IJOMAHIP Published Article Details

Abstract Background. The COVID-19 pandemic has accelerated the adoption of telerehabilitation as an alternative to traditional, face-to-face physical therapy, addressing limitations such as travel barriers and patient isolation. This study aimed to examine the challenges encountered by physical therapists (PTs) in delivering telerehabilitation for low back pain (LBP) and to propose a model to enhance its effectiveness. Methods. This non-experimental quantitative study utilized a cross-sectional research design and purposive sampling to recruit licensed PTs who treated work-from-home employees with LBP via telerehabilitation between March 2020 and April 2023 in select centers across Region VII, Philippines (Dumaguete, Bohol, and Cebu). Data were collected using a self-developed questionnaire based on existing literature and the Blueprint for Telerehabilitation Guidelines, employing a five-point Likert scale to quantify challenge frequency and severity. Of 18 prospective respondents, 12 completed the survey. Results. Technical challenges—such as unstable internet connections, hardware limitations, and troubleshooting—were most frequently encountered, followed by clinical, ethical, and administrative challenges. Statistical analysis indicated no significant differences across demographic groups, indicating consistent barriers regardless of age, sex, years of experience, specialization, or work setting. Findings informed a structured telerehabilitation model prioritizing technical, clinical, ethical, and administrative aspects to guide PTs. Conclusion. The study underscores the importance of developing standardized protocols, professional training, and resource allocation to optimize telerehabilitation delivery, enhancing accessibility, efficiency, and quality of care for patients with LBP in the Philippines. Keywords: rehabilitative science, telerehabilitation, low back pain, work-from-home employees