Any discussion on telehealth care begins with apprehension about efficacy. It is a work in progress that is going to change the reach and cost-effectiveness of healthcare.
The next doubt is usually, without equipment-based or manual treatment what will a physio do?
This is where our awareness about mobility-based physical rehabilitation has to improve. Physiotherapy assessment and treatment are mainly inclusive of the patient's physical capacity and limitations. This can be easily checked online. Everything else is secondary.
Cases that may need further assessment or have chances of developing complications can be easily referred after the first Online Consultation.
In Chronic pain cases, often home-based exercise plans with regular follow-ups are a good way to introduce long-term maintenance and self-management to the patient.
When preparing for an Online consultation, the following points may help
1. There should be some space for movement, a chair to sit on, and a place for lying down.
2. Another person in the room or on a conference call can be helpful, specifically for elderly patients.
3. Quiet room and proper lighting improve the conversation and assessment.
4. Keep questions ready and share case details or any history if available in advance.
5. Patient may be asked to stand or perform certain movements so dress accordingly.
6. Keep a pen and paper to note down important points.
7. Respect time and prioritize relevant questions.
8. Extra devices and charged batteries reduce time loss.
9. Mobile stand stabilizes video.
10. Pre-booked appointments result in a better overall experience.
Online consultation results in a treatment pattern that is mainly home-based so patients or caretakers must follow advice precisely and contact if any new symptoms or worsening of the condition is seen. Timely review and continuation as recommended make the physical rehabilitation plan successful.