Digital Health in Relation to Physiotherapy: A Comprehensive Review

This report examines the integration of digital health technologies within physiotherapy practices. It analyzes four articles focusing on the use of e-tools, digital interventions, and their impact on patient care, particularly in areas like ACL reconstruction and postnatal care. The first article explores physiotherapists' experiences with e-tools, utilizing hermeneutic and phenomenological analysis. The second article investigates the acceptability of a digital health intervention, TRAK, in supporting patients following ACL reconstruction through qualitative research and semi-structured interviews. The third article evaluates a digital health resource for postnatal women. The fourth article examines the use of tablet computers to promote physical therapy students' engagement in knowledge translation. The report discusses the methodologies employed, findings related to patient engagement, challenges in adoption, and the overall effectiveness of digital health in improving patient outcomes and enhancing the therapeutic relationship. The analysis highlights the importance of balancing technology with patient-therapist interaction and the need for further research to fully understand the implications of digital health in physiotherapy.

Digital Health in relation to
Physiotherapy

Abstract
The purpose of the investigation has been performed to have the proper level of gaining the
knowledge as pr insights to have the experience in description along with integration in the
specified level digital media involvement in physiotherapy. There is inclusion of the 4 article
which have the clear level of specification in terms of the methods which is being used to have
the performance of research in effective way. The first article have roper filling of consent
form which is being actually attached to emails with 8 physiotherapists as the ratio of 3:1
between the private and municipally employed one. The analysis has hermeneutic approach
along with phenomenological to have interpretation of text. On the other hand the other article
is qualitative research as long with the semi structured interviews in ACL construction long
with their respective physiotherapists form the NHS hospital of London.

Contents
Abstract........................................................................................................................................2
Article 1.......................................................................................................................................4
Physiotherapists’ experiences of adopting an eTool in clinical practice: a post-
phenomenological investigation.........................................................................................4
Article- 2......................................................................................................................................7
Acceptability of a digital health intervention alongside physiotherapy to support patients
following anterior cruciate ligament reconstruction...........................................................7
ARTICLE 3................................................................................................................................10
Evaluation of a digital health resource providing physiotherapy information for postnatal
women in a tertiary public hospital in Australia..............................................................10
ARTICLE 4................................................................................................................................13
Use of Tablet Computers to Promote Physical Therapy Students' Engagement in
Knowledge Translation During Clinical Experiences......................................................13
REFERENCES..........................................................................................................................16

Article 1
Physiotherapists’ experiences of adopting an eTool in clinical practice: a post-
phenomenological investigation
Introduction
The purpose of the investigation has been performed to have the proper level of
gaining the knowledge as per insights to have the experience in description along with
integration in the specified level of use as tool in physiotherapy. There has been the use of
convenience sampling which is considered to be similar to the researcher paper which is being
used in the illustrating the health workers in a rabblement program reproduced stereotypes of
home dwelling elderly people largely because of the way the program is designed. On the
other hand, the both the studies have the properly investigated the term technology at the
broader level which have the major level of inclusion of analysis of networks along the
technological setup which have been performed at significant way. This method have actuality
scrutinizes the human technological level of interaction by 'letting thing talks' to be performed.
Method
The month is begun used by having proper filling of consent form which is being
actually attached to emails by taking the 8 physiotherapists as the ratio of 3:1 between the
private and municipally employed one. The analysis has been guided by the hermeneutic
approach along with phenomenological mode in order to have interpretation of text. There is
inclusion of both male and female therapist has been participated in the research. There is
thematically also the elements which is being united by the sense ambiances. The research has
been settled out in small sample in the small country which is making the easily level of
identifiable be the respective level of colleagues so the finding have been represented in form
of story that is of Alex. There is used of various level of examples in order to put the
arguments across. On the hand making of various efforts to have acknowledged along with
activity the preconception with prejudgments which is in order being brought up by
interpreters to have the perfect level of analysis.
Results
As per the Bødker,(2019), the article have the clear level of reevaluation in terms of how
physiotherapists have the deployments of their respective skills as per the existence of
resonance clinical skills which are considered to be active, critical and more level of

