{"title":"Quality Appraisal of Telerehabilitation Guidelines: A Systematic Review.","authors":"Faridokht Salahshoori, Majid Jangi, Ebrahim Sadeghi-Demneh, Farhad Fatehi, Alireza Rahimi","doi":"10.1155/ijta/2404971","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Telerehabilitation is an expanding domain of telehealth offering remote rehabilitation services. The quality of clinical guidelines, despite significant growth, is highly inconsistent, which may affect the quality of care and policy execution. We endeavored to systematically assess the quality of general telerehabilitation guidelines using the AGREE II instrument.</p><p><strong>Methods: </strong>A systematic search of six databases and grey literature identified 2575 records. After screening and eligibility assessment, seven guidelines were appraised independently by two reviewers using the AGREE II tool, covering six quality domains.</p><p><strong>Results: </strong>Only the American Physical Therapy Association's 2024 guideline was rated high quality across all domains. Three guidelines were rated medium quality and recommended with modifications. The remaining three were deemed low quality due to weak methodological rigor and limited stakeholder involvement.</p><p><strong>Conclusion: </strong>The quality of telerehabilitation guidelines differs significantly, and high-quality, evidence-based, and inclusive guidelines are essential for promoting secure, efficient, and telerehabilitation practices globally.</p>","PeriodicalId":45630,"journal":{"name":"International Journal of Telemedicine and Applications","volume":"2026 ","pages":"2404971"},"PeriodicalIF":2.2000,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13292017/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Telemedicine and Applications","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1155/ijta/2404971","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Telerehabilitation is an expanding domain of telehealth offering remote rehabilitation services. The quality of clinical guidelines, despite significant growth, is highly inconsistent, which may affect the quality of care and policy execution. We endeavored to systematically assess the quality of general telerehabilitation guidelines using the AGREE II instrument.
Methods: A systematic search of six databases and grey literature identified 2575 records. After screening and eligibility assessment, seven guidelines were appraised independently by two reviewers using the AGREE II tool, covering six quality domains.
Results: Only the American Physical Therapy Association's 2024 guideline was rated high quality across all domains. Three guidelines were rated medium quality and recommended with modifications. The remaining three were deemed low quality due to weak methodological rigor and limited stakeholder involvement.
Conclusion: The quality of telerehabilitation guidelines differs significantly, and high-quality, evidence-based, and inclusive guidelines are essential for promoting secure, efficient, and telerehabilitation practices globally.
期刊介绍:
The overall aim of the International Journal of Telemedicine and Applications is to bring together science and applications of medical practice and medical care at a distance as well as their supporting technologies such as, computing, communications, and networking technologies with emphasis on telemedicine techniques and telemedicine applications. It is directed at practicing engineers, academic researchers, as well as doctors, nurses, etc. Telemedicine is an information technology that enables doctors to perform medical consultations, diagnoses, and treatments, as well as medical education, away from patients. For example, doctors can remotely examine patients via remote viewing monitors and sound devices, and/or sampling physiological data using telecommunication. Telemedicine technology is applied to areas of emergency healthcare, videoconsulting, telecardiology, telepathology, teledermatology, teleophthalmology, teleoncology, telepsychiatry, teledentistry, etc. International Journal of Telemedicine and Applications will highlight the continued growth and new challenges in telemedicine, applications, and their supporting technologies, for both application development and basic research. Papers should emphasize original results or case studies relating to the theory and/or applications of telemedicine. Tutorial papers, especially those emphasizing multidisciplinary views of telemedicine, are also welcome. International Journal of Telemedicine and Applications employs a paperless, electronic submission and evaluation system to promote a rapid turnaround in the peer-review process.