可】

CC BY