appropriates of the e tool. On the other hand the contradict that despite having the ambiguous
level of attitude towards the e tool, the psychotherapists have developed the ownership which
is being related to the e tool which is actually balancing and combines the practice of two
modes in order to have collection of data for research purpose and other one to have
treatments of patients. The author also stated that the health technologies have developments
of assessment protocol along with models to have the developments of health technologies
which could be benefited from theoretical foundation along with acknowledging non
neutrality and two side-mess of tools.
Reflection and Discussion
As per the view of Crowther and et.al.,( 2017) it has been stated that other studies
which are in relation to the subject have addressed the technology in more explicit manner
such as contrary to the theoretical aspects of radiology transient which have been use in
implicit way to have interpretation at every stage. Research was based on interview. It is the
most reliable method to collect information. Data collected through this is authentic. On the
other hand, the Dunphy and et.al., 2017) argued that there is are existence of interview based
study which have the Revelations of the patients feeling along with responsibility bearing in
order to take the prescribed medicines which is been correctly placed by nurses which is been
replaced by electrostatic pill box. I have analyzed that there is existence of various challenges
which is been faced by physiotherapists in more to have the adoption to e to such as the
striking the balance which is pitching the e tool to have maintained a certain level of distance
from it. There is also the level of risk among patients that they will lose the confidence and
trust among therapist. The author has states that there is existence of close investigation and
constant scrutiny of implementation the digital health practices in order to be developed and
expansion with the sense of potentiality over specifies devices attention. I also analyzed that
making use of digital technology has assisted patients in enhancing their health outcome. It
has laid positive impact on their health and well-being.
Conclusion
On the other hand Crowther and et.al., ( 2017) contradict that this finding cannot be
considered as the generalized way to have the level of application in terms of e health which is
being applied. The author also added that there are orphans impacts in which prediction along
with in investigation and regulated are yet to be underpinned by methodology. On the other

hand the Bødker,(2019), states the inquiry in the report have the elevation of promising
approach which have major involvement of active, critical and appropriation of novel
technologies. The author also stated that the health technologies have developments of
assessment protocol along with models to have the developments of health technologies which
could be benefited from theoretical foundation along with acknowledging non neutrality and
two side-mess of tools. There is more level of identification of present hand in situation which
is having the degree of transparency is getting being reduced with time. The last could be
stated as therapist have the major level of inclinations in order to have the exploration of the
possibility of implementation of e-tools along with its potential level of benefits in order to
have the establishments of therapeutic relationship and the patients treatment and outcome.
There is major level of indemnification between patients, physiotherapists along with e tools
which have the major level of involvement of the split which ave the physiotherapist’s
intentional directness in the actual situation. It has been argued by Friis, (2017) that the e tool
is actually have the enhancing the therapist skills which have major providence of therapist
towards extra points to have the different level of information which can be actually being in
inculcate with experience or clinically relevant topics which have been actually remained
unthematized.

