{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T05:24:35Z","timestamp":1791523475638,"version":"4.3.4"},"reference-count":47,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2023,2,28]],"date-time":"2023-02-28T00:00:00Z","timestamp":1677542400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Digital physiotherapy, often referred to as \u201cTelerehabilitation\u201d, consists of applying rehabilitation using telecommunication technologies. The objective is to evaluate the effectiveness of therapeutic exercise when it is telematically prescribed. Methods: We searched PubMed, Embase, Scopus, SportDiscus and PEDro (30 December 2022). The results were obtained by entering a combination of MeSH or Emtree terms with keywords related to telerehabilitation and exercise therapy. RCTs on patients over 18 years and two groups were included, one working with therapeutic exercise through telerehabilitation and one working with conventional physiotherapy group. Results: a total of 779 works were found. However, after applying the inclusion criteria, only 11 were selected. Telerehabilitation is most frequently used to treat musculoskeletal, cardiac and neurological pathologies. The preferred telerehabilitation tools are videoconferencing systems, telemonitoring and online platforms. Exercise programs ranged from 10 to 30 min and were similar in both intervention and control groups. In all the studies, results proved to be similar for telerehabilitation and face-to-face rehabilitation in both groups when measuring functionality, quality of life and satisfaction. Conclusion: this review generally concludes that intervention through telerehabilitation programs is as feasible and efficient as conventional physiotherapy in terms of functionality level and quality of life. In addition, telerehabilitation shows high levels of patients\u2019 satisfaction and adherence, being values equivalent to traditional rehabilitation.<\/jats:p>","DOI":"10.3390\/ijerph20054358","type":"journal-article","created":{"date-parts":[[2023,3,1]],"date-time":"2023-03-01T02:28:17Z","timestamp":1677637697000},"page":"4358","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":110,"title":["Telerehabilitation as a Therapeutic Exercise Tool versus Face-to-Face Physiotherapy: A Systematic Review"],"prefix":"10.3390","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3480-3878","authenticated-orcid":false,"given":"M\u00aa Teresa","family":"Mu\u00f1oz-Tom\u00e1s","sequence":"first","affiliation":[{"name":"Physiotherapy Primary Care, 44002 Teruel, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7360-3919","authenticated-orcid":false,"given":"Mario","family":"Burillo-Lafuente","sequence":"additional","affiliation":[{"name":"Physiotherapy Hospital San Jos\u00e9, 44002 Teruel, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Araceli","family":"Vicente-Parra","sequence":"additional","affiliation":[{"name":"Physiotherapy Hospital Obispo Polanco, 44002 Teruel, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0816-9244","authenticated-orcid":false,"given":"M\u00aa Concepci\u00f3n","family":"Sanz-Rubio","sequence":"additional","affiliation":[{"name":"Physiotherapy Primary Care, Department of Nursing, Physiotherapy and Occupational Therapy, University of Zaragoza, 50009 Zaragoza, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1485-5811","authenticated-orcid":false,"given":"Carmen","family":"Suarez-Serrano","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, University of Seville, 41009 Seville, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5851-8855","authenticated-orcid":false,"given":"Yolanda","family":"Marc\u00e9n-Rom\u00e1n","sequence":"additional","affiliation":[{"name":"Department of Anatomy and Human Embryology, IIS Arag\u00f3n, University of Zaragoza, 50009 Zaragoza, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M\u00aa \u00c1ngeles","family":"Franco-Sierra","sequence":"additional","affiliation":[{"name":"Department of Nursing, Physiotherapy and Occupational Therapy, IIS Arag\u00f3n, University of Zaragoza, 50009 Zaragoza, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,2,28]]},"reference":[{"key":"ref_1","unstructured":"WCPT (2022, October 10). Report of the WCPT\/INPTRA Digital Physical Therapy. Available online: https:\/\/world.physio\/sites\/default\/files\/2020-06\/WCPT-INPTRA-Digital-Physical-Therapy-Practice-Task-force-March2020.pdf."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1016\/j.jphys.2017.08.001","article-title":"Telephysiotherapy: Time to Get Online","volume":"63","author":"Holland","year":"2017","journal-title":"J. Physiother."