Tele-Physiotherapy for Older Adults: A Scoping Review of Feasibility, Accessibility, and Clinical Outcomes

Authors

  • Catherine Hermawan Salim Sekolah Tinggi Ilmu Kesehatan RS Husada
  • Astrid Komala Dewi Sekolah Tinggi Ilmu Kesehatan RS Husada
  • Linauli Happy Christina Zega Sekolah Tinggi Ilmu Kesehatan RS Husada

DOI:

https://doi.org/10.55606/ijhs.v5i3.6179

Keywords:

Aging population, Clinical outcomes, Digital health, Functional independence, Tele-physiotherapy intervention

Abstract

The rapid expansion of digital health technologies has increased interest in tele-physiotherapy as an alternative or complementary approach to traditional in-person rehabilitation for older adults. However, evidence regarding its feasibility, accessibility, and clinical outcomes remains fragmented across different populations and delivery models. This scoping review aimed to explore and synthesize current evidence on the feasibility, accessibility, and clinical effectiveness of tele-physiotherapy interventions for older adults published between 2020 and 2025. A systematic search was conducted across four major databases, PubMed, Scopus, and Google Scholar, for studies published from 2020 to 2025. Inclusion criteria comprised peer-reviewed articles involving older adults (≥60 years) who received physiotherapy via telehealth platforms. Studies focusing on feasibility, usability, or clinical outcomes were included. After screening 490 articles and removing duplicates, 8 studies met the inclusion criteria. Data were extracted on study design, sample characteristics, interventions, and outcomes. Tele-physiotherapy represents a promising, cost-effective, and accessible rehabilitation strategy for older adults, particularly in contexts with restricted physical access to healthcare. Although feasibility and short-term effectiveness are well-supported, further research is required to evaluate long-term outcomes. Integrating tele-physiotherapy into geriatric care models could enhance continuity of care and promote functional independence in the aging population.

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References

An, J. A., Ryu, H. K., Lyu, S. J., Yi, H. J., & Lee, B. H. (2021). Effects of preoperative telerehabilitation on muscle strength, range of motion, and functional outcomes in candidates for total knee arthroplasty: A single-blind randomized controlled trial. International Journal of Environmental Research and Public Health, 18(11). https://doi.org/10.3390/ijerph18116071

Bennell, K. L. (2021). Comparing video-based, telehealth-delivered exercise and weight loss programs with online education on outcomes of knee osteoarthritis: A randomized trial. Annals of Internal Medicine, 175(2).

Berry, E. C. J., Sculthorpe, N. F., Warner, A., Mather, J. D., Sanal-Hayes, N. E. M., & Hayes, L. D. (2025). A scoping review of the feasibility, usability, and efficacy of digital interventions in older adults concerning physical activity and/or exercise. Frontiers in Aging, 6, 1–18. https://doi.org/10.3389/fragi.2025.1516481

Bezuidenhout, L., Joseph, C., Thurston, C., Rhoda, A., English, C., & Conradsson, D. M. (2022). Telerehabilitation during the COVID-19 pandemic in Sweden: A survey of use and perceptions among physiotherapists treating people with neurological diseases or older adults. BMC Health Services Research, 22(1), 1–11. https://doi.org/10.1186/s12913-022-07968-6

Borges, P. R. T., Sampaio, R. F., Dias, J. F., Mancini, M. C., Ocarino, J. M., & Resende, R. A. (2024). App-based telerehabilitation program for older adults on waiting list for physiotherapy after hospital discharge: A feasibility pragmatic randomized trial. Pilot and Feasibility Studies, 10(1), 1–11. https://doi.org/10.1186/s40814-024-01521-4

Chen, S. C., Lin, C. H., Su, S. W., Chang, Y. T., & Lai, C. H. (2021). Feasibility and effect of interactive telerehabilitation on balance in individuals with chronic stroke: A pilot study. Journal of NeuroEngineering and Rehabilitation, 18(1), 1–11. https://doi.org/10.1186/s12984-021-00866-8

Edgar, M. C., Monsees, S., Rhebergen, J., Waring, J., Van der Star, T., Eng, J. J., & S., B. M. (2017). Telerehabilitation in stroke recovery: A survey on access and willingness to use low-cost consumer technologies. Telemedicine and E-Health, 23. https://doi.org/10.1089/tmj.2016.0129