Article- 2
Acceptability of a digital health intervention alongside physiotherapy to support patients
following anterior cruciate ligament reconstruction
Introduction
The research have used the qualitative research as long with the semi structured
interviews. There is the use of convenience sampling in which there is existence of
participants which have following of ACL construction long with their respective
physiotherapists form the NHS hospital of London. The involved level of participant were
asked to have TRAK which is considered to be alongside having face to face physiotherapy
for time duration of 16 periods. There is absolute level of performance which have the major
inclusion of the interview in which audio has been recorded along with transcribed verbatim in
which coded by the two respective researcher independently.
Method
On the other hand, the data is been analysis as per the thematic analysis. In order to
have TRAK the Five physiotherapists were trained on how to use TRAK and integrate it into
patient care alongside face-to-face physiotherapy (Blixt, Solbrække and Bjorbækmo, 2019).
The use convenience sample method was done as patients were recruited from all stages of
the physiotherapy post-operative ACL pathway. The major level of sample collection is done
by having the predominantly recreational athletes who are astutely being referring to
orthopedics. There is major level of involvement of the TRAK exercise programmers which is
being actuarial mainstreamed and being updated by all the insisting level of physiotherapist
who are actual involved in the group. The themes are being concluded as per the data which
was actually analyzed with code by the principal level of investigator along with having
separates codding witch is done by another team member. The interview questions were
guided by topics that arose in previous related studies and from ongoing informed discussion
within the research team. The TRAK have the inclusion to face physiotherapy for time
duration of 16 periods involvement actuarial mainstreamed and being updated by all the
insisting level of physiotherapist who are actual involved in the group.
Results
The study was conducted on 25 individuals who were asked to contribute into this
research practice. 24 of them agreed, in this study there were 8 females and 16 males who

were of age 30. In this interview questions were being separately asked to patients and
alongside face to face interview was also experienced by service users and physiotherapist.
Results are totally based on the themes, it provided that users how and why users accept and
do not accept TRAK procedure (Klucken and et.al., 2018). It has been analyzed from patients
that TRAK enhances their experience. Face to face care by physiotherapist and use of website
which assist patients in self managing gave access to patients for resources which they can
require all the time. It was reviewed from the article that patients who were personally
engaged with both traditional physiotherapy and TRAK has improved health outcomes in
comparison to those who felt like a burden to attend the rehab center. Some of the patients also
reviewed that they were benefited by using TRAK as rehabilitation process. The videos
through which they were practicing has assisted them in triggering their motivation and
confidence level. They also mentioned that videos also helped them in knowing about what
exercise they must be engaged in. This aspect has significantly improved their health
outcomes. Patients discussed about extrinsic and intrinsic problems which were faced by them.
They explained that TRAK as self-management tool was not so effective. They have problems
related to communication which can be solved by better physiotherapist management.
Reflection and Discussion
This research has assisted me in knowing that patients generally accepted TRAK as a
self-management tool that has helped them in triggering their motivation level and also by this
tool they were able to know about what kind of exercise is right for them. Physiotherapists
were also involved in managing this website and provided training on how patients can
enhance their health through this tool. They also discussed about the risks which were
associated while using TRAK. They laid special emphasis on red flag reminder and made sure
that there is no delay in picking up of service users who are in need. Some of the patients also
explained that TRAK made them dependent, as in this website they cannot perform
interventions on their own. Slow respond to emails by physiotherapist has reduced the
standard of care related with TRAK. Main challenge in management of TRAK is clinical time.
Patients felt like making use of better hardware such as tablets can enhance marinating of
TRAK information, it can increase efficiency and also personalized programs can be
maintaining properly.
Conclusion

Patients opinion was being explored in article, it lays emphasis on the advantage of a
blended approach. TRAK enhanced service user’s involvement in process of improving health
outcome. But they also felt like some sort of technical improvement was been required in
TRAK. It has enhanced the quality of physiotherapy practice.

