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Ethics and Equity Challenges in Telerehabilitation for Older Adults: Rapid Review

Ethics and Equity Challenges in Telerehabilitation for Older Adults: Rapid Review

Addressing these concerns is essential to ensure that telerehabilitation services are delivered fairly and effectively, promoting better health outcomes and quality of life for all older adults. This review aims to examine these concerns and explore telerehabilitation for older adults over the past 10 years.

Mirella Veras, Louis-Pierre Auger, Jennifer Sigouin, Nahid Gheidari, Michelle LA Nelson, William C Miller, Anne Hudon, Dahlia Kairy

JMIR Aging 2025;8:e69660

Investigating the Acceptance and Implementation Conditions of Telerehabilitation in Germany Among Patients and Health Care Professionals: Qualitative Interview Study

Investigating the Acceptance and Implementation Conditions of Telerehabilitation in Germany Among Patients and Health Care Professionals: Qualitative Interview Study

Apps were mentioned as the most frequently used telerehabilitation technology, but web-based platforms were also used, mainly in aftercare. Telerehabilitation can usually be used for up to a year. The content mainly focused on balance, movement, and relaxation exercises as well as dietary tips. No prerequisites for using telerehabilitation were mentioned, apart from the basic requirement of owning an electronic device (eg, cell phone, tablet, or monitor) and a stable internet connection.

Monica-Diana Podar, Susanne Stampa, Oliver Razum, Christoph Dockweiler

JMIR Rehabil Assist Technol 2025;12:e68766

Sociotechnical Adaptation of Telerehabilitation in Rehabilitation Practice: Survey Among Rehabilitation Professionals

Sociotechnical Adaptation of Telerehabilitation in Rehabilitation Practice: Survey Among Rehabilitation Professionals

However, the use of telerehabilitation (TR) and factors related to its adoption differ between different professionals [23]. In this paper, we seek to pinpoint the technological and nontechnological factors influencing the adoption of TR in rehabilitation practice. Rehabilitation practice refers to services provided by professional therapists such as music therapists, neuropsychologists, physiotherapists, occupational therapists, and speech and language therapists.

Tuija Partanen, Riitta Seppänen-Järvelä, Sinikka Hiekkala, Jari Lindh

JMIR Rehabil Assist Technol 2025;12:e74296

Internet-Based Telerehabilitation Versus in-Person Therapeutic Exercises in Young Adult Females With Chronic Neck Pain and Forward Head Posture: Randomized Controlled Trial

Internet-Based Telerehabilitation Versus in-Person Therapeutic Exercises in Young Adult Females With Chronic Neck Pain and Forward Head Posture: Randomized Controlled Trial

The usefulness of telemedicine and telerehabilitation in meeting health care demands during emergencies has become more widely acknowledged by medical professionals since the COVID-19 pandemic. According to recent data, the effectiveness of telerehabilitation, especially for physical therapists, may influence clinical decision-making and improve patient outcomes during and after the pandemic [17].

Patcharin Nilmart, Arrada Sichuai, Asree Chedang, Chanikarn Goontharo, Nollapan Janjamsai

JMIR Rehabil Assist Technol 2025;12:e74979

An AI-Based Telerehabilitation Solution to Improve Mobility in People With Multiple Sclerosis (the PLATINUMS Project): Protocol for an Implementation and Evaluation Study

An AI-Based Telerehabilitation Solution to Improve Mobility in People With Multiple Sclerosis (the PLATINUMS Project): Protocol for an Implementation and Evaluation Study

However, only a few studies have tested the capability of telerehabilitation to increase exercise and physical activity participation in people with MS, with some encouraging results [24-26]. Nevertheless, despite the advantages associated with the use of telerehabilitation, several limitations still exist that prevent the use of this technology on a large scale.