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"625","DOI":"10.1177\/0269215516645148","article-title":"Real-Time Telerehabilitation for the Treatment of Musculoskeletal Conditions Is Effective and Comparable to Standard Practice: A Systematic Review and Meta-Analysis","volume":"31","author":"Cottrell","year":"2017","journal-title":"Clin. Rehabil."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1016\/j.msksp.2018.09.014","article-title":"Agreement between Telehealth and In-Person Assessment of Patients with Chronic Musculoskeletal Conditions Presenting to an Advanced-Practice Physiotherapy Screening Clinic","volume":"38","author":"Cottrell","year":"2018","journal-title":"Musculoskelet. Sci. Pract."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"e5846","DOI":"10.7717\/peerj.5846","article-title":"Effectiveness of Telephone-Based Interventions for Managing Osteoarthritis and Spinal Pain: A Systematic Review and Meta-Analysis","volume":"6","author":"Hodder","year":"2018","journal-title":"PeerJ"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1183","DOI":"10.1136\/heartjnl-2015-308966","article-title":"Telehealth Exercise-Based Cardiac Rehabilitation: A Systematic Review and Meta-Analysis","volume":"102","author":"Rawstorn","year":"2016","journal-title":"Heart"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"e172","DOI":"10.2196\/jmir.6688","article-title":"Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer","volume":"19","author":"Hanlon","year":"2017","journal-title":"J. Med. Internet Res."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1834","DOI":"10.1002\/acr.23218","article-title":"\u201cSounds a Bit Crazy, But It Was Almost More Personal:\u201d A Qualitative Study of Patient and Clinician Experiences of Physical Therapist\u2013Prescribed Exercise For Knee Osteoarthritis Via Skype","volume":"69","author":"Hinman","year":"2017","journal-title":"Arthritis Care Res."},{"key":"ref_9","unstructured":"World Health Organization (WHO) (2022, September 05). Clinical Management of Severe Acute Respiratory Infection When Novel Coronavirus (2019-NCoV) Infection Is Suspected Interim Guidance V1.2. Available online: https:\/\/www.who.int\/publications\/i\/item\/10665-332299."},{"key":"ref_10","unstructured":"(2022, July 08). aefi Reordenaci\u00f3n de La Actividad de Fisioterapia En Atenci\u00f3n Primaria. Available online: https:\/\/world.physio\/sites\/default\/files\/2020-06\/Reordenacion-actividad-UFAP-Abril-2020.pdf."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1016\/S0004-9514(05)70036-2","article-title":"Effectiveness of Exercise Therapy: A Best-Evidence Summary of Systematic Reviews","volume":"51","author":"Smidt","year":"2005","journal-title":"Aust. J. Physiother."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1016\/j.rehab.2018.11.001","article-title":"Exercise and Insulin Resistance in Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis","volume":"62","author":"Maiya","year":"2019","journal-title":"Ann. Phys. Rehabil. Med."},{"key":"ref_13","first-page":"56","article-title":"Exercise as a Treatment for Schizophrenia: A Review","volume":"49","author":"Girdler","year":"2019","journal-title":"Psychopharmacol. Bull."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1111\/sms.12581","article-title":"Exercise as Medicine\u2014Evidence for Prescribing Exercise as Therapy in 26 Different Chronic Diseases","volume":"25","author":"Pedersen","year":"2015","journal-title":"Scand. J. Med. Sci. Sports"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1136\/thoraxjnl-2016-208506","article-title":"Comparison of a Structured Home-Based Rehabilitation Programme with Conventional Supervised Pulmonary Rehabilitation: A Randomised Non-Inferiority Trial","volume":"73","author":"Horton","year":"2018","journal-title":"Thorax"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"699","DOI":"10.1111\/resp.12966","article-title":"Home-Based Telerehabilitation via Real-Time Videoconferencing Improves Endurance Exercise Capacity in Patients with COPD: The Randomized Controlled TeleR Study","volume":"22","author":"Tsai","year":"2017","journal-title":"Respirology"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"n71","DOI":"10.1136\/bmj.n71","article-title":"The PRISMA 2020 Statement: An Updated Guideline for Reporting Systematic Reviews","volume":"372","author":"Page","year":"2021","journal-title":"BMJ"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1177\/1474515114537023","article-title":"Quality of Life in Heart Failure Patients Undergoing Home-Based Telerehabilitation versus Outpatient Rehabilitation\u2014A Randomized Controlled Study","volume":"14","author":"Piotrowicz","year":"2015","journal-title":"Eur. J. Cardiovasc. Nurs."