ARTICLE 3
Evaluation of a digital health resource providing physiotherapy information for postnatal
women in a tertiary public hospital in Australia
Introduction:
This article laid emphasis on the importance of digital health resources provided by
Physiotherapist in order to help women in overcoming problem of Postnatal depression. It is a
kind of disorder that is being faced by females or girls after they have given birth to child.
Physiotherapist who were involved in research provided women with video clips that can
assist them in exercising so that they can overcome problem of Postnatal depression.
Methods
In this article Postnatal women were asked to be included in the survey related to
digital health during the 17 days’ recruitment period. Thematic analysis was being done in
article and also survey was mailed to women on their personal email address. In this article
Physiotherapy department was engaged to provide advice to all postnatal women who were
being going through various issues such as anxiety disorder, loss appetite, insomnia, fear of
lessening everything, also they can consult physiotherapist for problems like musculoskeletal
discomfort and floor dysfunction. Staff members gives services users with information sheet
and also mentioned them that all data collected by them will be anonymous. Thematic analysis
is being done when researchers are collecting qualitative data (Blixt, Solbrække and
Bjorbækmo, 2019). This is being used by researchers in order to find out information related
to common topic, and subject matter. This analysis is a part of descriptive research. In this
article questionnaire was being mailed to personal email address of women who were involved
in research. Discussion was made related to using of digital resources in physiotherapy in
order to provide assistance to women suffering from Postnatal depression. Thematic analysis
has assist researchers in knowing about the thoughts and perception of women related to using
E-tools during this tough phase (Straker and et.al., 2018). Thematic analysis also consists of
two type of approaches which is inductive and deductive. In inductive approach evaluation of
themes can be done. In deductive approach knowledge based methods is to be used. Thematic
analysis will assist researchers in evaluating and interpreting information that can be useful for
them

Result: In this article evaluation about digital postnatal physiotherapy resource was
being done. It was being analysed in article that giving birth to child has long lasting impact
on health outcome of female. Health outcome can be improved by women engaged in taking
physiotherapy after she was undergone the delivery process. It was being analysed that
females have no adequate knowledge related to postnatal recovery and service which are being
available to them after child birth was known to women. They also have no knowledge about
the digital health resource in physiotherapy that was being available to them. From the survey
it was identified that only 9 out of 27 women have gone through video clips which were being
given by Physiotherapist that can assist them in improvising their habits. Some of the female
and girls involved in research also forget to watch the video.
Reflection and Discussion: As in the article it was given that some women were not
involved in watching the video which was being published by Physiotherapist. I realised that
reason behind it was lack of time (Kononowicz and et.al., 2019). Some women have watched
the video and forgot about information which was published in it. Also I realised that
providing information to women by using multiple formats has assisted me in enhancing my
learning styles. It was identified from article that women who did not watch video reported
about it and also went under consultation with their physiotherapist during their small ward
stay. Some of the women also mentioned about as they are in huge pressure during discharge
process and have less time to gain information form health care professionals, digital resources
such as video given by Physiotherapist has assisted them in knowing about the forms of
exercise which females can do in order to overcome from Postnatal depression.
These exercise forms have really helped them in enhancing their health outcome.
Article also emphasised that participating Physiotherapist has under-gone training related to
usage of E-tools or digital tools in order to provide assistance to female or girls after they have
given child birth. I realised that women also listed about challenges on Postnatal women’s
time. They have a problem with the length of video and also some of the women were not
being interested in watching out video given by Physiotherapist. Most of the females who
watched video were advised to do Pelvic Floor exercise. I also realised that lack of time was
one of the common barrier that was being faced by females and girls.
Conclusion

Furthermore, article has emphasised upon enhancing awareness about resources that can
be useful for females and girls facing issue of Postpartum depression. Various challenges
faced by women has also been discussed in article. Ward based physiotherapy was given to
women and postnatal education class was also been provided so that knowledge of females
and girls can be enhanced. This can assist them in overcoming this problem of Postnatal
depression. Also in article it was being advised to patient going through this issue about
consuming a healthy diet which contains lots of fibre in it. In the article women also
mentioned about themes related to recovery, health, fitness and well-being. They were
motivated to watch videos and digital videos given by Physiotherapist. It has encouraged them
to be engaged in doing floor exercise (Dyck, 2019). These aspects assisted women’s body
during and after the time of pregnancy to respond positively to changes which they are facing
in this critical time. It reduces level of dis-satisfaction among females and women. It was
analysed in article that women who do not use English Language was excluded from research.
Also some of the females made use of translators in order to understand what physiotherapist
were trying to say. Some of the limitations were also being faced while doing research like
reminder emails were being sent to women and girls so that they can complete it on time.