Lars Hvid, Susan Coote, Massimiliano Pau, Alon Kalron

JMIR Res Protoc 2025;14:e75983

Patient-Centered, Theory-Based, Online Intervention to Promote a Physically Active Lifestyle for People With Multiple Sclerosis: Protocol for a Randomized Controlled Trial

Patient-Centered, Theory-Based, Online Intervention to Promote a Physically Active Lifestyle for People With Multiple Sclerosis: Protocol for a Randomized Controlled Trial

Telerehabilitation holds substantial promise for addressing these challenges, offering a patient-centered approach that is both cost-effective and efficient. When appropriate for patients, telerehabilitation also proves advantageous and convenient for clinicians. It enables them to assess and monitor treatment responses and outcomes promptly, allowing for the optimization of intervention timing, intensity, and duration as needed [21,22].

Chungyi Chiu, Vaishnavi Sridharan, Mojtaba Khaliji, Md Refat Uz Zaman Sajib, Xiaotian Gao, Kathleen Zackowski

JMIR Res Protoc 2025;14:e66091

A Resource-Efficient, High-Dose, Gamified Neurorehabilitation Program for Chronic Stroke at Home: Retrospective Real-World Analysis

A Resource-Efficient, High-Dose, Gamified Neurorehabilitation Program for Chronic Stroke at Home: Retrospective Real-World Analysis

Their compatibility with remote care models means that patients can engage in therapy at home, either self-directed according to their own schedule (asynchronously) or under remote therapist supervision (synchronous telerehabilitation), offering a potential path to overcoming key implementational barriers to high-dose rehabilitation.

Spencer A Arbuckle, Anna Sophie Knill, Michelle H Chan-Cortés, Gabriela Rozanski, Anastasia Elena Ford, Louis T Derungs, John W Krakauer, Naveed Ejaz, David Putrino, Jenna Tosto-Mancuso, Meret Branscheidt

JMIR Serious Games 2025;13:e69335

The Safety of Telerehabilitation: Systematic Review

The Safety of Telerehabilitation: Systematic Review

In recent years, telerehabilitation has gained rapid popularity due to its ability to overcome barriers such as geographic distance, mobility limitations, and scheduling constraints while also reducing costs by minimizing facility and resource use [7,8]. For example, the American Physical Therapy Association found that telerehabilitation is superior to in-person rehabilitation with respect to adherence for certain health conditions [9].

Hila Shnitzer, Josh Chan, Thomas Yau, McKyla McIntyre, Angie Andreoli, Ailene Kua, Mark Bayley, Carl Froilan Leochico, Meiqi Guo, Sarah Munce

JMIR Rehabil Assist Technol 2025;12:e68681

Health Care Professionals’ Use of Digital Technology in the Secondary Prevention of Cardiovascular Disease in Austria: Online Survey Study

Health Care Professionals’ Use of Digital Technology in the Secondary Prevention of Cardiovascular Disease in Austria: Online Survey Study

Furthermore, DT has facilitated the provision of telerehabilitation, that is, home-based CR programs delivered remotely by CR professionals, which could increase access to a structured and supervised exercise-based CR program for patients who are unable or unwilling to attend a center-based CR program [13].

Luisa Lunz, Sabine Würth, Stefan Tino Kulnik

JMIR Cardio 2025;9:e71366

Evaluation of a Novel eHealth Tool for Pulmonary Rehabilitation in People With Chronic Obstructive Pulmonary Disease: Randomized Controlled Pilot and Feasibility Trial

Evaluation of a Novel eHealth Tool for Pulmonary Rehabilitation in People With Chronic Obstructive Pulmonary Disease: Randomized Controlled Pilot and Feasibility Trial

In addition, central barriers to participation in PR are distance to PR centers, limited knowledge of benefits, and fluctuating health status [11,12], emphasizing a need for novel strategies to provide person-centered care and improve access to PR among people with COPD [13]. e Health solutions, that is, the use of information and communication technologies in health services [14], such as telerehabilitation, represent a promising alternative strategy to improve access to and uptake of PR [15,16].

Åsa Karlsson, Pernilla Sönnerfors, Sara Lundell, Annika Toots, Karin Wadell

JMIR Form Res 2025;9:e68195