Hawley-Hague, H., Tacconi, C., Mellone, S., Martinez, E., Chiari, L., Helbostad, J., & Todd, C. (2021). One-to-one and group-based teleconferencing for falls rehabilitation: Usability, acceptability, and feasibility study. JMIR Rehabilitation and Assistive Technologies, 8(1). https://doi.org/10.2196/19690

Ilali, M., Le Berre, M., Vedel, I., & Khanassov, V. (2023). Telemedicine in the primary care of older adults: A systematic mixed studies review. BMC Primary Care, 24(1). https://doi.org/10.1186/s12875-023-02085-7

Laver, K. E., Adey-Wakeling, Z., Crotty, M., Lannin, N. A., George, S., & Sherrington, C. (2020). Telerehabilitation services for stroke. Cochrane Database of Systematic Reviews, 2020(1). https://doi.org/10.1002/14651858.CD010255.pub3

Llorens, R., Fuentes, M. A., Borrego, A., Latorre, J., Alcañiz, M., Colomer, C., & Noé, E. (2021). Effectiveness of a combined transcranial direct current stimulation and virtual reality-based intervention on upper limb function in chronic individuals post-stroke with persistent severe hemiparesis: A randomized controlled trial. Journal of NeuroEngineering and Rehabilitation, 18(1), 1–13. https://doi.org/10.1186/s12984-021-00896-2

López-García, M., Jiménez-Rejano, J. J., & Suárez-Serrano, C. M. (2024). Telerehabilitation: Vestibular physiotherapy vs. multicomponent exercise for functional improvement in older adults: Randomized clinical trial. Journal of Clinical Medicine, 13(14). https://doi.org/10.3390/jcm13144279

Man, S. S., Wen, H., Chiu, K. T., Wang, F., & Chan, H. S. (2024). Effectiveness of telephysiotherapy in improving older adults’ physical and psychological outcomes: A systematic review and meta-analysis. Healthcare (Switzerland), 12(17). https://doi.org/10.3390/healthcare12171775

Marks, D., Kitcher, S., Attrazic, E., Dphysio, W. H., & Cottrell, M. (2022). The health economic impact of musculoskeletal physiotherapy delivered by telehealth: A systematic review. International Journal of Telerehabilitation, 14(2), 1–18. https://doi.org/10.5195/ijt.2022.6524

Sivertsson, J., Sernert, N., & Åhlund, K. (2024). Exercise-based telerehabilitation in chronic low back pain: A scoping review. BMC Musculoskeletal Disorders, 25(1). https://doi.org/10.1186/s12891-024-07952-7

Snoswell, C. L., Taylor, M. L., Comans, T. A., Smith, A. C., Gray, L. C., & Caffery, L. J. (2020). Determining if telehealth can reduce health system costs: Scoping review. Journal of Medical Internet Research, 22(10). https://doi.org/10.2196/17298

Toledano-Shubi, A., Shapira, A. L., Fuchsman, R., Marco, R., Hel-Or, H., & Sarig Bahat, H. (2025). Feasibility and effectiveness of physical exercise for older adults delivered remotely via videoconferencing: Systematic review and meta-analysis. Age and Ageing, 54(6), 1–15. https://doi.org/10.1093/ageing/afaf171

Tricco, A. C., et al. (2018). PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation. Annals of Internal Medicine, 169(7).

Velayati, F., Ayatollahi, H., & Hemmat, M. (2020). A systematic review of the effectiveness of telerehabilitation interventions for therapeutic purposes in the elderly. Methods of Information in Medicine, 59(2–3), 104–109. https://doi.org/10.1055/s-0040-1713398

Wicks, M., Dennett, A. M., & Peiris, C. L. (2023). Physiotherapist-led, exercise-based telerehabilitation for older adults improves patient and health service outcomes: A systematic review and meta-analysis. Age and Ageing, 52(11), 1–13. https://doi.org/10.1093/ageing/afad207

Wu, M., Li, C., Hu, T., Zhao, X., Qiao, G., Gao, X., Zhu, X., & Yang, F. (2024). Effectiveness of telecare interventions on depression symptoms among older adults: Systematic review and meta-analysis. JMIR mHealth and uHealth, 12(1). https://doi.org/10.2196/50787

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Published

2025-11-10

How to Cite

Catherine Hermawan Salim, Astrid Komala Dewi, & Linauli Happy Christina Zega. (2025). Tele-Physiotherapy for Older Adults: A Scoping Review of Feasibility, Accessibility, and Clinical Outcomes. International Journal Of Health Science, 5(3), 218–228. https://doi.org/10.55606/ijhs.v5i3.6179

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