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1235","DOI":"10.1016\/S0895-4356(98)00131-0","article-title":"The Delphi List","volume":"51","author":"Verhagen","year":"1998","journal-title":"J. Clin. Epidemiol."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1097\/PHM.0000000000000559","article-title":"Effects of Home-Based Telesupervising Rehabilitation on Physical Function for Stroke Survivors with Hemiplegia: A Randomized Controlled Trial","volume":"96","author":"Chen","year":"2017","journal-title":"Am. J. Phys. Med. Rehabil."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"3551","DOI":"10.1007\/s00520-017-3782-9","article-title":"Effect of an Internet-Based Telehealth System on Functional Capacity and Cognition in Breast Cancer Survivors: A Secondary Analysis of a Randomized Controlled Trial","volume":"25","year":"2017","journal-title":"Support. Care Cancer"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1016\/j.jphys.2017.02.017","article-title":"Home-Based Telerehabilitation Is Not Inferior to a Centre-Based Program in Patients with Chronic Heart Failure: A Randomised Trial","volume":"63","author":"Hwang","year":"2017","journal-title":"J. Physiother."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1089\/tmj.2016.0060","article-title":"Patient Satisfaction with In-Home Telerehabilitation after Total Knee Arthroplasty: Results from a Randomized Controlled Trial","volume":"23","author":"Moffet","year":"2017","journal-title":"Telemed. e-Health"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"428","DOI":"10.1177\/1357633X17706583","article-title":"Telerehabilitation after Arthroscopic Subacromial Decompression Is Effective and Not Inferior to Standard Practice: Preliminary Results","volume":"24","author":"Moyano","year":"2018","journal-title":"J. Telemed. Telecare"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1136\/heartjnl-2018-313189","article-title":"Effects and Costs of Real-Time Cardiac Telerehabilitation: Randomised Controlled Non-Inferiority Trial","volume":"105","author":"Maddison","year":"2019","journal-title":"Heart"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1016\/j.physio.2019.06.006","article-title":"Telerehabilitation Is Non-Inferior to Usual Care Following Total Hip Replacement\u2014A Randomized Controlled Non-Inferiority Trial","volume":"107","author":"Nelson","year":"2020","journal-title":"Physiotherapy"},{"key":"ref_27","unstructured":"Bettger, J.P., Green, C.L., Holmes, D.N., Chokshi, A., Iii, R.C.M., Hoch, B.T., De Leon, A.J., Aluisio, F., Seyler, T.M., and Del Gaizo, D.J. (2020). Effects of Virtual Exercise Rehabilitation In-Home. J. Bone Joint Surg. Am., 101\u2013109."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1111\/ane.13448","article-title":"Supervised Exercises versus Telerehabilitation. Benefits for Persons with Multiple Sclerosis","volume":"144","author":"Tarakci","year":"2021","journal-title":"Acta Neurol. Scand."},{"key":"ref_29","first-page":"1229","article-title":"The Effect of Video Exercise-Based Telerehabilitation on Clinical Outcomes, Expectation, Satisfaction, and Motivation in Patients with Chronic Low Back Pain","volume":"191","author":"Karaman","year":"2021","journal-title":"Ir. J. Med. Sci."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"e938926","DOI":"10.12659\/MSM.938926","article-title":"Effect of Physiotherapy to Correct Rounded Shoulder Posture in 30 Patients During the COVID-19 Pandemic in South Korea Using a Telerehabilitation Exercise Program to Improve Posture, Physical Function, and Reduced Pain, with Evaluation of Patient Satisfac","volume":"28","author":"Lee","year":"2022","journal-title":"Med. Sci. Monit."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"505","DOI":"10.2519\/jospt.2022.10671","article-title":"Best Exercise Options for Reducing Pain and Disability in Adults with Chronic Low Back Pain: Pilates, Strength, Core-Based, and Mind-Body. A Network Meta-Analysis","volume":"52","year":"2022","journal-title":"J. Orthop. Sports Phys. Ther."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1007\/978-981-15-1792-1_16","article-title":"Exercise and Chronic Pain","volume":"1228","author":"Borisovskaya","year":"2020","journal-title":"Adv. Exp. Med. Biol."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"1074205","DOI":"10.3389\/fnmol.2022.1074205","article-title":"The Effect and Mechanism of Exercise for Post-Stroke Pain","volume":"15","author":"Ma","year":"2022","journal-title":"Front. Mol. Neurosci."