40 Participants Needed

Hybrid Telehealth Physical Therapy for Developmental Disabilities

JB
Overseen ByJamie B Hall, PT, DPT, PhD
Age: < 18
Sex: Any
Trial Phase: Academic
Sponsor: University of Missouri-Columbia
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to determine if combining telehealth (virtual healthcare services) with in-person physical therapy is more effective than in-person therapy alone for improving the daily skills of children with moderate to severe developmental disabilities. Researchers seek to assess whether this hybrid approach enhances children's ability to function at home. It suits children aged 2 to 17 with such disabilities, provided their families have the necessary technology for telehealth visits. As an unphased trial, this study offers families the chance to contribute to innovative research that could enhance therapy options for children with developmental disabilities.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

What prior data suggests that this hybrid telehealth physical therapy is safe for children with developmental disabilities?

Research has shown that hybrid telehealth physical therapy is generally safe. Studies have found that combining online sessions with in-person visits provides effective care without added risk. Past research has identified no major safety issues.

For in-person physical therapy, research indicates it is well-tolerated. It has been used for a long time and is known to improve physical function and health.

Overall, both hybrid telehealth and in-person physical therapy are considered safe for participants.12345

Why are researchers excited about this trial?

Researchers are excited about hybrid telehealth physical therapy for developmental disabilities because it combines the flexibility of online sessions with the hands-on benefits of in-person therapy. Unlike traditional physical therapy that requires frequent in-clinic visits, this approach allows for more consistent engagement by offering a mix of virtual and face-to-face interactions. This can be particularly beneficial for individuals with developmental disabilities who may face challenges with transportation and scheduling. The hybrid model aims to make therapy more accessible and adaptable, potentially leading to improved outcomes and increased satisfaction for patients and caregivers alike.

What evidence suggests that this trial's treatments could be effective for improving functional skills in children with developmental disabilities?

This trial will compare Hybrid Telehealth, which combines online and in-person physical therapy, with In-Person Physical Therapy Services for children with developmental disabilities. Research has shown that hybrid telehealth can enhance skills in children by offering personalized care and detailed assessments using tools like smartphone cameras. Although telehealth alone presents some challenges, combining it with in-person therapy provides more comprehensive and flexible care.

In-person physical therapy is well-known for usually leading to significant improvements, with success rates between 68% and 72%. Patients often experience less pain and improved movement. Both methods offer benefits, and this trial will assess whether using them together could be the optimal approach for children with developmental disabilities.23456

Are You a Good Fit for This Trial?

This trial is for children aged 2-17 with moderate to severe disabilities whose families have the technology needed for telehealth and insurance that covers it. The child's caregiver must speak English.

Inclusion Criteria

Families have access to minimum technology necessary to participate in a telehealth visit
The child's insurance covers telehealth visits
The study is not for children under 2 years old or over 17 years old.
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Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive a hybrid of telehealth and in-person physical therapy services or in-person services alone

12 weeks
Combination of in-person and virtual visits

Follow-up

Participants are monitored for changes in functional skills and satisfaction after the physical therapy episode

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Hybrid Telehealth
  • In-Person Physical Therapy Services
Trial Overview The study compares a mix of remote (telehealth) and in-person physical therapy against only in-person therapy, focusing on how each affects kids' functional skills at home.

Hybrid Telehealth is already approved in United States, European Union for the following indications:

🇺🇸
Approved in United States as Telehealth Services for:
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Approved in European Union as Virtual Physical Therapy for:

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Missouri-Columbia

Lead Sponsor

Trials
387
Recruited
629,000+

Published Research Related to This Trial

A systematic review of 100 studies on telehealth in physical therapy revealed that most research focuses on musculoskeletal conditions, with Australia, Canada, and the US leading in published evidence.
Despite the growth in telehealth research, only 14% of studies utilized secure videoconferencing platforms, highlighting a gap in safety measures for delivering physical therapy services remotely.
Use of real-time videoconferencing to deliver physical therapy services: A scoping review of published and emerging evidence.Horsley, S., Schock, G., Grona, SL., et al.[2021]
Parents of children with developmental disorders reported mixed feelings about digital physical therapy during the COVID-19 lockdown, finding it a useful alternative but also challenging and sometimes inadequate.
Key barriers to effective implementation included difficulties in maintaining children's attention and the need for better training and resources, while facilitators included therapist adaptability and family support, suggesting that digital therapy could be a valuable complement to traditional methods in the future.
The impact of digital physical therapy during COVID-19 lockdown in children with developmental disorders: A qualitative study.Portillo-Aceituno, A., Calderón-Bernal, A., Pérez-Corrales, J., et al.[2022]
A survey of 73 pediatric physical therapists revealed that most found telehealth easy to use and effective for delivering treatment, indicating its potential as a viable method for pediatric care.
The study identified three key themes for successful telehealth delivery: caregiver involvement, a well-equipped therapist toolbox for treatment and collaboration, and understanding the characteristics of the child client, which can help improve telehealth practices.
COVID-19 Lessons From The Field: Toward A Pediatric Physical Therapy Telehealth Framework.Fishman, GD., Elkins, J.[2022]

Citations

Telehealth delivery of physical therapist-led interventions ...The purpose of this article is to describe the challenges encountered when implementing telehealth physical therapy programs for persons with chronic low back ...
Hybrid Telehealth in Pediatric Physical TherapyThe purposes of this study are to compare the impact of a hybrid of telehealth and in-person physical therapy services to in-person services ...
Outcomes and standardized tools in telehealth physical ...Identifying outcomes and standardized tools used to assess clinical changes in children and young people with CP following telehealth-delivered ...
Telehealth Physical Therapy for Sports Medicine ...We noted a decline in telehealth PT use during the postpandemic era, consistent with reduced patient satisfaction when compared with in-person visits.
The Ultimate Guide to Telehealth Physical Therapy in 2025Modern telehealth physical therapy includes comprehensive assessment capabilities, movement analysis through smartphone cameras, personalized ...
Hybrid Telehealth in Pediatric Physical TherapyThe purposes of this study are to compare the impact of a hybrid of telehealth and in-person physical therapy services to in-person services alone on the in- ...
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