},{"key":"ref_34","doi-asserted-by":"crossref","unstructured":"Rutkowski, S. (2020). Management Challenges in Chronic Obstructive Pulmonary Disease in the COVID-19 Pandemic: Telehealth and Virtual Reality. J. Clin. Med., 10.","DOI":"10.3390\/jcm10061261"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"e1959","DOI":"10.1002\/pri.1959","article-title":"Adherence Rate, Barriers to Attend, Safety and Overall Experience of a Physical Exercise Program via Telemonitoring during COVID-19 Pandemic for Individuals with Parkinson\u2019s Disease: A Feasibility Study","volume":"27","author":"Domingues","year":"2022","journal-title":"Physiother. Res. Int."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12883-017-0960-9","article-title":"Exercise Prescription for Patients with Multiple Sclerosis; Potential Benefits and Practical Recommendations","volume":"17","author":"Halabchi","year":"2017","journal-title":"BMC Neurol."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1093\/eurheartj\/ehaa605","article-title":"2020 ESC Guidelines on Sports Cardiology and Exercise in Patients with Cardiovascular Disease","volume":"42","author":"Pelliccia","year":"2021","journal-title":"Eur. Heart J."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1186\/1479-5868-11-80","article-title":"Determinants of Exercise Adherence and Maintenance among Cancer Survivors: A Systematic Review","volume":"11","author":"Kampshoff","year":"2014","journal-title":"Int. J. Behav. Nutr. Phys. Act."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1093\/ptj\/pzz090","article-title":"The Effect of Exercise on Cancer-Related Cognitive Impairment and Applications for Physical Therapy: Systematic Review of Randomized Controlled Trials","volume":"100","author":"Campbell","year":"2020","journal-title":"Phys. Ther."},{"key":"ref_40","first-page":"303","article-title":"Effects of Breathing Exercises on Patients with Lung Cancer","volume":"46","author":"Liu","year":"2019","journal-title":"Oncol. Nurs. Forum"},{"key":"ref_41","doi-asserted-by":"crossref","unstructured":"Batalik, L., Pepera, G., Papathanasiou, J., Rutkowski, S., L\u00ed\u0161ka, D., Batalikova, K., Hartman, M., Fel\u0161\u0151ci, M., and Dosbaba, F. (2021). Is the Training Intensity in Phase Two Cardiovascular Rehabilitation Different in Telehealth versus Outpatient Rehabilitation?. J. Clin. Med., 10.","DOI":"10.3390\/jcm10184069"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1007\/s00395-017-0628-z","article-title":"Exercise-Induced Circulating Extracellular Vesicles Protect against Cardiac Ischemia\u2013Reperfusion Injury","volume":"112","author":"Bei","year":"2017","journal-title":"Basic Res. Cardiol."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1177\/1357633X15571995","article-title":"A Randomized Controlled Trial on Stroke Telerehabilitation: The Effects on Falls Self-Efficacy and Satisfaction with Care","volume":"21","author":"Chumbler","year":"2015","journal-title":"J. Telemed. Telecare"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1002\/acr.23618","article-title":"\u201cI Was Really Pleasantly Surprised\u201d: Firsthand Experience and Shifts in Physical Therapist Perceptions of Telephone-Delivered Exercise Therapy for Knee Osteoarthritis\u2014A Qualitative Study","volume":"71","author":"Lawford","year":"2019","journal-title":"Arthritis Care Res."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"959","DOI":"10.1177\/2047487314561168","article-title":"Telehealth Interventions versus Center-Based Cardiac Rehabilitation of Coronary Artery Disease: A Systematic Review and Meta-Analysis","volume":"22","author":"Huang","year":"2015","journal-title":"Eur. J. Prev. Cardiol."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"pzab075","DOI":"10.1093\/ptj\/pzab075","article-title":"Effectiveness of Telerehabilitation in Physical Therapist Practice: An Umbrella and Mapping Review with Meta-Meta-Analysis","volume":"101","year":"2021","journal-title":"Phys. Ther."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1016\/j.hrtlng.2022.04.016","article-title":"Safety of Home-Based Cardiac Rehabilitation: A Systematic Review","volume":"55","author":"Stefanakis","year":"2022","journal-title":"Heart Lung"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/5\/4358\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T18:44:35Z","timestamp":1760121875000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/5\/4358"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,28]]},"references-count":47,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2023,3]]}},"alternative-id":["ijerph20054358"],"URL":"https:\/\/doi.org\/10.3390\/ijerph20054358","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,2,28]]}}}